Authorizations Specialist

Radiology Partners • Tampa, FL

1d

About The Position

Radiology Associates of Florida (RAF) is a leading radiology practice in Florida, serving prestigious health systems across the state. We are quality-oriented and practice radiology at the cutting edge, utilizing state-of-the-art IT, AI tools, and integrated communication widgets. Our practice is locally and democratically led, and we serve as the teaching physicians for the University of South Florida Department of Radiology in Tampa. We foster a collaborative environment where our diverse group of radiologists work and socialize together across Florida, united as one practice.

This position obtains, verifies, and follows up on insurance authorizations and eligibility for scheduled exams. The specialist consults with their supervisor on complex situations, contacts insurance companies for prior authorization and predetermination, and checks insurance eligibility to ensure data accuracy. They maintain CPT code authorization files based on managed care contracts, perform clerical duties, and accurately enter data into the system, matching CPT codes to exam authorizations. Collaboration with Modality Protocol, Clinical Managers, or technologists is expected to ensure accuracy and a 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.
• 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