Authorization Specialist

Radiology Partners • Tampa, FL

2d • Hybrid

About The Position

WHO WE ARE AND WHAT WE DO: Radiology Associates of Florida (RAF) is a leading radiology practice in Florida. We serve the most prestigious, established health systems in the state, including on the east and west coasts, the Florida Panhandle, and the Keys. Our scale affords our practice stability and affords our radiologists flexibility in study mix and scheduling. We also recognize that scale alone does not beget excellence. We are quality-oriented, and we practice radiology at the cutting edge, encouraging subspecialty-level interpretations across the practice, and facilitating collaboration and consultation between our radiologists. Our state-of-the-art IT suite includes universal PACS across the practice, AI tools, and integrated doc-to-doc communication widgets Our practice is locally and democratically led, with decisions vested in the hands of the group at large, rather than in a few founders or a small group of shareholders. We are the teaching physicians for the University of South Florida Department of Radiology in Tampa. In Sarasota, our Our diverse group of radiologists work and socialize together in our communities around Florida. Even between our communities across the state, we are one practice. We look forward to letting you get to know us better! Position Summary: 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.

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