Prior Authorizations Coordinator - Imaging
About The Position
Optima Medical is an Arizona-based medical group with 30 locations and over 130+ medical providers, serving more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We offer a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We are currently seeking a Prior Authorization Coordinator to support our Imaging Department and help ensure timely, accurate approvals for diagnostic services across our network of clinics.
Requirements
- Minimum of 1 year experience working with imaging-related prior authorizations required.
- Strong knowledge of medical insurance carriers and imaging guidelines (commercial, Medicaid, and Medicare).
- Familiarity with CPT and ICD-10 codes specific to imaging procedures.
- Excellent communication and organizational skills.
- Ability to work independently and within a collaborative team environment.
- Detail-oriented with strong follow-through and time management abilities.
Nice To Haves
- Previous experience in a primary care or specialty clinic is highly preferred.
- Experience with eClinicalWorks (eCW) or a similar EMR system is a plus.
Responsibilities
- Request, prepare, and submit all necessary documentation to obtain prior authorizations for imaging services such as CT, MRI, and Ultrasound.
- Ensure insurance carrier requirements are met to reduce denials and delays in imaging services.
- Prioritize authorization requests according to urgency and appointment timelines.
- Follow up with insurance companies to track the status of pending authorizations.
- Submit appeals for denied imaging authorizations with appropriate clinical justification.
- Communicate authorization updates to clinic teams and patients in a timely and professional manner.
- Verify accuracy of CPT and ICD-10 coding in patient charts relevant to imaging studies.
- Document all activities in the electronic medical record (EMR) system in real-time.
Benefits
- Substantial Growth Opportunities
- Leadership and Mentoring
- Resources to Further your Career
- Fun Work Environment (Events, Team Bonding's, Holiday Parties)
- Medical/Vision/401k/Paid Holidays
- Supportive and Positive Work Environment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
