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Medical Insurance Verification & Prior Authorization Specialist

Midtown Medical Imaging

Join a high-volume outpatient diagnostic imaging organization serving the DFW area.

This role is responsible for verifying medical insurance eligibility and benefits, obtaining prior authorizations for imaging services, and supporting fast-paced scheduling workflows for MRI, CT, ultrasound, and X-ray appointments.

The position requires strong attention to detail, the ability to manage changing schedules, and clear communication with patients, insurance carriers, referring offices, and internal teams.

Requirements & Qualifications
  • Minimum 2 years of recent hands-on medical insurance verification experience
  • Prior authorization experience strongly preferred
  • Experience verifying detailed eligibility and benefits, not just active coverage
  • Knowledge of commercial insurance, PPO, HMO, EPO, Medicare Advantage, and managed Medicaid plans
  • Understanding of deductibles, coinsurance, copays, and out-of-pocket maximums
  • Familiarity with in-network vs. out-of-network benefits, referrals, and prior authorization requirements
  • Knowledge of CPT, ICD-10, and medical terminology
  • Experience using payer websites and utilization-management portals
  • Strong phone communication and documentation skills
  • Proficiency with EMR/RIS or other healthcare information systems
  • Excellent attention to detail and data-entry accuracy
  • Ability to manage high-volume work and changing priorities
  • High school diploma or equivalent required
Benefits & Perks
  • Competitive compensation based on experience
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Paid time off (PTO)
  • Paid holidays
  • Retirement savings plan
  • Ongoing training and professional development
  • Supportive team environment

Location

Fort Worth, Texas, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

3 weeks ago

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