Prior Authorization & Referrals Specialist
Memorial Healthcare System
Memorial Healthcare System in Hollywood, FL is seeking a Referrals and Authorizations Coordinator to secure prior authorizations and primary care referrals for inpatient and outpatient services, including surgeries and procedures. The role supports timely access to care, payer compliance, and accurate reimbursement. Qualifications include a high school diploma, two years in medical practice, and familiarity with EMR and billing systems. Strong communication and organization are essential. #J-18808-Ljbffr Memorial Healthcare System
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- ...but may not be limited to Florida. The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on reimbursement... ...position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the supported...Full timeWork at officeLocal areaNight shift
- ...Stroke Center, NICU, PICU, and top cancer, heart, vascular, orthopedic and surgery programs. The role focuses on managing the prior authorization process, verifying coverage, maintaining documentation, and collaborating with clinicians to ensure timely patient #J-18808-...
$50k
...comply with relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients... ...patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements....Temporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work$24 - $26 per hour
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$50k - $100k
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$56.2k - $101k
...performance within contractual and Model of Care standards. Key Details : This role is looking for RN's with UM experience; Prior Authorization experience highly preferred. Conducts clinical file assessments by reviewing clinical documentation as assigned for required...Full timePart timeWork at officeRemote workFlexible hours$100k - $200k
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$26 - $27 per hour
Revenue Recovery Specialist - Exact Billing Solutions (EBS) | Lauderdale Lakes, FL Salary: $26.00 - $27.00 per hour Base pay range: $5... ...— Administrative Industries — IT Services and IT Consulting Referrals increase your chances of interviewing at Exact Billing Solutions...Hourly payFull timeWork at officeFlexible hours$21 per hour
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Job Title: Loss Prevention Specialist Company: Goodwill Industries of the Palm Beaches & Treasure Coast Location: Fort Pierce, FL Pay... ...and Manufacturing Industries Non‑profit Organizations Referrals increase your chances of interviewing at Goodwill Industries of...Full timeWork at officeFlexible hoursNight shift$14.5 per hour
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