Average salary: $150,000 /yearly
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$14 - $16 per hour
...career! Job Description POSITION SUMMARY: Assists Insurance Processor II’s and Supervisor with completion of verifications and prior authorizations of DME coverage, evaluates portion to be paid by customer, and performs other Insurance related assignments as directed....SuggestedPrivate practice- ...never be asked to manage or prescribe pain medication. Practice Medicine, Not Administration: Our cash-pay model means no prior authorizations and no fighting with insurance companies. Your time is dedicated to your patients. A Professional Environment: Our...SuggestedFull timePart timeWork at officeFlexible hours
AROmotion
Palm Beach Gardens, FL4 days ago - ...maximize opportunities for servicing both in- and out-of-network patient referrals, including securing gap exceptions or standard prior authorizations and PCP referrals, LOA, TPAs, and cash pay solutions. 2. Support the tracking and maintenance of team KPIs, assisting...SuggestedFull timePart timeZero hours contractWork at officeImmediate startMonday to FridayShift work
PRISM
Melbourne, FL3 days ago $14 - $16 per hour
...staffing firm in Sarasota, Florida, is seeking an Insurance Processor. This role involves assisting with verifications and prior authorizations for durable medical equipment coverage. Candidates should have at least 2 years of experience in medical authorizations and...SuggestedHourly pay- ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...SuggestedRemote workShift work
ClinDCast
Delray Beach, FL3 days ago - ...company-sponsored pension plan with up to 8% contribution; and other miscellaneous benefits. We are currently hiring for a Prior Authorization Technician for our Pharmacy Department located at 1845 Veterans Park Drive, Naples, FL 34109. Candidates for hire must...SuggestedFull timeCurrently hiring
Healthcare Network, Inc.
Naples, FL1 day ago - ...procedures are financially and clinically cleared to proceed as planned. This includes managing insurance benefit verification, prior authorization, denial review, communication with vendors and clinical teams, and financial coordination. The coordinator's primary goal is...SuggestedFull time
Florida Orthopaedic Institute
Temple Terrace, FL4 days ago $39k - $49.4k
...with insurance providers to verify coverage and obtain necessary authorizations. You will report to the Home Health Intake Supervisor. Key... ...providers to verify benefits, confirm coverage, and obtain prior authorizations when needed. Serve as a liaison between patients...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workShift workWeekend workHumana
Miramar, FL3 days ago- ...generated by the providers. The position may initiate requests for authorization of patient services, verifies benefits, enters/documents... ...referral information, as applicable. Responsible for obtaining prior authorizations for procedures, as applicable. Works closely...SuggestedDaily paidFull timeWork at officeLocal areaShift work
Baptist Health Care
Pensacola, FL3 days ago - ...involved in a wide range of support activities in our insurance and authorization department. You will also assist in creating policies,... ...providers to gather relevant clinical information and facilitate the prior authorization process. Monitor the status of authorization...SuggestedFull timeCasual workWork at officeShift work
- ...Referral Specialist Summary/Objective: A Referral Specialist is responsible for obtaining insurance referrals, prior authorizations, and pre-determinations that allow a patient to access the services of the Clinic's health care providers. Essential Functions:...SuggestedPart time
Watson Clinic
Lakeland, FL4 days ago - A healthcare organization in Florida is seeking a dedicated Prior Authorizations Representative to process authorization requests and ensure timely document submission. Essential responsibilities include reviewing requests for medical services, coordinating with patients...Suggested
$71.2k - $127.2k
...transportation Preferred Qualifications: Bachelor's degree or higher in healthcare related field 2 years of experience providing prior authorization or case management within health plan or integrated system Pay is based on several factors including but not limited to local...SuggestedMinimum wageFull timeWork experience placementLocal areaOptum
Sunrise, FL1 day ago- Nemours is seeking an Insurance Authorization Coordinator in Jacksonville, FL The Insurance Authorization Coordinator I is responsible for... ...demographics, benefits and financial responsibility to determine if prior authorization is required for specific medical procedures or...SuggestedWork at officeImmediate start
$19 - $23 per hour
...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through...SuggestedTemporary workLocal areaImmediate startAssistRx
Orlando, FL2 days ago- ...Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization. Assists physicians in the prior authorization process including initiation of prior authorizations. May be cross‑trained...Remote job
$21.5 - $34.5 per hour
...immediately. Delegates appropriate levels of responsibility and authority. Communicates well downward, upward, and outward. Anticipates... ...) year's experience required in appeals, medical necessity, or prior authorization process. If a graduate of a nursing program, currently...Full timePart timeImmediate startRemote workWork from homeShift workDay shift- ...continuing education to stay abreast on new techniques and procedures in the field of rheumatology Accurately code, ensure prior authorization for procedures, and document all encounters Adhere to state and facility telehealth guidelines if applicable About...Permanent employmentFull timeLocum
Provider Healthcare
Melbourne, FL9 hours agonew - ...experts in their fields. This has helped us expand into new sectors and steadily grow. Job Description Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria....Work at office
Careers Integrated Resources Inc
Tampa, FL3 days ago $17.74 - $31.63 per hour
...clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayUnitedHealth Group
Saint Petersburg, FL4 days ago$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...Hourly payWork experience placementWork at officeMolina Healthcare
Miami, FL9 hours agonew$25 per hour
...will be primarily based in Orange Park, FL and work 9-5:30pm. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of healthcare...Full timeTemporary workWork at officeLocal areaFlexible hoursLocal Infusion
Orange Park, FL3 days ago- ...at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all...Work at office
Careers Integrated Resources Inc
Miami, FL4 days ago - Prior Authorizations Representative Job Description We are seeking a dedicated and detail-oriented Prior Authorizations Representative to join our team. In this role, you will be responsible for processing prior authorization requests, ensuring timely and accurate submission...Work at office
$120k - $150k
...new consultations and follow-ups). ~ Review incoming test results and patient messages. ~ Manage prescription refills and prior authorizations for inhalers, biologics, or equipment. ~ Participate in case discussions and continuing medical education (CME) related to...Full timeWork at officeNational Health Partners , Inc.
Orlando, FL3 days ago- ...Certified Pharmacy Technician Contract Qualifications Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Determines appropriateness for medications...Contract workWork at office
Careers Integrated Resources Inc
Miami, FL3 days ago - ...Schedule appointments and assist with patient check-in/check-out Verify patient information and insurance Handle prior authorizations and referrals as needed Answer phones and address patient questions professionally Support front office staff when...Work at office
SNI USA Inc
Miami, FL1 day ago - ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...Shift work
ClinDCast
Delray Beach, FL3 days ago - ...education and support to patient and their families, work within a multidisciplinary team, and telephone triage. Complete prior authorization for procedures and medication Manage patient communication, including in-basket messages and follow-up coordination....Contract workWork experience placement
University of South Florida
Tampa, FL4 days ago $26.41 - $61.79 per hour
...Determine member benefits, eligibility, and expected duration of treatments or procedures. Review requests to establish prior authorization requirements and financial responsibilities. Ensure requests are processed promptly. Clearly present relevant cases...Hourly payWork experience placementWork at officeRemote workMonday to FridayMolina Healthcare
Orlando, FL2 days ago
