Pre-Authorization Representative
About The Position
Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services. At SimonMed Imaging, the Insurance Authorization Representative plays a critical role in the patient access and revenue cycle process. This position ensures that diagnostic exams are properly authorized, financially reviewed, and scheduled in compliance with insurance requirements and organizational standards. This is a detail-driven, patient-facing administrative role where accuracy, communication, and insurance knowledge directly impact both patient experience and operational efficiency. If you enjoy problem-solving within healthcare systems and ensuring patients can access care without financial or administrative barriers, this role offers meaningful daily impact.
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, obtain pre-certifications, and ensure patients are cleared for diagnostic testing before appointments.
- Gather and validate accurate patient, payer, and clinical information to prevent delays, denials, or financial surprises.
- Maintain ongoing communication with patients regarding authorization status, scheduling updates, and financial expectations in a clear and compassionate manner.
- Understand common insurance concepts, payer requirements, and authorization workflows that support diagnostic imaging services.
- Follow established guidelines and instructions while managing multiple cases and deadlines in a structured environment.
- Work closely with insurance carriers, financial counselors, schedulers, and clinical staff to ensure seamless patient access.
Benefits
- Competitive wages
- No nights/no calls/no weekends
- Medical, dental, and vision insurance
- 401(k) eligibility
- Pet Insurance
- Paid holidays
- PTO
- Sick Time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
