Top 9 Prior authorization specialist Jobs in Grant Fl

DME & Home Health Coordinator
Whole Family Health Center Inc —Vero Beach, FL
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
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Medical Insurance Authorization Specialist (Large case in office procedures)
Interventional Spine and Pain Institute —Palm Bay, FL
- $18.86 - $21.73 an hour
- Full-time
- Customer service
- Medical office experience
- HIPAA
- Paid time off
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5d
Patient Service Specialist - Radiation Oncology
Health First Careers —Melbourne, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Patient Service Specialist PR - Patient Registration
Health First Careers —Palm Bay, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
11h
Referral Coordinator
Whole Family Health Center Inc —Vero Beach, FL
- Full-time
- Spanish
- Microsoft Outlook
- Current TB test
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13d
Front Office II
Vero Beach Surgical Arts, P.A., Vero Beach, FL —Vero Beach, FL
- $22 - $26 an hour
- 8 hour shift
- Background check
- Dental office
- Surgery
- Health savings account
- Health insurance
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Medical Assistant II (Primary Care, Palm Bay)
Nemours —Palm Bay, FL
For those living and working in Florida, enjoy the benefit of no state income tax. The MA II is responsible for coordinating patient flow by assisting in…
Patient Service Representative
Advanced Foot & Ankle of Indian River —Sebastian, FL
Medical receptionist: 1 year (Preferred). Benefits include health insurance, PTO, and matching 401K. Check in and check out patients while collecting payments.
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4d

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Medical Scribe
Oak Street Health —Columbus, OH
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17.00 - $28.46 an hour
Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
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12d

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DME & Home Health Coordinator

Whole Family Health Center Inc -
Vero Beach, FL

Quick Apply

Job Details

Full-time

Qualifications

Customer communication
Customer service
HIPAA
High school diploma or GED
Healthcare privacy protection
Health information regulatory compliance

Full Job Description

Job Summary

The DME and Home Health Coordinator serves as a liaison between patients, providers, specialists, insurance carriers, and community agencies to ensure timely coordination of Durable Medical Equipment (DME), Home Health services, Specialty Services, and other authorized healthcare services. This individual is responsible for facilitating prior authorizations, monitoring referrals, coordinating care, and advocating for patients throughout the authorization and referral process.

The ideal candidate is detail-oriented, organized, and able to function effectively in a fast-paced environment while maintaining a high level of professionalism and compassion. The Coordinator must possess strong communication skills, the ability to prioritize multiple tasks, and a commitment to delivering excellent patient care and customer service. This position requires independent judgment, sound problem-solving skills, and the ability to collaborate effectively with providers, patients, families, insurance carriers, and community partners.

Communication

Excellent oral and written communication skills are required for this position. The individual must communicate effectively and professionally with patients, families, providers, staff, insurance representatives, and external organizations while maintaining confidentiality and demonstrating tact and empathy. The ability to communicate in Spanish, Creole, or both is preferred.

Key Responsibilities

Complete prior authorization processes for Durable Medical Equipment (DME), Home Health services, Specialty Services, and, in some cases, medications.
Conduct telephonic discussions with healthcare providers, patients, family members, and insurance carriers to obtain clinical information and explain authorization or coverage determinations.
Maintain ongoing tracking and documentation of referrals, authorizations, and benefit determinations, including coverage guidelines, contractual limitations, and reimbursement decisions, to promote team awareness, continuity of care, and patient safety.
Work independently while collaborating with medical providers and non-clinical partners to coordinate patient care and ensure timely access to services.
Act as a patient advocate with insurance carriers, when appropriate, to help secure timely approval of medically necessary supplies and services.
Serve as the system navigator and primary point of contact for patients and families, providing direct access for questions, education, and assistance with care coordination.
Monitor referral and authorization statuses, following up as needed to prevent delays in patient care.
Ensure the patient's electronic health record (EHR) is updated with information regarding specialist consultations, hospitalizations, emergency room visits, and community organizations involved in the patient's care.
Document all patient contacts, communications, and progress accurately and thoroughly within the EHR.
Adapt to changing priorities and manage a high-volume workload efficiently while maintaining accuracy and attention to detail.
Demonstrate proficiency in computer applications including Microsoft Word, Excel, Outlook, Windows, and electronic health record systems.
Perform other duties and responsibilities as assigned.

Education & Training

High School Diploma or GED required.
Associate degree in Healthcare Administration, Medical Assisting, Health Information Management, or a related healthcare field preferred.
Certification as a Medical Assistant, Referral Coordinator, or other healthcare-related certification is preferred but not required.
Ongoing continuing education related to healthcare coordination, insurance authorization processes, or patient care is encouraged.

Experience

One to three years of progressive experience in a medical office, referral department, utilization management, care coordination, DME, Home Health, or insurance authorization setting required.
Experience working with insurance carriers, prior authorizations, referral management, and electronic health records preferred.
Knowledge of Medicare, Medicaid, and commercial insurance authorization processes preferred.

Requirements

Level 2 background clearance required.
Proof of immunizations for MMR, Hepatitis B vaccination, and either a history of chicken pox (Varicella) or documentation of Varicella vaccination, current Tdap, and PPD test at time of hire.
Ability to maintain confidentiality and comply with HIPAA regulations.

WFHC reserves the right to change or modify the job description, including but not limited to Major Responsibilities, Education, Certification, and Physical Requirements.

WFHC is an EOE.

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Refine Your Search

prior authorization specialist jobs in grant fl

DME & Home Health Coordinator

Medical Insurance Authorization Specialist (Large case in office procedures)

Patient Service Specialist - Radiation Oncology

Patient Service Specialist PR - Patient Registration

Referral Coordinator

Front Office II

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