Average salary: $150,000 /yearly
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- ...responsible for verifying insurance benefits and coverage for patients prior to services, ensuring a smooth billing process and enhancing... ...services Identify whether services require prior authorization, pre-certification, or referrals and initiate requests accordingly...Suggested
Jax Spine and Pain Centers
Jacksonville, FL1 day ago $19 - $22 per hour
...their financial cost share for procedures and collecting payments prior to procedures. A strong focus on customer service and the... ...required. Experience in processing provider referrals and prior authorization requests. Understanding of medical terminology, ICD-10...SuggestedHourly payWork at officeLocal areaMonday to FridayFlexible hoursDay shiftUltimate LLC
Tarpon Springs, FL1 day ago$20 - $21 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 the...SuggestedTemporary workShift workDexian
Maitland, FL15 days ago$21 per hour
...associated with their medical conditions and facilitating necessary authorizations. Qualifications Strong and accurate data entry skills.... ...industry environments is highly desirable. Must have prior authorization experience. Ability to multi-task and manage...SuggestedWork at officeLocal areaShift workUltimate Staffing
Orlando, FL15 days ago- ...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 startFlexible hours
AssistRx
Orlando, 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...SuggestedRemote workShift work
ClinDCast
Delray Beach, FL2 days ago - ...Nemours is seeking an Insurance Authorization Coordinator in Jacksonville, FL The Insurance Authorization Coordinator I is responsible... ...demographics, benefits and financial responsibility to determine if prior authorization is required for specific medical procedures or...SuggestedWork at office
Nemours
Jacksonville, FL2 days ago - ...Description Title: Clinical Pharmacist Duration: 3 months Shift: 9am to 6pm EST Responsibilities Reviews a completed prior authorization request received from the provider and/or reviews the pharmacy technician’s recommended denial, suggested formulary...SuggestedWork at officeShift work
Pacer Group
Tampa, FL8 days ago - ...components for K level and patient goals. Optimize fit, alignment, and safety. Produce Medicare compliant notes within LCD, Prior Authorization, and NCCI rules that stand up to audit. Close the loop with referring providers. Track outcomes, falls, and functional...SuggestedFull time
OPC Prosthetic Centers, Inc.
Jacksonville, FL13 days ago $20 per hour
...tasked with resolving customer complaints, processing new pharmacy referrals, verifying insurance coverage, and facilitating prior authorization requests. Accurately transcribing prescriptions, generating cycle fill calendar reports, and coordinating delivery are also key...SuggestedPermanent employmentContract workTemporary workWork at officeMonday to FridayShift workDay shiftActalent
Fort Lauderdale, FL8 days ago$18 - $21 per hour
...out processes to provide a positive patient experience. Insurance Management: Verify insurance information and handle prior authorizations and referrals. Scheduling: Organize appointments, reminders, and chart preparation. Clinical Support: Assist with...SuggestedPermanent employmentTemporary workMonday to FridayTAG MedStaffing
Saint Petersburg, FL16 hours ago- ...Pharmacy Prior Authorization Specialist Do you want to work for a Fortune 500 company and be a part of a new area of growth? We need Pharmacy Prior Authorization Specialists that are looking for a new and exciting opportunity! The Pharmacy Prior Authorization Specialists...Suggested
AtWork!
Altamonte Springs, FL4 days ago - ...with patient care as directed Handle patient calls for both own patients and the physician's Complete daily refills, prior authorizations, and inbox tasks Organization Information ~ Established private endocrinology practice Compensation Year...SuggestedPart timeSummer workPrivate practiceMonday to Friday3 days per week
RecruitWell LLC
Florida2 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...SuggestedFull timeWork at officeNational Coalition of Healthcare Recruiters
Orlando, FL1 day ago- ...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...SuggestedPermanent employmentFull timeLocum
Provider Healthcare
Melbourne, FL4 days ago - ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex...Remote work
US Tech Solutions
Miami, FL16 hours 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, FL3 days ago - ...Job Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...
Hire Talent
Pensacola, FL3 days ago - ...candidate will have at least 3 years of nursing experience in a critical care setting and be skilled in medical necessity reviews and authorization processes. Responsibilities include coordinating with providers, maintaining documentation, and following medical guidelines....
Integrated Resources
Doral, FL4 days ago - ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband...Local area
PhyNet Dermatology
Osprey, FL16 hours ago - ...Network's Infusion Center. The rheumatologist will clinically oversee the practices of staff, to include an infusion nurse, prior authorization specialist and billing to ensure timely access to infusion services and payment from payors. A collaborative model with other...Part time
Healthcare Network, Inc.
Naples, FL2 days ago $55.1k - $99k
...Provides members and health care professionals with medication-related information and education. ~ Participates in the prior authorization review and appeals processes. ~ Participates in the organization's quality management and improvement activities ~ Participates...Full timePart timeWork at officeLocal areaRemote workFlexible hoursCentene Pharmacy Services
Pompano Beach, FL12 hours agonew- ...experience a plus · Iknowmed Gen2 or any EMR experience a plus · Covermymeds experience preferred · Prior authorization experience a plus Excellent communication skills Detail oriented Ability to provide excellent, caring, respectful...Full timeWork at office
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, FL21 days ago $125k - $150k
...dynamics across your territory—national, regional, and local insurance landscapes ~ Collaborate with Market Access, to overcome prior authorization barriers and ensure seamless patient onboarding ~ Drive formulary wins and in-office pull-through by equipping providers...Work at officeLocal areaWorldwideNight shiftInizio Engage
Tampa, FL2 hours agonew- .... Operational Oversight Lead and mentor a team of life underwriters and underwriting managers. Establish underwriting authorities, guidelines, and quality control processes. Review and approve high-value or complex life applications exceeding underwriter authority...Local areaRelocation package
HireLogic Search Group
Miami, FL6 days ago - ...rectal exams and hemorrhoid banding procedures. Performing testing such a Fibroscans, bone density and breath tests. Prior authorizations for medication and infusion drugs. Maintaining logs for expiring infusion medication drugs with each patient's insurance...Full timeWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift
Gastro Health
Orlando, FL1 day ago - ...follow up treatment/procedures are needed Complete tasks, intra-mails, appointments scheduled, pathology results, pharmacy prior authorizations, insurance authorizations for surgeries Receive incoming calls through our surgical phone line and appropriately assist...
OnSpot Dermatology
Orlando, FL28 days ago - ...including prescription management, follow-up appointments including in the NCH Palliative Care Clinic if indicated. Explore if prior authorization for pain medication is needed • Follow-up with patients and families after discharge • Provide education to nursing staff...Full time
NCH
Naples, FL2 days ago - ...Practitioner, a pharmacist, medical residents who consistently rotate through, and a specialty medication coordinator who manages prior authorizations and collaborates with BayCare HomeCare Pharmacy for medication deliveries. Plan members on certain medications can receive...Temporary workLocal area
BayCare Medical Group
Tampa, FL1 day ago $40.87 - $80.43 per hour
...(private), and/or Medicare Part D prescription drug plans, programs or formularies Experience in Coverage Determinations (prior authorization) or member appeals Pharmacy reimbursement (third party insurance, Medicare Part D formulary management, Medicaid) Careers...Hourly payWork experience placementRemote workPhenom People
Orlando, FL3 days ago
