Employment Type:

Shift:

Description:

Trinity Health IHA Medical Group is seeking a customer-focused Clinical Authorization Specialist – High Tech Radiology.   In this role, you will be responsible for reviewing, submitting, monitoring and responding to issues regarding medical necessity prior authorizations for high tech radiology services, procedures and/or DME (Durable Medical Equipment) for IHA patients in multiple offices.   

What You'll Do:

• Contact insurance companies and obtain authorization.
• Reviews patient medical history to identify supporting documentation in the patient chart relevant to the service or procedure. 
• Performs data collection and data review as required.
• Educate patients and staff with pertinent referral and insurance information.
• Obtains urgent authorizations same day and next day.
• Support referrals, authorizations, and patient outreach activities.
• Maintain accurate documentation and patient records.

General Requirements:

• EDUCATION:  High School Diploma
• CREDENTIALS/LICENSURE: None
• MINIMUM EXPERIENCE:   Minimum 2 years’ experience with insurance referrals, prior authorization or other relevant medical office experience. 

Why Join Trinity Health IHA Medical Group?

• Day-one benefits for eligible team members with no waiting period.
• Opportunities for professional growth and career advancement.
• Supportive, collaborative team environment.
• Meaningful work helping patients navigate their healthcare journey.
• A mission-driven organization dedicated to serving communities across Southeast Michigan.

About Us

At Trinity Health IHA Medical Group, we are committed to delivering exceptional patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and creating outstanding customer experiences, we'd love to hear from you.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.