Prior Authorization Specialist - 100% Remote
Location
United States + 1 moreAll locations: United States, Georgia
Posted
4 days ago
Salary
$19 - $23 / hour
No structured requirement data.
Job Description
Prior Authorization Specialist (Remote – Select States Only)
TRA Medical Imaging
Remote | Full-Time | Monday–Friday | $19.27–$22.93 per hour
Applicants must reside in one of the following states to be considered:
Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington.
TRA Medical Imaging is seeking an experienced Prior Authorization Specialist with strong knowledge of radiology procedures, insurance verification, CPT coding, ICD-10 coding, and medical insurance authorizations.
This fully remote role supports our radiology practice by ensuring all scheduled imaging exams are authorized, medically necessary, and compliant with insurance carrier requirements. The ideal candidate has at least three years of medical office insurance authorization experience and thrives in a fast-paced healthcare environment.
Compensation and Benefits
Hourly Pay: $19.27 – $22.93 (based on experience, skills, and qualifications)
Benefits Include:
- No nights, weekends, or on-call shifts
- Medical, Dental, and Vision Insurance
- HSA and FSA options
- Employee Assistance Program (EAP)
- Basic Life Insurance and Long-Term Disability
- 401(k) with automatic 3% employer contribution plus up to 3% employer match
- 17 days of PTO
- 9 paid holidays
- Annual automatic compensation growth path
- Profit sharing
- Optional Pet Insurance, Legal, and ID Protection
About TRA Medical Imaging
TRA Medical Imaging is a physician-owned and physician-led radiology practice serving the South Puget Sound region for over 100 years. With approximately 100 subspecialized radiologists, TRA is committed to delivering high-quality, patient-centered imaging services while fostering a collaborative, high-trust culture rooted in Compassionate Care, Accountability and Integrity, Respect, and Excellent Service.
Position Overview
The Prior Authorization Specialist is responsible for ensuring all scheduled imaging examinations:
- Are authorized for the correct facility
- Include accurate CPT and ICD-10 codes
- Meet medical necessity guidelines
- Comply with insurance carrier and HIPAA requirements
This role works under established guidelines and immediate supervision within Health Information Management, Patient Access, and Scheduling functions
Key Responsibilities
- Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry
- Verify insurance eligibility, benefits, and authorization requirements
- Ensure correct CPT and ICD-10 coding for all scheduled exams
- Contact referring physician offices and insurance carriers to obtain required documentation
- Review medical records to confirm medical necessity
- Enter authorization numbers and detailed documentation into the RIS system
- Educate patients on insurance and authorization requirements
- Reschedule patients when authorization is pending
- Provide price quotes and explain financial assistance options
- Maintain HIPAA compliance and patient confidentiality
- Collaborate with technologists, front desk staff, and scheduling teams to ensure exam accuracy
Required Qualifications
- High School Diploma or GED
- Formal medical terminology training or equivalent medical office experience
- Minimum 3 years of medical office insurance authorization experience
- Knowledge of CPT and ICD-10 coding
- Experience navigating insurance websites for eligibility and claim status
- Understanding of radiology procedures and authorization workflows
- Strong attention to detail and ability to manage multiple tasks
- Effective written and verbal communication skills
- Professional customer service skills
Preferred Qualifications
- Clinical experience in a radiology or imaging setting
- Experience working with RIS systems
- Experience with PET scan authorization processes
- Knowledge of HCPCS coding
Work Environment and Schedule
- Fully remote position (training and equipment provided)
- Monday through Friday, 9:00 AM – 5:30 PM Pacific Time
Ideal Candidate Profile
The ideal candidate is detail-oriented, experienced in radiology prior authorizations, comfortable working independently in a remote environment, knowledgeable about insurance carriers and medical necessity criteria, and committed to patient-focused service.
Apply Today
If you reside in Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington and have strong experience in radiology prior authorization, insurance verification, and CPT/ICD-10 coding, we encourage you to apply.
Join a respected, physician-led organization with over 100 years of excellence in medical imaging and become part of the next chapter of the TRA story.
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