Average salary: $150,000 /yearly
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- ...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 - ...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 - Nemours is seeking an Insurance Authorization Coordinator in Jacksonville, Fl. The Insurance Authorization Coordinator II is responsible... ...demographics, benefits and financial responsibility to determine if prior authorization is required for specific medical procedures or...SuggestedWork at officeImmediate start
- ...follow up appointments, answers the phone, and assists the front office Team Lead with administrative tasks and referrals or prior authorizations from insurance companies.Skills:Required Skills and Abilities: EPIC experience is RequiredRequired Software and Tools: Basic...SuggestedWork at office
US Tech Solutions
Malabar, FL5 days ago - A leading healthcare organization, located in Tallahassee, Florida, is seeking a Customer Service Representative for utilization management reviews. In this role, you will handle inbound phone inquiries from providers and pharmacies, ensuring compliance and high-quality...SuggestedWork at office
$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- ...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
$300 per month
...to eliminate holds and keep the hospital financially viable. Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. Point of coordinator on day of admissions to guarantee that all equipment...SuggestedFull timeMonday to FridayDay shiftSelect Specialty Hospital
Oxford, FL23 hours ago- ...Job Type Part-time Description 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- ...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...SuggestedRemote job
$25 per hour
...This role will be primarily based in Lutz, 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...SuggestedFull timeTemporary workWork at officeLocal areaFlexible hoursLocal Infusion
Lutz, FL2 days ago- ...Medication Access Pharmacist to help patients navigate cost barriers in their healthcare. This role is crucial for managing prior authorizations and collaborating with insurance and healthcare providers. Ideal candidates will have an active pharmacist license and strong...SuggestedRemote job
- 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...SuggestedWork at office
- ...Job Description This position requires the Pharmacy Technician to review, deny or approve and communicate decisions for prior authorization pharmacy requests according to clinical guidelines. Evaluates and authorizes approval of prior authorization pharmacy requests...Work at office
Careers Integrated Resources Inc
Sunrise, 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
...eligibility, benefits, and expected length of stay for requested treatments and procedures. Conduct thorough reviews to determine prior authorization and financial responsibilities. Process requests promptly within the required timelines. Refer complex cases to medical...Hourly payWork experience placementWork at officeMolina Healthcare
Saint Petersburg, FL5 days ago$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- ...alternatives when necessary. Learn different medical insurance processes as it relates to in-network and out of network coverages, prior authorizations and The Orthopaedic Institute protocols. Support and assist other office staff as needed, office and clerical activities as...Full timeWork at office
The Orthopaedic Institute
Lecanto, FL22 hours 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 - ...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 $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. Responsibilities Ensure cases move...Temporary workLocal areaImmediate start- ...Job Type Full-time Description The Referral & Authorization Specialist is responsible for securing insurance referrals and prior authorizations for both internal and external patient services ordered or provided by the practice. This role ensures payer requirements are...Full timeWork at office
South Florida Orthopaedics and Sports Medicine
Stuart, FL11 hours ago $215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...Work at office- ...Physician Practice Representative - Authorization & Referrals Exciting opportunity to join our Pediatric Multi-Specialty team located... ...insurance knowledge. # Experience in requesting/submitting prior authorization for various diagnostic exams, prescriptions, etc...Full timeWork at officeMonday to Friday
- ...patients' information and accurately enters it in EMA. Identifies payer sources, verifies insurance eligibility, and verifies prior authorization. Recording and collecting patient copays and/or balances at check-in/out. Other duties as assigned Qualifications:...Temporary workWork at office
- ...pharmaceutical/medical sales. Preferred specialty sales experience calling on pediatrics and psychiatrist. Knowledge of working with prior authorizations/steps as well as pharmacy pull-through is also preferred. Must be authorized to be employed in the United States and must...Flexible hours
Alora Pharmaceuticals, LLC
Orlando, FL3 days 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...Full timeInternshipWork at officeShift work
- ...premier healthcare ecosystem.Reporting to our Director of UM Authorization Sales, the **Senior Sales Executive** will be responsible for... ...enterprise sales experience, with a proven track record in UM Prior Authorization.* **Proven Success:**Consistent track record of...Remote jobHourly payWork at officeShift work
