Pre-Authorization Representative

Job description

**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. If you enjoy problem-solving within healthcare systems and ensuring patients can access care without financial or administrative barriers, this role offers meaningful daily impact. ### 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 **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 • 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