Top 386 Patient access specialist Jobs in Florida

Referral Manager
Pediatrica Health Group —Miami, FL
- Full-time
- HIPAA
- Office
- High school diploma or GED
Quick Apply
4d
Inpatient Coding Specialist, HIM BRRH, $5000 Bonus,FT
Baptist Health South Florida —Boca Raton, FL
- $29.41 - $38.23 an hour
- Full-time
- Microsoft Word
- Mid-level
- High school diploma or GED
- Wellness program
- Continuing education credits
Quality Assurance Specialist - Patient Access Scheduling
Florida Orthopaedic Institute —Temple Terrace, FL
- $20.00 - $21.75 an hour
- Full-time
- Remote
- Computer literacy
- Pass drug screening
- Mid-level
Quick Apply
4d
Utilization Review Specialist (Remote)
The Florida House —Deerfield Beach, FL
- Per diem
- Remote
- Nursing
- Addiction Medicine
- Mid-level
- Continuing education credits
- Disability insurance
Quick Apply
10d
Patient Access Specialist I Florida
Hospital for Special Surgery —West Palm Beach, FL
- Full-time
- Microsoft Outlook
- Mid-level
- High school diploma or GED
Utilization Review Specialist
Cutting Edge Staffing LLC —Pompano Beach, FL
- $50,000 - $65,000 a year
- Weekends as needed
- Remote
- RN License
- Licensed Clinical Social Worker
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Patient Access Specialist
Hospital for Special Surgery —Jupiter, FL
- Full-time
- Microsoft Outlook
- HIPAA
- High school diploma or GED
2d
Medical Records Specialist
The Springs at Boca Ciega Bay —South Pasadena, FL
- $75,000 a year
- Background check
- Skilled nursing facility
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
12d
Patient Access Specialist
AssistRx, LLC —Orlando, FL
- $23.11 - $28.89 an hour
- Full-time
- Mid-level
- Analysis skills
- Trade school
5d
Patient Access & Care Coordination Specialist
Florida Atlantic University —Boca Raton, FL
- $48,000 a year
- Weekends as needed
- 5 years
- Pass drug screening
- Mid-level
- Paid holidays
- Dental insurance
12d
Patient Access Specialist - Therapy Department Call Center
Vero Orthopaedics —Vero Beach, FL
- Full-time
- Background check
- Writing skills
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Credentialing Specialist
Sage Dental —Boca Raton, FL
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Patient Access Specialist-Patient Access-Pool-Days-BHMC
Broward Health —Fort Lauderdale, FL
- Hospital
- High school diploma or GED
- Military encouraged
Patient Access Specialist I (Admitting, Panama City)
Nemours —Panama City, FL
- Full-time
- Hospital
- Medical office experience
- HIPAA
- 403(b) matching
- Health insurance
Benefit Verification Specialist / Pt. Enrollment
Amgen —Tampa, FL
- $61,157.50 - $82,742.50 a year
- Hybrid work
- Office
- High school diploma or GED
- Bachelor's degree
- Disability insurance
- Health insurance
3d
Patient Access Specialist - Full Time - Days
Jupiter Medical Center —Jupiter, FL
- Full-time
- Surgery
- Hospital
- Customer service
Health System Specialist (Credentialing & Privileging)
US Veterans Health Administration —Miami, FL
- $65,735 - $85,460 a year
- Online Application
- Background check
- Psychiatry
- Writing skills
- On-the-job training
5d
Medical Records Technician (ROI)
US Veterans Health Administration —West Palm Beach, FL
- $48,361 - $62,869 a year
- Online Application
- Background check
- High school
- Writing skills
- Health insurance
10d
Desk Operations Specialist - Office of Access Management FLA
Mayo Clinic —Jacksonville, FL
- $20.00 - $23.93 an hour
- 8 hour shift
- Computer literacy
- BLS Certification
- Windows
Patient Services Specialist
SimonMed Imaging —Winter Park, FL
- Full-time
- Background check
- High school diploma or GED
- Communication skills
- Paid holidays
- Health insurance
Quick Apply

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Referral Manager

Pediatrica Health Group
Miami, FL

Quick Apply

Job Details

Full-time
4 days ago

Qualifications

High school diploma or GED

Full Job Description

About Pediatrica Health Group Inc.

Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime of optimal health and wellness is what drives our team to deliver its best every day. It’s our purpose.

Offering focused care from tots to teens, our pediatric primary care providers and teams partner with families to foster good health and strong, thriving communities. Second-to-none medical staff and top-tier administrative professionals keep our practices running smoothly and make each patient experience the best we can offer.

