Top 10 Prior authorization specialist Jobs in Lakeland, Fl

Surgical Prior Authorization Specialist
SICF Pain Management —Lakeland, FL
- Full-time
- Surgery
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
10d
Part-Time Referral Coordinator
Soni Family Practice —Lakeland, FL
- Part-time
- Bilingual
- HIPAA
- Mid-level
Quick Apply
14d
Patient Account Rep
Central Florida Health Care, Inc. —Winter Haven, FL
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Consumer Access Admissions Specialist Zephyrhills
AdventHealth Zephyrhills —Zephyrhills, FL
- $17.63 - $28.20 an hour
- Full-time
- Background check
- High school
- Hospital
- Paid parental leave
- Disability insurance
13d
Receptionist- North Lakeland
COAST DENTAL —Lakeland, FL
- Dental office
- Organizational skills
- Entry level
Quick Apply
Receptionist- North Lakeland
Coast Dental and Orthodontics —Lakeland, FL
- Dental office
- Organizational skills
- Entry level
Front Desk Specialist - TGH TGMG Bari Clinic
Tampa General Hospital —Tampa, FL
- From $15.45 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
10d
Front Office Coordinator
Florida Eye Specialists & Cataract Institute —Brandon, FL
- Overtime
- Microsoft Outlook
- Mid-level
- Clinic
- Paid holidays
- Health insurance
Quick Apply
Front Desk Specialist - TGH TGMG Bari Clinic
USF Tampa General —Tampa, FL
- $15.45 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
10d

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Prior Authorization Specialist
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Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
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Prior Authorization Specialist
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Collaborate with clinical staff to gather necessary medical records, clinical notes, and supporting documentation for authorization submissions.
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prior authorization specialist jobs near lakeland, fl

Surgical Prior Authorization Specialist

SICF Pain Management
Lakeland, FL

Quick Apply

Job Details

Full-time
10 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Record keeping
Overseeing health insurance pre-certification
Managed care
Medical insurance coverage verification
Caseload management
Medical office experience
HIPAA
Medical coding experience in physician offices
Medical coding experience in outpatient clinics
Medical claims processing software
Administrative experience
Medical administrative support
Electronic health record (EHR) management for billing and coding
Medical billing and coding communication with insurance companies
Health information regulatory compliance
Medical coding for surgical records
Dental office experience
Patient interaction
Clinical confidentiality policies
Managing patient records
Medical terminology

Full Job Description

Job Summary

Spine Institute of Central Florida is in search of an Surgical Prior Authorizations Specialist for our very busy Orthopaedic Spine Practice.

Job Description

Spine Institute of Central Florida is a busy, fast paced Orthopaedic Spine Surgery practice. We specialize in the entire spectrum of non-surgical and surgical care of the spine. The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior authorizations for surgical procedures for our practice and ambulatory surgical center for procedures such as orthopaedic spine surgeries, injections, kyphoplasties, and single case agreements with insurance companies based on surgical/procedural needs.

Duties

Request, review, and process surgical authorization requests and single case agreements in accordance with insurance guidelines and managed care policies for orthopaedic spinal procedures such as surgeries, kyphoplasties, and injections for the practice and ambulatory surgical center.
Verify patient insurance coverage and eligibility to ensure proper authorization before procedures are scheduled.
Collaborate with physicians, surgeons, and administrative staff to gather necessary documentation for authorization submissions.
Utilize CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to accurately document procedures and diagnoses.
Maintain detailed medical records related to authorization requests, ensuring compliance with HIPAA regulations.
Follow up with insurance companies to track approval statuses and resolve any discrepancies or denials promptly.
Ensure all documentation is complete, accurate, and submitted within required timeframes to prevent delays in patient care.
Stay informed about changes in managed care policies, coding updates, and healthcare regulations affecting surgical authorizations.

Requirements

Proven experience in medical office settings, preferably within surgical, ambulatory surgical centers, or specialty clinics.
Strong knowledge of managed care processes, insurance verification, and prior authorization procedures.
Familiarity with medical terminology, medical records management, and medical coding including CPT, ICD-9, ICD-10 codes.
Experience working with HIPAA regulations to safeguard patient confidentiality.
Excellent organizational skills with the ability to manage multiple cases efficiently under tight deadlines.
Office experience in a healthcare environment is essential; dental office experience is a plus.
Proficiency with electronic health records (EHR) systems and insurance claim platforms.
Effective communication skills for liaising between healthcare providers, insurance companies, and patients. Join our team as a Surgical Authorizations Specialist to play a vital role in streamlining surgical approvals while ensuring compliance and delivering exceptional support for patient care initiatives!

Seeking candidates who share our mission, vision, and core values in providing the absolute best patient care experience.

Competitive salary
Comprehensive training
IRA with employer match
Health, Vision, Dental insurance
Paid time off
Ability to make an impact in the communities we serve

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in lakeland, fl

Surgical Prior Authorization Specialist

Part-Time Referral Coordinator

Patient Account Rep

Consumer Access Admissions Specialist Zephyrhills

Receptionist- North Lakeland

Receptionist- North Lakeland

Front Desk Specialist - TGH TGMG Bari Clinic

Front Office Coordinator

Front Desk Specialist - TGH TGMG Bari Clinic

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