Pre-Authorization Representative

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

You’re a Strong Fit If You Have

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

Additional information

Qualifications

• 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

Preferred Qualifications

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