Working in partnership with patients, families, and communities who put their trust in us for their care, we hold ourselves accountable to ensure equitable access to care, advocate to create impactful change, and continually learn and progress to create better outcomes and brighter futures. Together, we’re paving the way for kids to develop into healthy young adults. Rooted in these values, we continue to grow and serve. Are you ready to join us?

POSITION SUMMARY:

The Referral Manager is responsible for overseeing all referral operations for the Florida region, ensuring timely, accurate, and efficient referral management across all regional offices. This is a full-time, in-person position based out of the corporate office. This position supervises the regional referral team, provides operational leadership, and works collaboratively with providers, specialists, and administrative staff to ensure exceptional patient care and continuity.

The Referral Manager also leads the implementation and optimization of the LeadingReach platform, manages pediatric prior authorizations, and develops strategies to improve referral processes, reduce referral leakage, and strengthen specialist partnerships.

ESSENTIAL FUNCTIONS

Referral Operations Management

Oversee and manage all patient referrals for Florida regional offices.

Ensure referrals are processed accurately, efficiently, and in compliance with organizational policies and payer requirements.

Coordinate referral operations across all Florida offices to maintain consistency and continuity of care.

Collaborate with providers, office managers, and clinical staff to resolve referral issues and improve workflows.

Team Leadership & Supervision

Supervise, train, coach, and support Regional Referral Coordinators to ensure consistent performance and high-quality service.

Provide oversight, guidance, and operational support to referral staff throughout the region.

LeadingReach Platform Implementation

Lead the implementation, adoption, and ongoing optimization of the LeadingReach referral management platform.

Specialist Network & Referral Leakage

Develop, maintain, and strengthen a narrow network of preferred specialists to improve patient access and coordination of care.

Monitor referral patterns, identify trends, and implement strategies to reduce referral leakage while improving network utilization.

Prior Authorization Management

Manage pediatric prior authorizations, ensuring timely submission, follow-up, and approval in accordance with payer requirements.

Maintain current knowledge of insurance guidelines, referral requirements, and prior authorization processes.

Compliance & Reporting

Track referral metrics and prepare reports to evaluate departmental performance and identify opportunities for improvement.

Ensure compliance with HIPAA, organizational policies, and regulatory standards. Participate in process improvement initiatives and support organizational goals related to patient access and care coordination.

Perform other duties as assigned.

SUCCESS MEASURES

The Referral Manager will be evaluated on:

Timeliness and accuracy of referral processing.

Successful implementation and optimization of the LeadingReach platform.

Reduction in referral leakage.

Performance and development of referral staff.

Timely completion of pediatric prior authorizations.

Consistency of referral operations across all Northeast Florida offices.

Provider and patient satisfaction with referral coordination.

KNOWLEDGE, SKILLS & ABILITIES

Strong leadership and team management abilities.

Excellent organizational and time management skills.

Exceptional verbal and written communication skills.

Ability to manage multiple priorities in a fast-paced healthcare environment.

Strong analytical and problem-solving skills.

Attention to detail and commitment to accuracy.

Strong understanding of insurance referrals, pediatric prior authorizations, and managed care processes.

Knowledge of specialist network management and referral best practices.

Proficiency with Microsoft Office Suite and electronic medical record (EHR) systems.

Ability to build collaborative relationships with providers, specialists, staff, and external partners.

Maintains strict confidentiality and full HIPAA compliance.

EDUCATION & EXPERIENCE

High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred.

Experience with referral management systems and electronic health records (EHR); familiarity with LeadingReach preferred.

Prior manager or team-lead experience in a healthcare or referral operations setting preferred.

MANAGERY RESPONSIBILITIES

Directly supervises the Regional Referral Coordinators throughout the Florida region.

WORKING CONDITIONS

General office working conditions across regional referral offices.

PHYSICAL DEMANDS

The physical demands described here are representative of those that an associate must meet to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function.

Quick Apply

Refine Your Search

patient access specialist jobs in florida

Referral Manager

Inpatient Coding Specialist, HIM BRRH, $5000 Bonus,FT

Quality Assurance Specialist - Patient Access Scheduling

Utilization Review Specialist (Remote)

Patient Access Specialist I Florida

Utilization Review Specialist

Patient Access Specialist

Medical Records Specialist

Patient Access Specialist

Patient Access & Care Coordination Specialist

Patient Access Specialist - Therapy Department Call Center

Credentialing Specialist

Patient Access Specialist-Patient Access-Pool-Days-BHMC

Patient Access Specialist I (Admitting, Panama City)

Benefit Verification Specialist / Pt. Enrollment

Patient Access Specialist - Full Time - Days

Health System Specialist (Credentialing & Privileging)

Medical Records Technician (ROI)

Desk Operations Specialist - Office of Access Management FLA

Patient Services Specialist

I want to receive the latest job alert for patient access specialist in florida

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