[Hiring] Prior Authorization Specialist @Downtown Tacoma

Role Description

TRA Medical Imaging is seeking an experienced Prior Authorization Specialist with strong knowledge of radiology procedures, insurance verification, CPT coding, ICD-10 coding, and medical insurance authorizations. This fully remote role supports our radiology practice by ensuring all scheduled imaging exams are authorized, medically necessary, and compliant with insurance carrier requirements. The ideal candidate has at least three years of medical office insurance authorization experience and thrives in a fast-paced healthcare environment.

Key Responsibilities

• Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry
• Verify insurance eligibility, benefits, and authorization requirements
• Ensure correct CPT and ICD-10 coding for all scheduled exams
• Contact referring physician offices and insurance carriers to obtain required documentation
• Review medical records to confirm medical necessity
• Enter authorization numbers and detailed documentation into the RIS system
• Educate patients on insurance and authorization requirements
• Reschedule patients when authorization is pending
• Provide price quotes and explain financial assistance options
• Maintain HIPAA compliance and patient confidentiality
• Collaborate with technologists, front desk staff, and scheduling teams to ensure exam accuracy

Qualifications

• High School Diploma or GED
• Formal medical terminology training or equivalent medical office experience
• Minimum 3 years of medical office insurance authorization experience
• Knowledge of CPT and ICD-10 coding
• Experience navigating insurance websites for eligibility and claim status
• Understanding of radiology procedures and authorization workflows
• Strong attention to detail and ability to manage multiple tasks
• Effective written and verbal communication skills
• Professional customer service skills

Preferred Qualifications

• Clinical experience in a radiology or imaging setting
• Experience working with RIS systems
• Experience with PET scan authorization processes
• Knowledge of HCPCS coding

Requirements

• Applicants must reside in one of the following states to be considered: Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington.

Benefits

• Hourly Pay: $23.27 – $28.30 (based on experience, skills, and qualifications)
• No nights, weekends, or on-call shifts
• Medical, Dental, and Vision Insurance
• HSA and FSA options
• Employee Assistance Program (EAP)
• Basic Life Insurance and Long-Term Disability
• 401(k) with automatic 3% employer contribution plus up to 3% employer match
• 17 days of PTO
• 9 paid holidays
• Annual automatic compensation growth path
• Profit sharing
• Optional Pet Insurance, Legal, and ID Protection

Company Description

TRA Medical Imaging is a physician-owned and physician-led radiology practice serving the South Puget Sound region for over 100 years. With approximately 100 subspecialized radiologists, TRA is committed to delivering high-quality, patient-centered imaging services while fostering a collaborative, high-trust culture rooted in Compassionate Care, Accountability and Integrity, Respect, and Excellent Service.