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Lead Precertification Specialist

Role overview

Qualifications

  • Background in healthcare preferred
  • Working knowledge of medical billing and managed care
  • Background with eClinicalWorks Practice Management System preferred
  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff

Responsibilities

  • Contact insurance companies and third-party administrators to determine pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures
  • Obtain pre-authorization before the scheduled services are performed
  • Act as a liaison between the patients and referring physician offices when needed to obtain additional clinical documentation
  • Work remotely in the CST time-zone

Key facts

Hard skills

Other skills

  • Communication
  • Telephone Skills
  • Computer Literacy
  • Collaboration
  • Teamwork

About the company

ARA Diagnostic Imaging - Austin Radiological Association logo

ARA Diagnostic Imaging - Austin Radiological Association

  • 501–1,000
Austin Radiological Association - ARA Diagnostic Imaging is Austin’s oldest leading diagnostic imaging group. We offer expert medical imaging by radiologists subspecialized in MRI, CT, ultrasound, interventional, mammography, and more. Our roots go back to 1954, when Dr. Robert Snider began work as the first full-time radiologist at the original Seton Hospital. Today, the leaders and staff of ARA work in partnership with doctors to bring better health outcomes for our patients. Thoughtful leadership, advanced technology and attention to patient comfort and convenience sets us apart as a successful, caring imaging facility. •Constant technology upgrades bring the best to physician and patients. 3D mammography is now available at all 12 of our locations that offer breast imaging. •Convenience and accessibility for our patients is paramount. We operate 17 outpatient imaging centers and provide radiology reading services to 21 area hospitals throughout Austin and Central Texas. •Strong relationships with insurance and managed care payors allow access to quality imaging services for our patients.•Our team of radiologists has the broadest array of subspecialty in Central Texas. Award-winning PACS services to view digital images and 24/7 physician access to ARA radiologists make ARA an ideal physician partner•ARA is strongly focused on patient outcomes as well as patient experience. Our 94 percent patient satisfaction rate reflects our commitment to caring service.With 750+ employees and 110+ radiologists, ARA’s commitment to ensure access to high quality imaging technologies while delivering excellent patient satisfaction to our community has never been stronger. ARA is proud to have been selected as a Top Austin Workplace three years in row: 2015, 2016 & 2017! If you are seeking a career in the medical field as a radiologist, technologist or customer service representative, we encourage you to apply: https://www.ausrad.com/careers-austin-job-seekers/

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Job description

JOIN PREMIER RADIOLOGY (A Radiology Partners practice): Make a local impact in the Greater Nashville, TN area!

At Premier Radiology, we believe transforming radiology starts with investing in the people who deliver care every day. As a practice of Radiology Partners (RP), Premier combines a strong local presence across Tennessee with the support and resources of a leading national radiology organization—delivering exceptional outpatient imaging while offering healthcare professionals meaningful, sustainable careers.

ABOUT PREMIER RADIOLOGY & RADIOLOGY PARTNERS, INC.

Premier Radiology is one of the leading outpatient imaging providers across Tennessee, known for convenient access, high-quality care, and an exceptional patient experience. As a proud practice of Radiology Partners (RP), Premier pairs trusted local care with the resources and clinical standards of a purpose-built national radiology organization focused on quality, access, and innovation.

With 20+ outpatient imaging centers throughout the Nashville market, Premier Radiology combines:

  • certified RP radiologists
  • Advanced diagnostic technology
  • based locations

Together, RP and Premier Radiology are redefining how imaging supports patients, referring providers, and the clinicians who make care possible. When you join Premier Radiology, you’ll be backed by Radiology Partners (RP)—a nationally recognized organization that prioritizes clinical excellence and a people‑first culture.

WHY JOIN US:

  • Competitive compensation and comprehensive total rewards
  • True work-life balance in an outpatient setting—no on-call shifts or overnights
  • Consistent RP standards with local leadership and support
  • A fun, team-first culture at Premier Radiology—collaborative, supportive, and grounded in safety and trust

Radiology Partners has been Certified Great Place to Work™ for five consecutive years, reflecting the experiences of team members across our practices nationwide.

Position Summary:

  • Will contact insurance companies and third-party administrators to determine pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures
  • Responsible for obtaining the pre-authorization before the scheduled services are performed
  • Will act as a liaison between the patients and referring physician offices when needed to obtain additional clinical documentation
  • Fully Remote – Working in CST time-zone

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE:

  • Background in healthcare preferred
  • Working knowledge of medical billing and managed care
  • Background with eClinicalWorks Practice Management System preferred
  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff
  • Excellent phone and computer skills

FOR MORE INFORMATION:

Learn more about this opportunity here:

Link to Job Description here.

COMPENSATION & TOTAL REWARDS:

The hourly range for this position is $21.00-$23.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).


Final compensation is determined based on education, experience, certifications, and geographic factors.

In addition to competitive pay, Radiology Partners offers a robust total rewards package, which may include:

  • Health and wellness coverage options
  • 401(k) with employer offerings
  • Paid time off and paid holidays
  • Incentive and productivity programs (where eligible)

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. 

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. 

Radiology Partners participates in E-verify.

Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in “@radpartners.com.” If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email Talent@radpartners.com to notify our team.


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