Pre-Authorization Representative

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.

Responsibilities

Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes; Verify insurance coverage and obtain pre-certifications; Ensure patients are cleared for diagnostic testing before appointments; Gather and validate accurate patient, payer, and clinical information to prevent delays, denials, or financial surprises; Maintain ongoing communication with patients regarding authorization status, scheduling updates, and financial expectations; Work closely with insurance carriers, financial counselors, schedulers, and clinical staff; Follow established guidelines while managing multiple cases and deadlines

Requirements

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

Nice to have

Experience in healthcare, patient access, or revenue cycle roles

Benefits

Competitive wages; No nights/no calls/no weekends; Medical, dental, and vision insurance; 401(k) eligibility; Pet insurance; Paid holidays; PTO; Sick time