Prior Authorizations Coordinator - Imaging

Prior Authorizations Coordinator - Imaging Optima Medical - 2.0 Surprise, AZ Job Details 20 hours ago Benefits Paid holidays Health insurance Vision insurance Qualifications Pre-authorization review for utilization management

Full Job Description About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We are currently seeking a Prior Authorization Coordinator to support our Imaging Department and help ensure timely, accurate approvals for diagnostic services across our network of clinics.

Responsibilities:

Request, prepare, and submit all necessary documentation to obtain prior authorizations for imaging services such as CT, MRI, and Ultrasound. Ensure insurance carrier requirements are met to reduce denials and delays in imaging services. Prioritize authorization requests according to urgency and appointment timelines. Follow up with insurance companies to track the status of pending authorizations. Submit appeals for denied imaging authorizations with appropriate clinical justification. Communicate authorization updates to clinic teams and patients in a timely and professional manner. Verify accuracy of CPT and ICD-10 coding in patient charts relevant to imaging studies. Document all activities in the electronic medical record (EMR) system in real-time.

Qualifications:

Minimum of 1 year experience working with imaging-related prior authorizations required. Strong knowledge of medical insurance carriers and imaging guidelines (commercial, Medicaid, and Medicare). Familiarity with CPT and ICD-10 codes specific to imaging procedures. Previous experience in a primary care or specialty clinic is highly preferred. Experience with eClinicalWorks (eCW) or a similar EMR system is a plus. Excellent communication and organizational skills. Ability to work independently and within a collaborative team environment. Detail-oriented with strong follow-through and time management abilities. Why Join Our Team? Substantial Growth Opportunities Leadership and Mentoring Resources to Further your Career Fun Work Environment (Events, Team Bonding's, Holiday Parties) Benefits (Medical/Vision/401k/Paid Holidays) Supportive and Positive Work Environment