Authorization Specialist

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 our radiologists flexibility in study mix and scheduling. We are quality-oriented, practicing radiology at the cutting edge with subspecialty-level interpretations, and facilitating collaboration among our radiologists. Our state-of-the-art IT suite includes universal PACS, AI tools, and integrated communication widgets. The practice is locally and democratically led, with decisions made by the group at large. We are the teaching physicians for the University of South Florida Department of Radiology in Tampa and maintain a diverse, cohesive team across Florida.

About the role

• Obtains, verifies, and conducts follow-up on insurance authorizations and eligibility for scheduled exams.
• Consults with supervisor on complex or difficult situations.
• Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers.
• Checks insurance eligibility to ensure accuracy against the carrier’s database.
• Maintains CPT code authorization files based on managed care contracts.
• Performs clerical duties as needed.
• Enters data accurately into the system, applying CPT codes to match exam authorizations.
• Consults with Modality Protocol, Clinical Managers, or technologists to ensure accuracy and 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.

Benefits

• Competitive benefits package with eligibility starting the month after hire and tiered options.
• Compensation reviews and career growth opportunities.
• Generous PTO plans and paid holidays.
• Certified as a Great Place to Work for five consecutive years.