Insurance Authorization & Eligibility Specialist

Radiology Partners; Town of Florida (NY); On-site; USD 22,000 - 30,000; Full time

Benefits offered by this job

Competitive benefits package

PTO & holidays

Great Place to Work recognition

Job summary

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

Qualifications

• 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 eligibility for scheduled exams.
• Consults with supervisor on complex situations.
• Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers.
• Checks insurance eligibility to ensure information matches carrier database.
• 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 to ensure accuracy and smooth workflow.

Skills

Excellent written and verbal comms

Attention to detail

Teamwork in fast-paced env

Education

High school diploma or equivalent

Job description

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