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, FL4 days ago - ...Description: Position Summary The Insurance Verification & Authorization Specialist is responsible for verifying patient insurance... ...and authorization process. This role involves securing prior authorizations, obtaining referrals when necessary, and documenting...SuggestedHourly payContract workWork at office
PedIM Healthcare
Crystal River, FL1 day ago $19 - $22 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...SuggestedRemote workMonday to FridayFlexible hoursAssistRx
Maitland, FL2 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, FL3 days ago - ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You perform fluoroscopy-guided RFA with... ...Administration: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a...SuggestedFull timePart timeWork at office2 days per week3 days per week1 day per week
AROmotion
The Villages, FL4 days ago - ...Procedures, Not Pills: Our model is strictly non-opioid. 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
Tampa, FL1 day ago - ...status of each new transfer for residence status. Notifies the patient's insurance company in order to obtain payment authorization. Obtains prior authorization and or letters of guarantee. Communicates frequently with Transfer Center Patient Financial Specialist...SuggestedFull time
- ...Referral Specialist 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 # Complete daily...SuggestedPart time
Watson Clinic
Lakeland, FL10 hours 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 Health Partners , Inc.
Orlando, FL5 days ago- ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You focus on performing RFA with precision... ...Burden: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a patient...SuggestedFull timePart timeWork at office2 days per week3 days per week1 day per week
AROmotion
Naples, FL4 days ago - ...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...SuggestedTemporary workWork at office
Platinum Dermatology Partners
Miami, FL4 days ago - ...the patient's financial responsibility by verifying co-pay, co-insurance, and deductible amounts. Obtain pre- authorizations:Request and manage prior authorizations for tests, procedures, or services that require insurance approval before they are performed. Communicate...SuggestedWork at officeAfternoon shift
Alina Community Center
Mount Dora, FL17 days ago - ...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...SuggestedFull timeWork at officeMonday to Friday
Kidz Medical Services
Boca Raton, FL3 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...SuggestedLocal area
PhyNet Dermatology LLC
Boca Raton, FL5 days ago - ...EMR system Analyzes patient records and insurance policies to determine if procedures, treatments, or medications require prior authorization Ensures patients are eligible for services and that insurance benefits are accurate Notifies providers of potential coverage...SuggestedFull timeWork at officeMonday to Friday
Kidz Medical Services
West Palm Beach, 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, FL3 days ago $20.5 per hour
...exciting career move? If youre skilled in Insurance Verification, Authorizations, and Financial Screening, we want to hear from you! This is... ...patient insurance coverage and benefits Obtain and manage prior authorizations Perform financial screenings and eligibility...Full timeImmediate startMonday to FridayFlexible hoursWeekday work- ...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, FL5 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
$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 Friday- ...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, FL1 hour ago - ...Eligibility & Prior Authorization Specialist (RCM) – Clearwater, FL (Onsite) TempExperts is partnering with a rapidly growing healthcare technology organization to identify a detail-oriented Eligibility & Prior Authorization Specialist to join their Revenue Cycle Management...Full timeWork at officeRemote workMonday to Friday
TempExperts
Clearwater, FL1 hour ago - ...prompt and reliable support to members, pharmacy partners, and authorized representativesresolving inquiries with patience, clarity, and... ...guidance on pharmacy benefits, medication coverage, claims status, prior authorizations, and general plan inquiries. Technical...Work at officeFlexible hoursShift work
- ...current Florida license · QS1 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 and...Full timeWork at office
Hematology Oncology Associates of the Treasure Coast
Florida5 days ago - ...Lead Customer Service Representative The Lead CSR works specifically on Held Sales report, Rx Expiration reports, Prior Authorization Expiration reports, Turning 65 reports, and Customer Billing Survey report to decrease held sales in centers that are ineffective with...Work at office
Lincare Holdings
Clearwater Beach, FL4 days ago $27.02 - $48.55 per hour
...substance abuse before, during, and after services to ensure level of care and services are medically appropriate Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory...Hourly payFull timePart timeWork at officeRemote workFlexible hoursCentene Corporation
Tallahassee, FL4 days ago- ...laser procedures Assist provider in recording prescribed treatments, medications, biopsies, cultures, photos, prescriptions, prior authorization and procedures within established guidelines Understand provider to patient flow and anticipate provider's next steps to...Full timeTemporary workPart timeWork at officeLocal areaMonday to FridayShift workWeekend workWeekday work
myDermRecruiter
Delray Beach, FL3 days ago - ...chart reviews for medical necessity and identify the need for authorization. The Utilization Case Manager RN coordinates with the healthcare... ...and perform timely prospective reviews for services requiring prior authorization. # Follows the authorization process using...Full timeTemporary workWork at officeWorldwide
University of Miami
Miami, FL3 days ago $214.13k - $417.56k
...and medical necessity of health care services provided to plan members. Provides leadership and expertise in performance of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities....Work experience placementWork at officeLocal areaMolina Healthcare
Orlando, FL3 days ago- ...rectal exams and hemorrhoid banding procedures. Performing testing such as 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 officeMonday to FridayAfternoon shift
Gastro Health
Fort Myers, FL5 days ago
