New - Radiology Prior Authorization Specialist – Remote Position – Full Time
About The Position
We’re looking for an experienced U.S.-based Radiology Prior Authorization Specialist with extensive, hands-on experience working prior authorizations in EPIC to join the Prior Authorization Team. EPIC proficiency of 4+ years is required. This is not an entry-level training position, and candidates who require basic EPIC training will not be considered. The specialist completes insurance verifications, submits and tracks prior authorizations, gathers required documentation, communicates with insurance payors and clinicians, and follows authorizations through to approval while working in a dynamic, team-oriented atmosphere.
Requirements
- At least 4 years of radiology prior authorization experience within EPIC.
- Extensive hands-on proficiency in EPIC, including prior authorization and insurance verification.
- Extensive knowledge of radiology prior authorization management within a hospital, including authorization requirements and processes.
- Experience navigating complex insurance authorization requirements for ultrasound, MRI, CT, nuclear medicine, and PET.
- Ability to independently manage prior authorizations from submission through approval.
- Strong communication, problem-solving, and organizational skills.
- Detail-oriented, analytical, and able to multitask in a fast-paced environment.
- Proficiency in TEAMS.
- High school diploma required.
- Experience in prior authorization, utilization review, insurance verification, and EMR systems.
- Reliable internet connection.
- Ability to use a computer daily during an 8-hour shift and lift up to 15 pounds.
Nice To Haves
- Additional education in business or healthcare.
- Exceptional experience may qualify for additional pay.
Responsibilities
- Complete insurance verifications using EPIC.
- Submit, manage, and track radiology prior authorizations from submission through approval.
- Gather required documentation for authorizations.
- Communicate with providers, clinicians, and insurance companies regarding authorization requirements and status.
- Maintain HIPAA compliance.
- Support daily revenue cycle operations.
Benefits
- Dental insurance
- Health insurance
- Accrued paid time off
- Performance bonus incentive for high performers
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
