Top 24 Prior authorization specialist Jobs in Shelton Ct

Authorization & Account Verification Specialist
Advanced Radiology Consultants —Shelton, CT
- $19 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
Insurance Verification Specialist
Griffin Hospital —Derby, CT
- Hospital
- Customer service
- High school diploma or GED
Quick Apply
Front Desk Receptionist/Prior Authorization Specialist
Stride Pedorthic Center —Middlebury, CT
- $17 - $19 an hour
- Part-time
- Customer service
- Medical office experience
- Mid-level
Quick Apply
5d
Revenue Cycle Specialist
Advanced Radiology Consultants —Shelton, CT
- Full-time
- Bilingual
- Mid-level
- High school diploma or GED
- Profit sharing
- Health savings account
Quick Apply
Referral Specialist
Optimus Health Care, Inc. —Stratford, CT
- Full-time
- Microsoft Word
- Spanish
- Clinic experience
Quick Apply
Medical Billing & Accounts Receivable Administrator
Vein Institute —Newtown, CT
- $42,000 - $50,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Preservice Specialist I
Northwell Health —Danbury, CT
- $19 - $26 an hour
- Monday to Friday
- Microsoft Word
- Microsoft Excel
- High school diploma or GED
Quick Apply
Registration Specialist
Connecticut Orthopaedic Specialists Pc —Wallingford, CT
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- 401(k)
9d
Patient Service Representative - Outpatient Rehab
Hartford Hospital —Prospect, CT
- Full-time
- Bilingual
- High school diploma or GED
- Rehabilitation center
Quick Apply
4d
Medical Scribe
Oak Street Health —Waterbury, CT
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Revenue Cycle Interventional Radiology Specialist
Advanced Radiology Consultants —Shelton, CT
- Full-time
- Bilingual
- Anatomy knowledge
- Hospital
- Profit sharing
- Health savings account
Quick Apply
Medical Receptionist - Neurology - Middlebury
Trinity Health Of New England —Waterbury, CT
- Full-time
- Windows
- High school diploma or GED
- Neurology
- Benefits from day one
Medical Receptionist - Gastroenterology
Trinity Health Of New England —Waterbury, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one
Surgical Scheduler - Bariatric Surgery - Waterbury
Trinity Health Of New England —Waterbury, CT
- $18.70 - $28.05 an hour
- Full-time
- Microsoft Outlook
- Surgery
- Medical office experience
- Benefits from day one
8d
Manager Aerospace Customer Accounts
Roller Bearing Company of America, Inc —Oxford, CT
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Medical Receptionist
Trinity Health Of New England —Watertown, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one
4d
Business Office Manager
Waterbury Surgery Center —Waterbury, CT
- $70,000 - $90,000 a year
- Full-time
- Surgery
- HIPAA
- Office
- Health insurance
- 401(k) matching
Quick Apply
Medical Coder
OrthoConnecticut —Danbury, CT
- $30 - $32 an hour
- Full-time
- Hybrid work
- Anatomy knowledge
- Microsoft Excel
- Surgery
- Profit sharing
- Wellness program
Quick Apply
2d
Dental Patient Care Coordinator
Excellence Dental Network LLC —Waterbury, CT
- $22 - $24 an hour
- Full-time
- Dental office
- Experience working with children
- Children
- Profit sharing
- Health insurance
Quick Apply
Part B Authorization Specialist
Guided Care —United States
- $45,000 - $55,000 a year
- Full-time
- Research
- Mid-level
- Organizational skills
Quick Apply
3d

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Authorization & Account Verification Specialist

Advanced Radiology Consultants -
Shelton, CT

Quick Apply

Job Details

Full-time
$19 - $24 an hour

Benefits

Profit sharing
Health savings account
Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Prescription drug insurance

Qualifications

Customer communication
Medical insurance coverage verification
High school diploma or GED

Full Job Description

Join our Culture of Caring!

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 to join our team. The pay range for this role will depend on experience and qualifications.

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

Position Summary:

The Authorization & Verification Specialist is responsible for reviewing radiology exam orders to ensure patient information is accurate and complete. This role verifies patient demographics, insurance eligibility, and authorization requirements for imaging exams. The specialist works closely with insurance companies, provider offices, and internal teams to obtain or confirm approvals and ensure all information is correctly entered into the patient’s account.

Essential Job Duties and Responsibilities:

Review provider orders/referrals for demographic, insurance, CPT, and clinical documentation for accuracy
Verify insurance eligibility, benefits, and prior authorization requirements
Initiate, track, and validate prior authorizations by payor guidelines
Confirm accuracy of authorizations received from referring offices
Document authorization activity and communications accurately in the patient record
Communicate authorization status, issues, and denials to providers, staff, payers, and patients
Ensure compliance with payer policies, timelines, and HIPAA regulations
Demonstrate problem‑solving skills
Participate in required meetings, training, and professional development sessions

Adheres to RVS policies, procedures and documented workflow.
Other duties as assigned

Knowledge, Skills, and Abilities:

Multitasks effectively in a fast‑paced office
Patient‑focused customer service and communication skills
Accurate data entry and strong computer proficiency
Working knowledge of medical terminology, ICD‑10, and CPT
Problem‑solving with ability to accept coaching
De‑escalate patient and provider concerns

Educational and Experience Requirements:

High school diploma or GED required
Knowledge of insurance eligibility, benefits, and prior authorization processes
1–3 years of healthcare administrative experience preferred
EPIC or similar EMR experience preferred

Competencies:

To perform the job successfully, an individual should demonstrate the following competencies:

Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance.
Interpersonal Skills - Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control.
Oral Communication - Listens and gets clarification; Responds well to questions.
Teamwork - Contributes to building a positive team spirit.
Ethics - Treats people with respect; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Organizational Support - Follows policies and procedures.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions.
Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Monitors own work to ensure quality.
Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions; Uses equipment and materials properly.
Adaptability - Adapts to changes in the work environment; Able to deal with frequent changes, delays, or unexpected events.
Attendance/Punctuality - Is consistently at work and on time.

Physical demands/Working Conditions:

Work is performed in a business office environment. Work is primarily stationary, requires sitting or standing for long periods of time; Manual dexterity and eye-hand coordination are sufficient to operate a keyboard and other office equipment is required.

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.

Health Benefits:

Medical and Prescription Drug Coverage
Dental 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
Annual Profit-Sharing Plan Contribution
Paid Opt-Out Benefit Option
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. Apply today and join our team of dedicated and caring professionals!

Quick Apply

Refine Your Search

prior authorization specialist jobs in shelton ct

Authorization & Account Verification Specialist

Insurance Verification Specialist

Front Desk Receptionist/Prior Authorization Specialist

Revenue Cycle Specialist

Referral Specialist

Medical Billing & Accounts Receivable Administrator

Preservice Specialist I

Registration Specialist

Patient Service Representative - Outpatient Rehab

Medical Scribe

Revenue Cycle Interventional Radiology Specialist

Medical Receptionist - Neurology - Middlebury

Medical Receptionist - Gastroenterology

Surgical Scheduler - Bariatric Surgery - Waterbury

Manager Aerospace Customer Accounts

Medical Receptionist

Business Office Manager

Medical Coder

Dental Patient Care Coordinator

Part B Authorization Specialist

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