Top 35 Prior authorization Jobs in Daytona Beach Fl

Insurance Verification Specialist
SMA Healthcare Inc —Daytona Beach, FL
- Full-time
- Background check
- Clean driving record
- Writing skills
- Paid holidays
- Disability insurance
Surgical Insurance Authorization Coordinator
The Orthopedic Clinic —Daytona Beach, FL
- Full-time
- Background check
- Clean driving record
- Surgery
- Profit sharing
- Continuing education credits
Quick Apply
12d
Patient Service Representative
Brooks Rehabilitation —Daytona Beach, FL
- Full-time
- High school diploma or GED
- Clinic
- Outpatient
- Paid time off
- Employee discount
Quick Apply
14d
ASC Receptionist
Volusia Endoscopy & Surgery Center —Ormond Beach, FL
- Full-time
- Computer literacy
- Data analysis skills
- High school diploma or GED
Quick Apply
Scheduling Coordinator
PRC Alliance Pain Relief Centers —Daytona Beach, FL
- Full-time
- HIPAA
- High school diploma or GED
- Medical terminology
Quick Apply
Patient Service Representative (2030)
Brooks Rehabilitation —Daytona Beach, FL
- Full-time
- High school diploma or GED
- Clinic
- Outpatient
- Paid time off
- Employee discount
14d
Entry Level Insurance Professional
Brown & Brown —Daytona Beach, FL
- Full-time
- Office
- High school diploma or GED
- Business
- Employee stock purchase plan
- Paid holidays
Medical Assistant
Complete Health —South Daytona, FL
- $16.50 - $22.53 an hour
- Full-time
- Ability to walk for extended periods
- Word processing
- Data entry
Quick Apply
5d
Billing Coordinator
AccordCare & Family of Companies —Ormond Beach, FL
- Full-time
- Mid-level
- Office
- Home Health
Quick Apply
Medical Assistant-Interventional Pain Management
Coastal Neurology Inc —Ormond Beach, FL
- 8 hour shift
- Vital signs
- High school diploma or GED
- Neurology
- Health insurance
- Dental insurance
Quick Apply
PRN Case Manager Inpatient Rehabilitation Unit
AdventHealth Daytona Beach —Daytona Beach, FL
- $32.76 - $57.47 an hour
- PRN
- Background check
- Nursing
- Microsoft Outlook
- Paid parental leave
- Disability insurance
Certified Medical Assistant III - Primary Care Ormond
Halifax Health —Ormond Beach, FL
- Full-time
- BLS Certification
- Primary Care
- Mid-level
14d
Patient Financial Counselor
Cancer Specialists of North Florida —Palm Coast, FL
- Full-time
- Medical office experience
- Mid-level
- 3 years
Quick Apply
7d
Case Manager - Family Intensive Treatment
SMA Healthcare Inc —Daytona Beach, FL
- Full-time
- Background check
- Nursing
- Clean driving record
- Paid holidays
- Disability insurance
Case Manager - Outpatient - Deland
SMA Healthcare Inc —DeLand, FL
- Full-time
- Background check
- Nursing
- Clean driving record
- Paid holidays
- Disability insurance
Care Mgr RN Nonexempt
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $32.76 - $57.47 an hour
- PRN
- Nursing
- Microsoft Outlook
- RN License
Receptionist
Coast Dental and Orthodontics —Orange City, FL
- Dental office
- Organizational skills
- Entry level
12h
Medical Assistant Float
Complete Health —Edgewater, FL
- $16.50 - $22.53 an hour
- Ability to walk for extended periods
- Word processing
- Data entry
Quick Apply
14d
Retail Pharmacy Technician III
AdventHealth DeLand —DeLand, FL
- $20.38 - $32.60 an hour
- Full-time
- Background check
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Disability insurance
10d
Medical Assistant
PRC Alliance Pain Relief Centers —New Smyrna Beach, FL
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply
14d

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Insurance Verification Specialist

SMA Healthcare Inc -
Daytona Beach, FL

Apply Now

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Vision insurance
403(b)

