Authorization Specialist

Radiology Partners • Tampa, FL

9d • Hybrid

About The Position

Radiology Associates of Florida (RAF) is a leading radiology practice in Florida, serving prestigious health systems across the state. Our scale provides stability and flexibility, while our commitment to quality and cutting-edge practices, including subspecialty interpretations and advanced IT solutions, ensures excellence. We are a locally and democratically led group, serving as the teaching physicians for the University of South Florida Department of Radiology. Our diverse group of radiologists collaborate and socialize across Florida, functioning as one practice. This position is responsible for obtaining, documenting, verifying, and following up on insurance authorizations and eligibility for scheduled exams, consulting with supervisors on complex cases, and contacting insurance companies for prior authorization and predetermination. The role also involves checking insurance eligibility against carrier databases, maintaining CPT code authorization files, performing clerical duties, accurately entering data with CPT codes, and consulting with clinical staff as needed to ensure accuracy and workflow efficiency.

Requirements

• High school diploma or equivalent.
• Excellent written and verbal communication skills.
• Strong attention to detail, organizational, and problem-solving skills.
• Ability to work effectively in a collaborative, fast-paced environment.

Responsibilities

• Obtains, documents, verifies, and conducts follow-up on insurance authorizations and insurance eligibility as required for scheduled exams.
• Consults with supervisor on complex and/or difficult situations.
• Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers.
• Checks insurance eligibility to ensure that the information provided matches the insurance carrier’s database information.
• Maintains CPT code authorization files based on managed care contracts.
• Performs clerical duties as needed.
• Enters data accurately into system, applying CPT codes to match authorization for exam.
• Consults with Modality Protocol, Clinical Managers, or technologist, as needed to ensure accuracy and smooth workflow.

Benefits

• Competitive Benefits package – Eligibility starts the month after hire, with tiered options to choose from.
• Compensation Reviews, Career Growth Opportunities
• Generous PTO Plans and Paid Holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED