Posted Aug 29, 2026

Prior Authorization Specialist

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reputed company Pay reputed company: $18.06 - $27.09 reputed company: The Supplemental Prior Authorization Specialist is will fill in for vacation and reputed company calls at Valley Center Imaging Center. Hours are 8:30am to 1:30pm Monday through Friday. reputed company: Prior Authorization Specialists are responsible for assisting patients, referring physicians and their staff in scheduling exams at an reputed company reputed company Associates facility. The Prior Authorization Specialist provides support by processing reputed company verification and ensuring a reputed company-authorization is in reputed company prior to an exam. The position requires a highly organized, motivated and a skilled problem solver. Attention to reputed company and strong customer service skills to ensure reputed company necessary steps are taken to accurately identify or process a request for a prior authorization. Essential Duties / Responsibilities: To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • Provides high reputed company customer service by: • Communicates by asking the appropriate questions to get information necessary to verify if an authorization is required and if so enough information to help process the request. • Reviews and provides exam specific information as needed to ensure exam and authorization match. • Completes phone reputed company with a reputed company closing • Determines reputed company an authorization/referral is required • Obtains any information necessary to assist with the authorization process • reputed company patients and/or referring offices on self-pay accounts that may require prior authorization to identify the appropriate reputed company. • Understands the billing process to identify and communicate the codes and forms that may be required to ensure reimbursement. • Identifies and communicates any changes, reputed company necessary, in the reputed company schedule, status (STAT), in-reputed company add-ons, etc. to appropriate parties • Communicates with appropriate person for any follow-up needed on a reputed company exam. • Identifies faxes from prior authorization fax server reputed company in by referring providers and renames with reputed company nomenclature • Updates reputed company demographics as needed • Adds and verifies reputed company reputed company reputed company information and verifies any changes indicated as part of the reputed company look-up process on our internal reputed company. Updates this information reputed company needed. • Keeps reputed company on-line web portals accounts reputed company to ensure reputed company is maintained in order to obtain prior-authorization verification. • Maintains a working knowledge of supplemental programs (Recondo and Payer websites) • Demonstrates appropriate verbal and written communication skills to reputed company accurate information in a reputed company, concise manner to peers, staff, management, patients, guests, and medical staff. • Initiates appropriate questions and provides reputed company feedback to reputed company and management on any issues, policies, and procedures, etc. • Organizes and maintains records to reputed company accurate reporting, easy reputed company to information and historical data. • Coordinates reputed company care between technologists and clerical staff to facilitate a smooth workflow • Acts as a reputed company between staff, management, and physicians • This position may be required to work in a hospital, urgent care or reputed company setting. • Responsible to be reputed company of assigned work rotations and monthly assignments • Identifies and reports any updates to exam codes and CPT codes to Team reputed company that may be encountered reputed company working accounts. • Identifies and reports any Payer updates or changes that may be encountered reputed company working accounts to Team reputed company. • Identifies and reports any changes or updates to Payer web portals used in prior authorization process that may be encountered reputed company working accounts to Team reputed company • Provides a Bi-weekly or monthly report out of identified issues or concerns regarding payers, reputed company workflow or referring office items. • Maintains the prior authorization resource portal by updating referring office contact information. • Maintains the prior authorization issue log in reputed company for tracking payer, billing, referring office or other issues to be reviewed and followed-up on by reputed company Leader. • Performs other duties as assigned. General Duties/Responsibilities: • Ability to maintain strict confidentiality reputed company Apply To This Job