Qualifications

Electronic health records (EHR) management
Phone communication
High school diploma or GED
Driver's License
Computer skills

Full Job Description

Top reasons to work for SMA Healthcare:

Career growth and advancement potential
Great benefits such as: Health, Dental, Vision, Life, & Disability Insurance
Tuition Reimbursement
Paid Personal Leave and Paid Holidays
403b Retirement Plan (matches one to one of employee contribution for the first 3%, then a 50% match on the next 6% of employee contribution)

Essential Job Functions:

Collect demographic and insurance data, verify insurance eligibility and benefits via computer portal systems and via telephone for commercial insurance providers, and enter financial eligibility and authorization data in SMA's EMR system.
Run client face sheets daily for various SMA Healthcare Outpatient programs and sites as assigned.
Notify SMA staff of insurance authorizations and insurance company expectations through email and/or phone calls.
Notify SMA staff of co-pay/co-insurance/deductible information for the purposes of collection of client financial responsibility.
Acts as liaison between SMA staff and insurance companies, funding sources, or their managed care organizations when client's health care is being managed under a managed care plan.
Reviews Managed Care Report for services needing continued authorization and processes completed requests to managed care company to obtain continued authorization.
Update authorization spreadsheet and update EMR authorization determination record to include: services authorized, units or visits, effective and end date, provider when applicable and the authorization number.
Review Financial Assessments when required by program, and approve and add payer if client meets eligibility requirements.
If required by specific program, review Specialty Reports and DCF Program Client Lists, update client Credible record to reflect payer changes, keep each assigned DCF Program binder current and complete a client insurance report for each assigned DCF Program.
Additional duties may be required as per specific program guidelines.

Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education and/or Experience: High school Diploma and one year of Insurance Verification and/or behavioral health experience. Experience in a setting where it was necessary to communicate orally and in writing to inform, advise, or train others about treatment service delivery, client record documentation, or Insurance Verification preferred. Experience with American Society of Addictions Medicine Patient Placement Criteria is preferred. Experience with CARF, Medicaid, and Managed Care requirements is preferred.

Knowledge/Skills/and Abilities:

Demonstrates proficiency with assigned client populations in performing Insurance Verification including extensive telephonic communication skills with insurance providers.
Ability to maintain professional working relationships with insurance representatives, clinical staff, and stakeholders.
Experience with Electronic Medical Records (EMR).

Necessary Special Requirements: Possession of a valid Florida driver's license, acceptable driving record, and proof of personal automobile insurance if required to drive an SMA vehicle and/or use a personal vehicle for SMA business. Complete State of Florida mandatory background screening prior to start of employment. Complete SMA required training during the first six (6) months of employment and updated if required.

Physical: Mobility and ability to bend and reach during an 8-12 hour day. Able to lift minimum 10 pounds. Visual and auditory acuity sufficient to evaluate, intervene, treat, and record client health care needs. Fine motor skills for legible and accurate charting, daily correspondence and presentation, either manually or orally. Work endurance ability to work 8-12 hour shifts with a meal break, as possible. Routine 8-12 hour shifts. Hours and days off may vary. Extra hours may be required. Work assignment locations may vary.

Application:This class specification is intended to identify the class and illustrate the kinds of duties that may be assigned to its incumbents. It should not be interpreted as describing all of the duties whose performance may ever be required of such an employee or be used to limit the nature and extent of assignments such individuals may be given.

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Refine Your Search

prior authorization jobs in daytona beach fl

Insurance Verification Specialist

Surgical Insurance Authorization Coordinator

Patient Service Representative

ASC Receptionist

Scheduling Coordinator

Patient Service Representative (2030)

Entry Level Insurance Professional

Medical Assistant

Billing Coordinator

Medical Assistant-Interventional Pain Management

PRN Case Manager Inpatient Rehabilitation Unit

Certified Medical Assistant III - Primary Care Ormond

Patient Financial Counselor

Case Manager - Family Intensive Treatment

Case Manager - Outpatient - Deland

Care Mgr RN Nonexempt

Receptionist

Medical Assistant Float

Retail Pharmacy Technician III

Medical Assistant

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