Prior Authorization Specialist - 100% Remote

TRA Medical Imaging - Downtown Tacoma
Remote
Full Time
$23.27 – $28.30 an hour

Prior Authorization Specialist (Remote – Select States Only)

TRA Medical Imaging
Remote | Full-Time | Monday–Friday | $23.27–$28.30 per hour

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

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.

Compensation and Benefits

Hourly Pay: $23.27 – $28.30 (based on experience, skills, and qualifications)

Benefits Include:

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

About TRA Medical Imaging

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.

Position Overview

The Prior Authorization Specialist is responsible for ensuring all scheduled imaging examinations:

Are authorized for the correct facility
Include accurate CPT and ICD-10 codes
Meet medical necessity guidelines
Comply with insurance carrier and HIPAA requirements

This role works under established guidelines and immediate supervision within Health Information Management, Patient Access, and Scheduling functions

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

Required 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

Work Environment and Schedule

Fully remote position (training and equipment provided)
Monday through Friday, 9:00 AM – 5:30 PM Pacific Time

Ideal Candidate Profile

The ideal candidate is detail-oriented, experienced in radiology prior authorizations, comfortable working independently in a remote environment, knowledgeable about insurance carriers and medical necessity criteria, and committed to patient-focused service.

Apply Today

If you reside in Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington and have strong experience in radiology prior authorization, insurance verification, and CPT/ICD-10 coding, we encourage you to apply.

Join a respected, physician-led organization with over 100 years of excellence in medical imaging and become part of the next chapter of the TRA story.

Apply for Prior Authorization Specialist - 100% Remote

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Equal Employment Opportunity Information (Voluntary Disclosures)

TRA Medical Imaging - Downtown Tacoma is proud to be an Equal Employment Opportunity and Affirmative Action employer. All employment decisions at TRA Medical Imaging - Downtown Tacoma are based on business needs, job requirements and individual qualifications, without regard to an applicant’s race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, past or present military service, or any other characteristic protected by law. The purpose of this Self-Identification Form is to comply with federal government record-keeping and reporting requirements, and to ensure equal employment opportunity at TRA Medical Imaging - Downtown Tacoma. The data you provide on this form will be kept confidential and used solely for analytical and reporting requirement purposes. When reported, data will not identify any specific individuals. Moreover, this information will be kept separate from your application.

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TRA Medical Imaging - Downtown Tacoma is subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1975, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires TRA Medical Imaging - Downtown Tacoma to take affirmative action to employ and advance in employment veterans in the following classifications.

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TRA Medical Imaging - Downtown Tacoma