Pre-Authorization Representative

SimonMed Imaging • Arizona, AZ

17h

About The Position

The Pre-Authorization Representative supports patient access and revenue cycle operations at SimonMed Imaging by managing insurance authorization, pre-certification, and registration processes for diagnostic services. The role ensures exams are properly authorized and financially reviewed, and that patients are scheduled in accordance with payer requirements and organizational standards. It is a detail-oriented, patient-facing administrative position in which accuracy, communication, and insurance knowledge help support timely access to care and operational efficiency.

The representative verifies coverage, gathers and validates patient, payer, and clinical information, and communicates with patients about authorization status, scheduling updates, and financial expectations. The role also involves following established procedures and collaborating with insurance carriers, financial counselors, schedulers, and clinical staff. The position offers experience in healthcare insurance, compliance, patient access, and revenue cycle workflows.

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.
• Strong 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.

Responsibilities

• Verify insurance coverage and obtain pre-certifications for diagnostic testing.
• Ensure patients are authorized and financially cleared before appointments.
• Gather and validate patient, payer, and clinical information to support accurate documentation and prevent delays or denials.
• Communicate with patients about authorization status, scheduling updates, and financial expectations.
• Follow established guidelines and procedures while managing multiple cases and deadlines.
• 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
• Career Level: Mid Level
• Education Level: Associate degree