Authorization & Account Verification Specialist

Advanced Radiology Consultants•Shelton, CT

1d•$19 - $24•Onsite

About The Position

Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring, and friendly environment. We are looking for an Authorization & Verification Specialist to join our team. The pay range for this role will depend on experience and qualifications. The Authorization & Verification Specialist is responsible for reviewing radiology exam orders to ensure patient information is accurate and complete. This role verifies patient demographics, insurance eligibility, and authorization requirements for imaging exams. The specialist works closely with insurance companies, provider offices, and internal teams to obtain or confirm approvals and ensure all information is correctly entered into the patient’s account.

Requirements

High school diploma or GED required
Knowledge of insurance eligibility, benefits, and prior authorization processes
Multitasks effectively in a fast‑paced office
Patient‑focused customer service and communication skills
Accurate data entry and strong computer proficiency
Working knowledge of medical terminology, ICD‑10, and CPT
Problem‑solving with ability to accept coaching
De‑escalate patient and provider concerns

Nice To Haves

1–3 years of healthcare administrative experience preferred
EPIC or similar EMR experience preferred

Responsibilities

Review provider orders/referrals for demographic, insurance, CPT, and clinical documentation for accuracy
Verify insurance eligibility, benefits, and prior authorization requirements
Initiate, track, and validate prior authorizations by payor guidelines
Confirm accuracy of authorizations received from referring offices
Document authorization activity and communications accurately in the patient record
Communicate authorization status, issues, and denials to providers, staff, payers, and patients
Ensure compliance with payer policies, timelines, and HIPAA regulations
Demonstrate problem‑solving skills
Participate in required meetings, training, and professional development sessions
Adheres to RVS policies, procedures and documented workflow.
Other duties as assigned