Authorization & Account Verification Specialist 2

Advanced Radiology Consultants; Shelton (CT); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical and Prescription Drug Coverage

Vision Coverage

Health Savings Account (HSA)

Generous Paid Time Off (PTO)

401(k) Plan with Employer Contribution

Job summary

Advanced Radiology Consultants in Shelton, Connecticut is seeking an Authorization & Account Verification Specialist II to support revenue cycle operations by verifying patient insurance coverage and managing prior authorizations. This role is essential to prevent service delays while maintaining compliance with payer regulations.

The ideal candidate should possess strong analytical skills, excellent communication, and a high level of accuracy in data entry. Experience with EPIC EMR is preferred. Comprehensive benefits including medical coverage, PTO, and a 401(k) plan are offered.

Qualifications

• 3-6 years of experience in a physician office or healthcare administrative setting preferred.
• Demonstrated knowledge of insurance eligibility, benefits, and prior authorization processes.
• Solid working knowledge of medical terminology, ICD-10, and CPT coding.

Responsibilities

• Verify patient insurance coverage and manage prior authorizations.
• Document all authorization activities and payer interactions thoroughly.
• Ensure compliance with payer policies and HIPAA regulations.

Skills

Strong patient-focused customer service

Analytical and problem-solving skills

High level of accuracy in data entry

Effective de-escalation skills

Education

High school diploma or GED

Tools

EPIC EMR

Job description

Mission

With every action we take, Advanced Radiology Consultants is committed to building and maintaining the trust of our referring physicians and providing our patients with exceptional care.

Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring, and friendly environment. We are looking for an Authorization & Account Verification Specialist 2 to join our team. The pay range for this role will depend on experience and qualifications.

Schedule

Monday - Friday 8:30pm to 5:00pm

Position Summary

The Authorization & Verification Specialist II plays a key role in supporting revenue cycle operations by verifying patient insurance coverage and managing prior authorizations. This position requires advanced knowledge of payer requirements, analytical and strong problem‑solving abilities, and effective communication with payors, providers, and internal teams. The goal is to prevent service delays and denials while maintaining full compliance with payer and regulatory standards.

Essential Job Duties and Responsibilities

• Review provider orders and referrals to confirm accuracy of patient demographics, insurance details, CPT codes, and required clinical documentation
• Independently verify insurance eligibility, benefits, and authorization requirements across a wide range of payers
• Initiate, manage, and follow up on complex prior authorizations in alignment with payor guidelines and required timelines
• Validate authorization information received from referring offices to ensure completeness and accuracy
• Document all authorization activities, payer interactions, and outcomes thoroughly in the patient record
• Communicate authorization status, clinical review needs, issues, and denials promptly to providers, staff, payers, and patients
• Identify barriers to authorization and proactively elevate or resolve issues to support timely patient access to care
• Assist with MRI audits, Auth on Script reporting, and identifying target exams with available appointment slots
• Ensure compliance with payer policies, departmental workflows, and HIPAA regulations
• Other duties as assigned

Knowledge, Skills, and Abilities

• Ability to manage multiple priorities independently in a fast‑paced environment
• Strong patient‑focused customer service and professional communication skills
• High level of accuracy in data entry with strong computer proficiency
• Solid working knowledge of medical terminology, ICD‑10, and CPT coding
• Analytical, problem‑solving, and critical‑thinking skills
• Ability to receive feedback and demonstrate continuous improvement
• Effective de‑escalation skills when addressing patient or provider

Educational and Experience Requirements

• High school diploma or GED required
• Demonstrated knowledge of insurance eligibility, benefits, and prior authorization processes
• 3-6 years of experience in a physician office or healthcare administrative setting preferred
• Experience with EPIC EMR or similar electronic medical record systems preferred

Work Smart, Live Well

The success of Advanced Radiology is earned every day through our dedication to quality patient care and continual improvement of the patient experience. Our success allows us to enjoy a wide range of benefits designed to support and enhance our lives, both at work and at home.

• Medical and Prescription Drug Coverage
• Vision Coverage
• Health Savings Account (HSA) with Matching Employer Contribution

Additional Benefits

• Generous Paid Time Off (PTO)
• Paid Holidays
• 401(k) Plan with Employer Contribution
• Basic Life and Accident Insurance

Advanced Radiology is an Equal Opportunity Employer, offering outstanding compensation and benefits plans designed to reward and retain exceptional employees.