Pre-Authorization Representative

Posted 5 Days Ago
Be an Early Applicant
89512, Reno, NV, USA
In-Office
Mid level
Healthtech
The Role
Verify insurance coverage, obtain pre-certifications, and financial/clinical clear patients for diagnostic imaging. Communicate with patients and payers, coordinate with schedulers and clinical staff, and ensure documentation accuracy to prevent denials and delays.
Summary Generated by Built In

Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services.

At SimonMed Imaging, the Insurance Authorization Representative plays a critical role in the patient access and revenue cycle process. This position ensures that diagnostic exams are properly authorized, financially reviewed, and scheduled in compliance with insurance requirements and organizational standards.

This is a detail-driven, patient-facing administrative role where accuracy, communication, and insurance knowledge directly impact both patient experience and operational efficiency. If you enjoy problem-solving within healthcare systems and ensuring patients can access care without financial or administrative barriers, this role offers meaningful daily impact.

What You Bring

    Insurance and authorization expertise: You verify insurance coverage, obtain pre-certifications, and ensure patients are cleared for diagnostic testing before appointments.

    Strong attention to detail: You gather and validate accurate patient, payer, and clinical information to prevent delays, denials, or financial surprises.

    Patient communication skills: You maintain ongoing communication with patients regarding authorization status, scheduling updates, and financial expectations in a clear and compassionate manner.

    Knowledge of healthcare insurance processes: You understand common insurance concepts, payer requirements, and authorization workflows that support diagnostic imaging services.

    Organizational and process discipline: You follow established guidelines and instructions while managing multiple cases and deadlines in a structured environment.

    Collaboration skills: You work closely with insurance carriers, financial counselors, schedulers, and clinical staff to ensure seamless patient access.

What You’ll Gain

    Purpose-driven patient access role: Your work removes financial and administrative barriers so patients can receive timely diagnostic care.

    Strong healthcare operations experience: Build expertise in insurance authorization, pre-certification, and revenue cycle workflows within a leading imaging organization.

    High-impact administrative work: Ensure patients are cleared for care correctly the first time, improving both patient experience and operational efficiency.

    Collaborative healthcare environment: Partner with clinical, financial, and scheduling teams to support end-to-end patient care.

    Growth opportunity: Develop valuable skills in healthcare insurance, compliance, and patient access operations.

You’re a Strong Fit If You Have

    • 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
    • Excellent 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
    • Experience in healthcare, patient access, or revenue cycle roles preferred

Benefits

    Your health, happiness and future matters!

    At SimonMed Imaging, we offer:

    • Competitive wages

    • No nights/no calls/no weekends

    • Medical, dental, and vision insurance

    • 401(k) eligibility

    • Pet Insurance

    • Paid holidays

    • PTO

    • Sick Time

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.

Skills Required

  • Associate's degree or equivalent
  • 2-4 years of related experience
  • Strong knowledge of insurance verification, authorization, and pre-certification processes
  • Familiarity with healthcare insurance concepts, practices, and procedures
  • Excellent 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
  • Experience in healthcare, patient access, or revenue cycle roles
Am I A Good Fit?
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The Company
HQ: Scottsdale, AZ
1,791 Employees
Year Founded: 2003

What We Do

SimonMed is a leading independent outpatient medical imaging provider in the United States. They operate over 150 sites across 10 states, employing more than 200 subspecialty-trained radiologists. The company focuses on providing accessible, high-quality diagnostic scans—including MRI, CT, mammography, and ultrasound—using AI-enhanced technology to improve early detection, patient outcomes, and preventive care for both individual patients and employer-sponsored wellness programs.

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