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Radiology Partners is seeking an insurance authorization specialist to obtain and verify authorizations and eligibility for scheduled radiology exams. You will coordinate with supervisors and insurance carriers to secure prior authorizations and ensure accurate CPT coding, maintaining organized authorization files and supporting a smooth workflow.
The role emphasizes attention to detail, strong communication, and the ability to thrive in a collaborative, fast-paced radiology environment across
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!
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. Enter 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.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.