Lead, Imaging & Prior Authorization
Core
Lead a team in the Referral Department responsible for coordinating imaging workflows, managing prior authorizations, and ensuring efficient referral processing for patients and providers.
Role type
Team Lead, Referral & Prior Authorization
Builds
Operational efficiency in imaging and authorization workflows for community health center patients
Domain
Healthcare administration / Medical billing & referrals
Deliverable
Dashboards & analysis / Client delivery
Required skills
Team leadership, Prior authorization management, Imaging workflow coordination, Staff training & coaching, Problem solving, Communication
Preferred skills
Bilingual skills
Technologies
Epic, Workday, Oracle, BMC
Responsibilities
Coordinate and administer training for new and existing staff on imaging and authorization processes; Monitor imaging work queues and communicate backlogs to management; Sort incoming electronic faxes and authorization requests; Handle provider and radiologist calls for referral orders and up-coding; Assist management with troubleshooting insurance portals; Provide input for staff evaluations and performance concerns; Make recommendations for departmental process improvements.
Seniority
Mid-level, hands-on IC with team leadership
