Top 27 Prior authorization specialist Jobs in Jacksonville, Fl

Medical Authorization and Referral Specialist
Florida Retina Institute —Jacksonville, FL
- $32,000 - $34,000 a year
- Full-time
- Customer service
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Authorization Specialist
Serenity Mental Health Centers —Jacksonville, FL
- Full-time
- Background check
- Administrative experience
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
18h
Insurance Verification Specialist
Women's Care —Jacksonville, FL
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
- Paid holidays
- 401(k)
Quick Apply
Eligibility and Benefits Specialist
Oshi Health —Jacksonville, FL
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
16h
Referral Coordinator, Revenue Cycle Specialist, Baptist MD Anderson
Baptist Medical Center Jacksonville —Jacksonville, FL
- Overtime
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- High school diploma or GED
Quick Apply
18h
Health Information Specialist
Reunion Rehabilitation Hospital Jacksonville —Jacksonville, FL
- Hospital
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Call Center Representative
Jax Spine & Pain Centers —Jacksonville, FL
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Patient Access Representative
Women's Care —Ponte Vedra, FL
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
- Paid holidays
- 401(k)
Quick Apply
7d
Surgery Coordinator - ENT (Otolaryngology)
ENT Specialists of North Florida and Meier Plastic Surgery —Saint Johns, FL
- From $19 an hour
- Email
- Surgery
- Customer service
- Writing skills
- Paid training
- Health savings account
Quick Apply
19h
Front Office II
North Florida Oral & Facial Surgery —Jacksonville, FL
- Full-time
- Background check
- Dental office
- Surgery
- Health savings account
- Health insurance
Quick Apply
2d
Surgery Scheduler
Jax Spine & Pain Centers —Jacksonville, FL
- Full-time
- Surgery
- Customer service
- HIPAA
Quick Apply
Referral Coordinator
PHYSICIANS GROUP SERVICES, PA —Orange Park, FL
- Full-time
- Customer service
- Medical office experience
- Primary Care
Quick Apply
AR Specialist
Atlantic Eye Institute —Jacksonville Beach, FL
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
- Health savings account
- AD&D insurance
10d
DME Billing Specialist and Office Coordinator
Bold City Orthotics and Prosthetics —Jacksonville, FL
- $20 - $23 an hour
- Part-time
- Private practice
- Management
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Front Desk Representative
Jax Spine & Pain Centers —Jacksonville, FL
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
Quick Apply
Revenue Cycle Specialist
Glycare —Jacksonville, FL
- $52,000 - $58,000 a year
- Monday to Friday
- Mid-level
- Office
- Communication skills
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Jacksonville, FL
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Customer Service Specialist
Concierge Home Care —Orange Park, FL
- $15.75 - $17.50 an hour
- Full-time
- Background check
- Office
- Home Health
- Mileage reimbursement
- Health savings account
Quick Apply
Billing Specialist Pharmacy
Guardian Pharmacy of Jacksonville —Jacksonville, FL
- Full-time
- HIPAA
- Research
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
Pharmacy Billing Specialist
Guardian Pharmacy of Jacksonville —Jacksonville, FL
- Full-time
- HIPAA
- Research
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply

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Medical Authorization and Referral Specialist

Florida Retina Institute -
Jacksonville, FL

Quick Apply

Job Details

Full-time
$32,000 - $34,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Uniform allowance
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Retirement plan

Qualifications

Customer service
Employee relationship building
High school diploma or GED
Insurance medical billing
Stakeholder relationship building

Full Job Description

Job Description

The Medical Office Insurance Authorization Specialist is responsible for the overall success of the chart preparation and insurance authorization procurement function. This individual provides good judgement in the coordination of all practice activities that contribute to assuring that the charts are prepared and that all authorizations for treatment have been received prior to the patient appointment. This position requires knowledge of medical billing, insurance verification and insurance authorization processes. Knowledge of basic policies and procedures or functions of a multi-physician practice. Knowledge of HIPAA, Compliance, and OSHA regulations related to an outpatient practice. Knowledge of EMR and other clinic computer programs and applications. Requires skill in exercising a high degree of initiative, judgement, discretion, and decision-making to optimally achieve the goals of the position. Skill in establishing and maintaining effective working relationships with co-workers, physicians, leadership staff, patients, and the public. Ability to have knowledge of, organize and prioritize work effectively to meet the set goals, deadlines and objectives of the position. This includes acquiring and documenting accurate patient information, and meeting patient appointment readiness goals. Ability to communicate clearly and effectively both in writing and verbally

1.1 Begin accurately working on pulled patient appointment charts 3 days in advance, if possible, to complete the following task in a timely manner:

A. For patients who have only EMR charts: Print off last EMR note and place in folder.

B. For patients who are in the EMR system and also have a paper chart: Print off last EMR note and include in paper chart.

C. For patients who only have paper charts and are not yet in the EMR system: Include the paper chart and print out the Financial Demand Inquiry from the old MYSIS/Allscripts system.

1.2 Assure that the Verification List is obtained at least 3 days in advance from the Verification Specialist and assure that all visits and procedures have been verified prior to the patient visit.

1.3 Begin authorization process at least 3 days in advance prior to patient visit, when possible.

1.4 Accurately obtain visit and procedure authorizations through patient primary care physicians or patient insurance payers.

1.5 Assure that authorization numbers are documented, and that primary care physician fax sheets are scanned into the EMR, as well as documented in Practice Plus and on the encounter form.

1.6 For authorizations obtained through the patient’s insurance carrier, assure that the authorization numbers are documented and attached to the appointment in Practice Plus, as well as documented on the encounter form.

1.7 Assure that the number of visits or treatments authorized are clearly documented in Allscripts and on the encounter form. Indicate the number of approved visits or treatments that are left from the original authorization is also documented.

1.8 Assure that injection authorizations are obtained and up-to-date, as well as documented in Practice Plus and on the encounter form.

1.9 Assure that the file cases are packed and completed each day and ready to go to the practices.

1.10 Accurately processes authorizations for add on patients from all offices.

1.11 Highlights balances and assures that accurate co-pays and deductibles due are indicated on encounter forms.

1.12 Double checks to ensure all demographic information on the encounter is accurate (i.e. name spelling, referring doctor, etc.)

1.13 Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.

1.14 Maintains and adheres to the company’s HIPAA, Compliance, and OSHA regulations.

1.15Other duties as assigned.

Job Type: Full-time

Excellent benefits package provided including Medical, Dental, Vision, LTD, STD, 401k matching, uniform allowance.

Work Remotely

Job Type: Full-time

Pay: $32,000.00 - $34,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Education:

High school or equivalent (Preferred)

Experience:

Customer Service: 1 year (Preferred)
Medical Authorization: 1 year (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in jacksonville, fl

Medical Authorization and Referral Specialist

Authorization Specialist

Insurance Verification Specialist

Eligibility and Benefits Specialist

Referral Coordinator, Revenue Cycle Specialist, Baptist MD Anderson

Health Information Specialist

Call Center Representative

Patient Access Representative

Surgery Coordinator - ENT (Otolaryngology)

Front Office II

Surgery Scheduler

Referral Coordinator

AR Specialist

DME Billing Specialist and Office Coordinator

Front Desk Representative

Revenue Cycle Specialist

Customer Service Representative

Customer Service Specialist

Billing Specialist Pharmacy

Pharmacy Billing Specialist

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