Insurance Authorization Specialist
Job Summary:
We are seeking an experienced and detail-oriented Insurance Authorization Specialist to join our busy imaging facility. This role is essential in ensuring timely and accurate insurance authorizations for radiology procedures, including MRI, CT, X-ray, ultrasound, and other diagnostic imaging services. The ideal candidate is fast-paced, adaptable, and thrives in a multi-tasking environment. Excellent communication and customer service skills are essential.
Key Responsibilities:
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Obtain prior authorizations for imaging procedures from insurance companies, including MRI, CT, ultrasound, X-ray, and other diagnostic exams.
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Verify patient insurance eligibility, benefits, and requirements for imaging studies.
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Communicate directly with insurance representatives, referring physician offices, and patients to gather necessary information.
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Ensure all authorization approvals are documented accurately in the EMR and scheduling systems prior to appointments.
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Monitor and follow up on pending authorizations to prevent delays or rescheduling.
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Appeal denied authorizations and work collaboratively with radiologists and referring providers to obtain supporting clinical documentation.
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Maintain current knowledge of insurance payer guidelines and radiology authorization protocols.
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Deliver excellent customer service when assisting patients with insurance-related questions or concerns.
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Coordinate with front desk, scheduling, and billing teams to support efficient patient flow and minimize disruptions.
Qualifications:
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Required: Minimum 1–2 years of prior experience in insurance authorization in a radiology or imaging setting.
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Strong understanding of radiology procedures and insurance requirements, including commercial, Medicare, and Medicaid plans.
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Bilingual (Spanish/English) a plus.
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Ability to work efficiently in a fast-paced, high-volume environment while maintaining accuracy and professionalism.
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Excellent communication and interpersonal skills with a strong patient-service orientation.
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Highly organized with the ability to prioritize and handle multiple tasks.
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Comfortable learning and using EMR and scheduling software systems.
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Preferred but not required: Bilingual in English and Spanish (or another language).
What We Offer:
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Supportive and team-oriented work environment
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Opportunities for professional development in the healthcare field
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Comprehensive benefits package, including 401K.
Skills Required
- Minimum 1-2 years prior experience in insurance authorization in a radiology or imaging setting
- Strong understanding of radiology procedures and insurance requirements including commercial, Medicare, and Medicaid plans
- Ability to work efficiently in a fast-paced, high-volume environment while maintaining accuracy and professionalism
- Excellent communication and interpersonal skills with a strong patient-service orientation
- Highly organized with the ability to prioritize and handle multiple tasks
- Comfortable learning and using EMR and scheduling software systems
- Bilingual in Spanish and English
What We Do
Capitol Imaging Services is a leading provider of outpatient diagnostic imaging services headquartered in Metairie, LA. Operating over 50 freestanding locations across Alabama, Florida, Georgia, Louisiana, Mississippi, and Texas, the company offers a comprehensive range of screening and diagnostic testing capabilities, including MRI, CT, PET/CT, and women's health imaging such as mammography, ultrasound, and biopsies.
