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Radiology Authorization Specialist

Dignity Health Medical Group Redding, California
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The posted compensation range of $23.00 - $30.22 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2025-408083 Employment Type Full Time Department Radiology Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday (8:00am-5:00pm) Remote No Category Billing and Scheduling
Overview

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 Medical Group – North State a service of Dignity Health Medical Foundation is a multi-specialty clinic with eleven locations in Redding and Red Bluff. Along with our local affiliated Dignity Health hospitals (Mercy Medical Center – Mt. Shasta Mercy Medical Center – Redding and St. Elizabeth Community Hospital) we offer an integrated care delivery system that provides high quality compassionate care in family medicine internal medicine OB/GYN cardiology neuro-interventional general surgery endovascular surgery endocrinology ENT colorectal surgery thoracic surgery and orthopedic surgery including general total joints and spine.

One Community. One Mission. One California 


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.


Qualifications

Minimum Qualifications:

  • High School Diploma/GED
  • Proficiency in health insurance eligibility and authorization requirements
  • Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third party payers
  • Ability to problem solve; ability to analyze data and recommend changes
  • Must have strong customer service skills
  • Ability to work collaboratively with a culturally diverse staff and patient/family population
  • Ability to work independently with minimum supervision
  • Must have basic PC skills
  • Medical Terminology - basic knowledge
  • Excellent Oral/Written Communication - Articulate and concise oral communication
  • Ability to write clearly and concisely

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.

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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 employees 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 https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.