Prior Authorization Specialist – Imaging/Ultrasound (US Healthcare Account) ????

We're looking for an experienced Prior Authorization Specialist to handle imaging pre-auth requests — ultrasound experience highly preferred (CT/MRI/X-ray a plus). Role details: - Submit and follow up on prior authorization requests for diagnostic imaging (ultrasound, CT, MRI) - Communicate with insurance payors to secure approvals - Review clinical documentation/orders for medical necessity criteria - Track auth status, resubmit denials/appeals, update EHR/practice management system - Coordinate with referring providers and scheduling teams on approval timelines Requirements: - At least 1 year experience in prior authorization / insurance verification (imaging or radiology strongly preferred) - Familiarity with payor portals (Availity, Navinet, or similar) and CPT/ICD-10 codes - Experience with EHR/RCM systems (Epic, Athenahealth, eClinicalWorks, etc. — a plus) - Strong English communication skills (verbal & written) - Reliable internet + backup power/internet for WFH setup Details: - Salary: ?30,000 – ?45,000/month (based on experience) - Shift: Night shift (US hours) - Setup: WFH - Location: Remote