Top 351 Prior authorization pharmacy Jobs in Florida

Authorization Representative
KabaFusion —Boca Raton, FL
- Full-time
- Microsoft Excel
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply
Specialty Pharmacy Tech 1-Outpatient, Specialty Pharmacy, $7000 Bonus,FT
Baptist Health South Florida —Miami Lakes, FL
- $18.32 - $23.82 an hour
- Full-time
- No experience needed
- Outpatient experience
- High school diploma or GED
- Wellness program
- Health insurance
Specialty Pharmacy Tech 2-Outpatient, Specialty Pharmacy, $7000 Bonus,FT
Baptist Health South Florida —Miami Lakes, FL
- $19.44 - $25.27 an hour
- Full-time
- Outpatient experience
- High school diploma or GED
- In-person
- Wellness program
- Health insurance
3d
Pharmacy Care Representative - Work From Home Florida
CVS Health —Florida
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Outlook
- Windows
- High school diploma or GED
- Paid holidays
- Health insurance
4d
Pharmacy Authorization Specialist, JHS Specialty Pharmacy Services, Full Time, Days (8am-4:30pm)
Jackson Health —Miami, FL
- Full-time
- High school diploma or GED
- Entry level
- Under 1 year
Quick Apply
9d
Insurance Verification & Authorization Specialist – Remote
FYZICAL LLC —Bradenton, FL
- $17 - $19 an hour
- Full-time
- Remote
- Microsoft Outlook
- Addiction Medicine
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Biologics & Prior Authorization Coordinator
MIDSTATE SKIN INSTITUTE, LLC —Ocala, FL
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- 401(k)
Quick Apply
12d
Benefit Verification Technician
American Oncology Network, Inc. —Fort Myers, FL
- $18.93 - $31.56 an hour
- Overtime
- Remote
- Microsoft Outlook
- Computer literacy
- English
Quick Apply
10d
Pharmacy Benefit Manager (PBM) Pharmacist Trainer- Remote
Gainwell Technologies —Florida
- $85,000 - $121,400 a year
- Full-time
- Remote
- Mid-level
- Continuous improvement
- 2 years
- Travel reimbursement
- Profit sharing
11d
Prior Authorization Coordinator
ProMod Rx —Miramar, FL
- $21 - $23 an hour
- Full-time
- Spanish
- HIPAA
- English
- Health insurance
Quick Apply
Insurance Verification Specialist - Specialty Pharmacy
AssistRx —Orlando, FL
- $39,520 - $45,760 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Pharmacy CSR Bilingual Spanish (Remote, Must Live in Florida)
Molina Healthcare —Miami, FL
- $14.00 - $24.02 an hour
- Full-time
- Remote
- Spanish
- 1 year
- Communication skills
4d
Hospital Pharmacy Technician I - II
Mayo Clinic —Jacksonville, FL
- $19.92 - $29.19 an hour
- 8 hour shift
- Hospital
- Basic math
- English
- Health savings account
- Health insurance
Sr. Reimbursement Specialist
United Biosource Corporation —Lake Mary, FL
- Remote
- Computer literacy
- No high school diploma
- Microsoft Office
- Wellness program
- Health savings account
8d
Lead Pharmacy Technician
Shields Health Solutions —Winter Garden, FL
- Microsoft Excel
- Hospital
- Writing skills
Quick Apply
Assisted Living Data Entry Pharmacy Technician
SpecialtyRx —Orlando, FL
- Full-time
- Computer literacy
- Data entry
- Typing
Quick Apply
Clinical & Pharmacy Liaison
Gastro Florida —Clearwater, FL
- $22 - $27 an hour
- Full-time
- Surgery
- Medical office experience
- Mid-level
- Paid training
- Health savings account
Quick Apply
4d
Patient Care Coordinator
Optum —Port Saint Lucie, FL
- $17.98 - $32.12 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Pass drug screening
Multi-State Licensed Pharmacist (Pharmacy Manager / PIC Track)
Wellgistics —Lakeland, FL
- $150,000 - $200,000 a year
- Full-time
- 3 years
- US work authorization
- In-person
- Health savings account
- Paid holidays
Quick Apply
Specialty Pharmacist
AdventHealth Corporate Services —Apopka, FL
- $50.49 - $93.91 an hour
- Full-time
- Bilingual
- Background check
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
9d

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Authorization Representative

KabaFusion
Boca Raton, FL

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Paid time off
401(k) 4% Match
Employee assistance program
401(k) matching
Life insurance
Referral program

Qualifications

Home care experience
Medicare
High school diploma or GED
Medicaid health insurance
HCPCS
Medicare regulations
Medicaid regulations
Cross-functional collaboration
Medical terminology
Cross-functional communication

Full Job Description

Come join an exciting and innovative company that puts the “care” back in healthcare!

