Pre-Authorization Representative

Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services. 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

Managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services; Verifying insurance coverage and obtaining pre-certifications; Ensuring patients are cleared for diagnostic testing before appointments; Gathering and validating accurate patient, payer, and clinical information; Maintaining ongoing communication with patients regarding authorization status, scheduling updates, and financial expectations; Working closely with insurance carriers, financial counselors, schedulers, and clinical staff to ensure seamless patient access

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 preferred

Benefits

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