Authorization Specialist
On-siteTampa, Florida, United States
Job Summary
Obtain documents, verify, and conduct follow-up on insurance authorizations and eligibility for scheduled exams. Contact insurance companies to secure prior authorizations and predeterminations for exams ordered by practice providers. Check insurance eligibility against carrier databases and maintain CPT code authorization files based on managed care contracts. Enter data accurately into systems, applying CPT codes to match authorizations, and consult with supervisors, modality protocols, or clinical managers to ensure workflow accuracy. This role supports Radiology Associates of Florida's quality-oriented practice, serving prestigious health systems across Florida with state-of-the-art IT integration.
Required Qualifications
- High school diploma or equivalent
- Excellent written and verbal communication skills
- Strong attention to detail
- Organizational skills
- Problem-solving skills
- Ability to work effectively in a collaborative, fast-paced environment
- Ability to obtain prior authorization and predetermination for exams ordered by practice providers
- Ability to check insurance eligibility to ensure that the information provided matches the insurance carrier's database information
- Ability to maintain CPT code authorization files based on managed care contracts
- Ability to enter data accurately into system, applying CPT codes to match authorization for exam
- Ability to consult with Modality Protocol, Clinical Managers, or technologist, as needed to ensure accuracy and smooth workflow
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