At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

About Us:

What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion.

JOB SUMMARY:

This position is responsible for ensuring patients continue care without delay by securing accurate insurance verification, required authorizations, and complete start‑of‑care documentation. This position protects revenue integrity, supports clean claims, and ensures compliance while coordinating effectively with patients, payers, and internal teams in alignment with the organization’s mission and operational goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Provides courteous and professional telephone support to patients, families, referral sources, payors, and clinical staff.

2. Verifies insurance coverage prior to deliveries to ensure accuracy, active coverage and notifies internal departments and patients of any policy changes or benefit terminations.

3. Ensures services to be provided are eligible and covered under the patient’s insurance benefits.

4. Ensures accurate and timely completion of start‑of‑care, Financial Obligation, and Medicare/Medicaid forms and coordinates prompt distribution to the Pharmacy and Nursing Departments via electronic or postal delivery.

5. Collects, verifies, and documents insurance cost‑share and authorization details, including coinsurance, copays, deductibles, and requirements.

6. Tracks authorization needs and expirations and secures authorization for ongoing patient care to prevent missed administration of medication.

7. Provides timely notification to internal stakeholders, prescribers, and patients regarding authorization approvals, issues, or delays in care.

8. Accurately estimates patient financial responsibility by applying insurance verification information, payer contracts, and self‑pay policies.

9. Coordinates and documents patient start‑of‑care materials, creating additional documentation on a timely basis as needed to support compliant service delivery.

10. Ensures complete and accurate documentation of eligibility, authorization, and communications within the electronic medical record.

11. Assists with analyzing and resolving insurance claim rejections to support timely and accurate reimbursement.

12. Protects patient health information by following regulations for HIPAA compliance

13. Other related duties as assigned by manager or designee.

JOB REQUIREMENTS AND QUALIFICATIONS

Education:

High school diploma or equivalent education.

Experience

Minimum of two (2) years in home infusion or fast-paced health care environment

Experience with …

Proficient experience with Microsoft Office including Word, Excel, and Teams, and/or electronic health care record software system preferred.

Skills and Competencies:

Knowledge of HCPCS/CPT codes, authorization submission processes, and insurance coverage requirements, including Medicare, Medicaid, and commercial plans, with familiarity in medical terminology and billing pricing methodologies.
Strong problem-solving skills with the ability to proactively research, analyze, and resolve issues independently, demonstrating initiative and sound judgment.
Proficiency in learning and working with internal company platforms, including billing, authorization, and patient management systems.
Ability to work independently with minimal supervision while effectively prioritizing, multitasking, and meeting goals and deadlines, as well as collaborating successfully with cross-functional teams.
Demonstrated accuracy in calculating pricing quotes and authorization lengths using approved units and days, coupled with effective communication skills when interacting with patients, clinical teams, and corporate departments.

What we offer:

Competitive compensation
Benefits start on your 1st day of employment
401k w 4% match – no waiting or vesting period
PTO / Floating Holidays / Paid Holidays
Company paid life insurance, short term disability
Employee Assistance programs to help with mental health / wellness
Learning & Development Programs
Perks… includes discounts on travel, cell phone, clothing and more…
Generous employee referral program

To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/

Join us and find out why this is the place to excel and do your best work.

Quick Apply

Refine Your Search

prior authorization pharmacy jobs in florida

Authorization Representative

Specialty Pharmacy Tech 1-Outpatient, Specialty Pharmacy, $7000 Bonus,FT

Specialty Pharmacy Tech 2-Outpatient, Specialty Pharmacy, $7000 Bonus,FT

Pharmacy Care Representative - Work From Home Florida

Pharmacy Authorization Specialist, JHS Specialty Pharmacy Services, Full Time, Days (8am-4:30pm)

Insurance Verification & Authorization Specialist – Remote

Biologics & Prior Authorization Coordinator

Benefit Verification Technician

Pharmacy Benefit Manager (PBM) Pharmacist Trainer- Remote

Prior Authorization Coordinator

Insurance Verification Specialist - Specialty Pharmacy

Pharmacy CSR Bilingual Spanish (Remote, Must Live in Florida)

Hospital Pharmacy Technician I - II

Sr. Reimbursement Specialist

Lead Pharmacy Technician

Assisted Living Data Entry Pharmacy Technician

Clinical & Pharmacy Liaison

Patient Care Coordinator

Multi-State Licensed Pharmacist (Pharmacy Manager / PIC Track)

Specialty Pharmacist

I want to receive the latest job alert for prior authorization pharmacy in florida

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