Radiology Authorization Specialist job at Reveloop

Reveloop RCM is seeking detail-oriented university graduates to join its radiology prior authorization team. The Specialist will help obtain and track insurance authorizations for diagnostic imaging services, including MRI, CT, PET, ultrasound, and other radiology procedures. This is an entry-level role with structured training in U.S. healthcare insurance, payer requirements, and authorization workflows. The position requires confident English communication, strong computer skills, careful data handling, and the ability to manage multiple tasks in a fast-paced environment.

Training and Performance Expectations

Reveloop will provide onboarding in radiology terminology, U.S. insurance basics, prior authorization processes, payer portals, data privacy, documentation standards, and escalation procedures. During training, performance will be assessed on learning progress, accuracy, attendance, communication, and process adherence. After training, team-specific targets will be communicated for daily authorization activity, timely follow-up, work-queue completion, and quality. No prior radiology knowledge is required

What Success Looks Like

Authorization requests are submitted accurately and promptly; pending cases are actively monitored; imaging teams receive clear, timely status updates; payer decisions are properly documented; and risks to patient scheduling or reimbursement are escalated early.

Minimum Requirements

• Completed university degree in any discipline.
• Excellent spoken and written English, with clear pronunciation, professional telephone etiquette, and strong listening skills.
• Strong computer literacy: fast and accurate typing, email, web browsers, Microsoft Excel/Word, and ability to learn multiple software platforms.
• Ability to multitask across calls, payer portals, work queues, and documentation without sacrificing accuracy.
• Strong attention to detail, organization, time management, critical thinking, and problem-solving skills.
• Dependability, teamwork, willingness to receive feedback, and ability to meet deadlines and productivity expectations.
• Availability to work fully in-office in Kampala on a schedule aligned with U.S. Mountain Time, including applicable seasonal U.S. daylight saving time changes.

Key Responsibilities

• Authorization intake and verification: Review imaging orders and referrals for required patient, provider, facility, procedure, and insurance information; determine whether prior authorization is required using approved payer resources.
• Submission and follow-up: Prepare and submit authorization requests via payer portals, approved electronic workflows, or telephone; track pending requests and follow up before scheduled imaging appointments.
• Documentation coordination: Identify missing clinical records or order details and coordinate with the appropriate onshore teams; ensure submissions contain the documentation requested by payers.
• Status updates and escalation: Accurately record authorization numbers, effective dates, approved services, reference numbers, and payer decisions; promptly escalate urgent, denied, delayed, or complex requests.
• Scheduling and service readiness: Coordinate with scheduling and operational teams to flag cases at risk of proceeding without required authorization; verify that approved services match the intended imaging order.
• Quality, compliance and improvement: Maintain accurate work-queue notes, protect patient information, follow HIPAA and company procedures, and identify recurring issues or tasks suitable for automation.

• Authorization intake and verification: Review imaging orders and referrals for required patient, provider, facility, procedure, and insurance information; determine whether prior authorization is required using approved payer resources.
• Submission and follow-up: Prepare and submit authorization requests via payer portals, approved electronic workflows, or telephone; track pending requests and follow up before scheduled imaging appointments.
• Documentation coordination: Identify missing clinical records or order details and coordinate with the appropriate onshore teams; ensure submissions contain the documentation requested by payers.
• Status updates and escalation: Accurately record authorization numbers, effective dates, approved services, reference numbers, and payer decisions; promptly escalate urgent, denied, delayed, or complex requests.
• Scheduling and service readiness: Coordinate with scheduling and operational teams to flag cases at risk of proceeding without required authorization; verify that approved services match the intended imaging order.
• Quality, compliance and improvement: Maintain accurate work-queue notes, protect patient information, follow HIPAA and company procedures, and identify recurring issues or tasks suitable for automation.

• Excellent spoken and written English
• clear pronunciation
• professional telephone etiquette
• strong listening skills
• Strong computer literacy
• fast and accurate typing
• email
• web browsers
• Microsoft Excel/Word
• ability to learn multiple software platforms
• Ability to multitask across calls, payer portals, work queues, and documentation without sacrificing accuracy
• Strong attention to detail
• organization
• time management
• critical thinking
• problem-solving skills
• Dependability
• teamwork
• willingness to receive feedback
• ability to meet deadlines and productivity expectations
• Availability to work fully in-office in Kampala on a schedule aligned with U.S. Mountain Time, including applicable seasonal U.S. daylight saving time changes

• Completed university degree in any discipline.