Lead Precertification Specialist
Role Overview
Will contact insurance companies and third-party administrators to determine pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures
Responsible for obtaining the pre-authorization before the scheduled services are performed
Will act as a liaison between the patients and referring physician offices when needed to obtain additional clinical documentation
Fully Remote – Working in CST time-zone
Key Skills for This Role
Full Job Posting
ABOUT PREMIER RADIOLOGY & RADIOLOGY PARTNERS, INC.
Premier Radiology is one of the leading outpatient imaging providers across Tennessee, known for convenient access, high-quality care, and an exceptional patient experience. As a proud practice of Radiology Partners (RP) , Premier pairs trusted local care with the resources and clinical standards of a purpose-built national radiology organization focused on quality, access, and innovation.
With 20+ outpatient imaging centers throughout the Nashville market , Premier Radiology combines:
certified RP radiologists
Advanced diagnostic technology
based locations
Together, RP and Premier Radiology are redefining how imaging supports patients, referring providers, and the clinicians who make care possible. When you join Premier Radiology , you’ll be backed by Radiology Partners (RP) —a nationally recognized organization that prioritizes clinical excellence and a people ‑ first culture.
WHY JOIN US
Competitive compensation and comprehensive total rewards
True work-life balance in an outpatient setting— no on-call shifts or overnights
Consistent RP standards with local leadership and support
A fun, team-first culture at Premier Radiology—collaborative, supportive, and grounded in safety and trust
Radiology Partners has been Certified Great Place to Work™ for five consecutive years, reflecting the experiences of team members across our practices nationwide.
Position Summary
Will contact insurance companies and third-party administrators to determine pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures
Responsible for obtaining the pre-authorization before the scheduled services are performed
Will act as a liaison between the patients and referring physician offices when needed to obtain additional clinical documentation
Fully Remote – Working in CST time-zone
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
- Background in healthcare preferred
- Working knowledge of medical billing and managed care
- Background with eClinicalWorks Practice Management System preferred
- Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff
- Excellent phone and computer skills
FOR MORE INFORMATION
Learn more about this opportunity here:
Link to Job Description here.
COMPENSATION & TOTAL REWARDS
- The hourly range for this position is $21.00-$23.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
- Final compensation is determined based on education, experience, certifications, and geographic factors.
- In addition to competitive pay, Radiology Partners offers a robust total rewards package, which may include:
- Health and wellness coverage options
- 401(k) with employer offerings
- Paid time off and paid holidays
- Incentive and productivity programs (where eligible)
- Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
- CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.
- Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in “ @radpartners.com .” If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email [email protected] to notify our team.
Requirements
- Background in healthcare preferred
- Working knowledge of medical billing and managed care
- Background with eClinicalWorks Practice Management System preferred
- Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff
- Excellent phone and computer skills
About Premier Radiology
Verified company details for this employer are not available yet.
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