Authorization Specialist

Job Description: 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. DESIRED PROFESSIONAL SKILLS AND EXPERIENCE: 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. WHY RADIOLOGY PARTNERS: 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 Proudly Certified as a Great Place to Work for Five Consecutive Years Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environmentwhereeveryone hasequal access and equitable resources to reach their fullpotential.We are united by our Mission to Transform Radiology and in turn have animportantimpacton the patients we serve and the healthcare systemoverall.We hold that diversity is a key source of strength from which we will build apracticeculturethat is inclusive for all.Our goal is to empower and engage the voice of every teammate topromoteawareness,compassion and a healthy respect for differences. CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. #J-18808-Ljbffr