Job Summary and Responsibilities

The Pre-Authorization Radiology Specialist is generally assigned to multiple work areas within the Authorization Department as outlined in departmental expectations. With the primary assignment being to verify eligibility, obtain authorization for radiology exams/services by working with ordering physician's office staff, the applicable Medical Insurance Carriers, and the radiology clinics. In general, the Authorization Specialist is responsible to ensure proper Authorizations are obtained to corresponding CPT codes and ICD-10 codes, to ensure prompt payment from insurance carriers.

Job Requirements

Minimum Qualifications:

High School Diploma/GEDProficiency in health insurance eligibility and authorization requirementsKnowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third party payersAbility to problem solve; ability to analyze data and recommend changesMust have strong customer service skillsAbility to work collaboratively with a culturally diverse staff and patient/family populationAbility to work independently with minimum supervisionMust have basic PC skillsMedical Terminology - basic knowledgeExcellent Oral/Written Communication - Articulate and concise oral communicationAbility to write clearly and concisely

Where You'll Work

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

Dignity Health Advanced Imaging, a service of Dignity Health Medical Foundation, provides cutting-edge diagnostic imaging services at 23 locations across Redding, Santa Cruz, Sacramento, Woodland. Our team of 160 staff members work with our specialty trained and board certified radiologists to provide high quality care to our patients. The locations perform more than 175,000 exams annually with the goal of providing top quality imaging, compassionate care, and timely service with a smile.

One Community. One Mission. One California 

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.