Precertification Specialist

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.

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

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

Compensation & Total Rewards

The hourly range for this position is $18.00-$20.00. 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).

About Premier Radiology and 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, and based locations.

Radiology Partners

• Prioritized clinical excellence and a people-first culture
• Five consecutive years Certified Great Place to Work(tm)
• Equal opportunity employer
• Empowers and engages the voice of every teammate

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."