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Medical Insurance Coordinator

Nmble Medical

Our client is an established, multi-location specialty medical practice in Central Florida. Leadership is flexible about life outside work, and managers pitch in to cover when someone is out. The Insurance Coordinator makes sure every patient's procedure is covered before it happens. You'll own prior authorizations from start to finish, from verifying benefits to getting the approval back to the clinical team. The role is self-directed, but you'll brainstorm with the insurance team when a case gets complicated. Obtain prior authorizations for procedures, imaging and treatment across commercial, Medicare and Medicaid plans Track each payer's rules, medical-necessity criteria and documentation requirements Respond quickly to physician and clinic requests to keep procedure schedules on track Communicate with patients by phone and in person with professionalism and empathy 2+ years of insurance authorization or verification experience in a physician practice, specialty clinic or surgical setting ~ Working knowledge of CPT and ICD-10 coding and payer authorization requirements ~ Comfort managing a high volume of time-sensitive requests with little supervision ~ A team-first attitude: you solve problems on your own but ask for ideas when it helps the patient Experience in a surgical or procedural specialty practice Epic EMR experience Coding or reimbursement certification (CPC, CPB, CRCS or similar) Monday–Friday daytime hours, no weekends Flexibility for family and life, with managers who help cover A practice-setting pace without hospital bureaucracy

Vacancy posted 1 day ago
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