Authorizations Specialist

Radiology Partners • Tampa, FL

10d • Onsite

About The Position

The Authorizations Specialist obtains, verifies, and follows up on insurance authorizations and eligibility for scheduled exams. The role contacts insurance companies to obtain prior authorizations and predeterminations for exams ordered by practice providers, and checks that insurance information matches the carrier’s database. The specialist maintains CPT code authorization files based on managed care contracts, enters data accurately into the system, and applies CPT codes that match exam authorizations. The role also performs clerical duties and consults with supervisors, Modality Protocol, Clinical Managers, or technologists as needed to resolve complex situations and support 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

• Obtain, verify, and follow up on insurance authorizations and insurance eligibility for scheduled exams.
• Contact insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers.
• Check insurance eligibility and confirm that provided information matches the insurance carrier’s database.
• Maintain CPT code authorization files based on managed care contracts.
• Enter data accurately into the system and apply CPT codes that match exam authorizations.
• Perform clerical duties as needed.
• Consult with a supervisor on complex or difficult situations.
• Consult with Modality Protocol, Clinical Managers, or technologists as needed to ensure accuracy and smooth workflow.

Benefits

• Competitive benefits package with tiered options; eligibility starts the month after hire.
• Compensation reviews.
• Career growth opportunities.
• Generous PTO plans.
• Paid holidays.

What This Job Offers

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