Pre-Authorization Representative

SimonMed Imaging • California, CA

19h

About The Position

At SimonMed Imaging, the Pre-Authorization Representative supports patient access and revenue cycle operations by ensuring diagnostic exams are authorized, financially reviewed, and scheduled according to insurance requirements and organizational standards. The role manages insurance authorization, pre-certification, and registration processes so patients are financially and clinically cleared for care and can access diagnostic services in a timely manner.

This detail-oriented, patient-facing administrative position requires accurate collection and validation of patient, payer, and clinical information; communication with patients about authorization status, scheduling updates, and financial expectations; and coordination with insurance carriers, financial counselors, schedulers, and clinical staff. Work follows established procedures and guidelines while managing multiple cases and deadlines. The role helps prevent delays, denials, and unexpected costs, and supports an effective patient experience and operational efficiency.

Requirements

• Associate’s degree or equivalent required.
• 2–4 years of related experience required.
• Strong knowledge of insurance verification, authorization, and pre-certification processes.
• Familiarity with healthcare insurance concepts, practices, and procedures.
• Excellent attention to detail and accuracy in documentation and data entry.
• Strong communication skills for patient and payer interactions.
• Ability to follow established procedures and work independently within guidelines.

Nice To Haves

• Experience in healthcare, patient access, or revenue cycle roles preferred.

Responsibilities

• Verify insurance coverage and obtain pre-certifications for diagnostic testing.
• Ensure patients are financially and clinically cleared before appointments.
• Gather and validate patient, payer, and clinical information to prevent delays, denials, or financial surprises.
• Communicate with patients about authorization status, scheduling updates, and financial expectations.
• Follow established procedures and manage multiple cases and deadlines within a structured environment.
• Collaborate with insurance carriers, financial counselors, schedulers, and clinical staff to support patient access.

Benefits

• Competitive wages
• Medical, dental, and vision insurance
• 401(k) eligibility
• Pet insurance
• Paid holidays
• PTO
• Sick time
• No nights, calls, or weekends

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree