Pre-Authorization Representative

Responsibilities

• You verify insurance coverage, obtain pre-certifications, and ensure patients are cleared for diagnostic testing before appointments.
• You gather and validate accurate patient, payer, and clinical information to prevent delays, denials, or financial surprises.
• You maintain ongoing communication with patients regarding authorization status, scheduling updates, and financial expectations in a clear and compassionate manner.
• You understand common insurance concepts, payer requirements, and authorization workflows that support diagnostic imaging services.
• You follow established guidelines and instructions while managing multiple cases and deadlines in a structured environment.
• You work closely with insurance carriers, financial counselors, schedulers, and clinical staff to ensure seamless patient access.
• Your work removes financial and administrative barriers so patients can receive timely diagnostic care.
• Build expertise in insurance authorization, pre-certification, and revenue cycle workflows within a leading imaging organization.
• Partner with clinical, financial, and scheduling teams to support end-to-end patient care.

Requirements

• Associate’s degree or equivalent required

High-impact administrative work

Ensure patients are cleared for care correctly the first time, improving both patient experience and operational efficiency.

Growth opportunity

• Develop valuable skills in healthcare insurance, compliance, and patient access operations.
• You’re a Strong Fit If You Have

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.