Top 137 Prior authorization representative Jobs in Miami, Fl

Prior Authorization Specialist
BioHealth Infusion Center —Miami, FL
- $24 - $32 an hour
- Full-time
- Background check
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
14d
Insurance Verification Representative - Remote (Tri-County Area)
University of Miami —Medley, FL
- Full-time
- Remote
- Bilingual
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Patient Access Representative 1
University of Miami —Miami, FL
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Admitting Representative - Full-Time
Larkin Community Hospital —South Miami, FL
- Full-time
- Hospital
- HIPAA
- Administrative experience
Quick Apply
Clinical Services/Prior Authorization Representative
ProCare Rx —Miramar, FL
- $19 an hour
- Full-time
- Microsoft Word
- Computer literacy
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Utilization Management Representative
Florida Dental Benefits —Coral Gables, FL
- $28 - $33 an hour
- Full-time
- Bilingual
- Microsoft Excel
- Office
- Health insurance
- Dental insurance
Quick Apply
6d
Contact Center Associate 1 - UHealth Connect (Remote)
University of Miami —Medley, FL
- Full-time
- Remote
- Spanish
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Patient Services Representative - Insurance Verification
Total Orthopaedic Care —Pembroke Pines, FL
- $18 - $22 an hour
- Full-time
- Medical office experience
- HIPAA
- In-person
- Health insurance
- Dental insurance
Quick Apply
6d
Sr. Patient Access Representative
University of Miami —Miami, FL
- Full-time
- Hybrid work
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Admitting Representative - Per Diem (Day Shift)
Larkin Community Hospital —South Miami, FL
- Day shift
- Hospital
- HIPAA
- Administrative experience
Quick Apply
Insurance Verification Representative - UHealth SoLé Mia
University of Miami —North Miami, FL
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Health insurance
- Dental insurance
Patient Access Representative
UM —Doral, FL
- $18 - $25 an hour
- Weekends as needed
- Computer literacy
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Admitting Representative - Per Diem (Night Shift)
Larkin Community Hospital —South Miami, FL
- Night shift
- Hospital
- HIPAA
- Administrative experience
Quick Apply
Clinical Business Operations Representative 2
University of Miami —Miami, FL
- Full-time
- Hybrid work
- Working with individuals with disabilities
- Adults
- Mid-level
- Health insurance
- Dental insurance
10d
UM Authorization Analyst 2 Bilingual
The Oncology Institute of Hope and Innovation —Miami, FL
- $71,000 - $85,000 a year
- Remote
- Spanish
- Customer service
- English
Quick Apply
9d
Surgery Scheduler 1 (H)
University of Miami —Miami, FL
- Full-time
- Hybrid work
- Surgery
- High school diploma or GED
- Perioperative Care
- Health insurance
- Dental insurance
Clinical Business Operations Representative 3
University of Miami —Miami, FL
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
14d
Patient Access Representative 2, Full Time
University of Miami —Miami, FL
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Clinical Business Operations Representative 1
University of Miami —Miami, FL
- Weekends as needed
- Hybrid work
- Psychiatry
- No experience needed
- Mid-level
- Health insurance
- Dental insurance
Patient Access Representative 3
University of Miami —North Miami, FL
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance

I want to receive the latest job alert for prior authorization representative in miami, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization representative jobs near miami, fl

Operations Representative jobs in Miami, FL

Patient Services Representative jobs in Pembroke Pines, FL

Prior Authorization Specialist jobs in Miami, FL

Senior Analyst jobs in Miami, FL

Patient Access Representative jobs in Miami, FL

Surgery Scheduler jobs in Miami, FL

Prior Authorization Specialist jobs in Miramar, FL

Rn Insurance Company jobs in Massachusetts

Insurance jobs in Prescott, AZ

Insurance Agent jobs in Portland, OR

Insurance Agent jobs in Fayetteville, NC

Licensed Health Insurance Agent jobs in Maryland

Insurance Agent jobs in Joliet, IL

Insurance Agent jobs in Columbia, MO

Medical Sales Representative jobs in San Diego, CA

Operations Representative jobs in Las Vegas, NV

Operations Representative jobs in Leominster, MA

Operations Analyst jobs in Charlotte, NC

Operations Representative jobs in Houston, TX

Sales Representative Base Salary Plus Commission jobs in Tampa, FL

Prior Authorization Specialist

BioHealth Infusion Center
Miami, FL

Quick Apply

Job Details

Full-time
$24 - $32 an hour
14 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Teamwork
Interpersonal skills
High school diploma or GED
Attention to detail
Patient interaction

Full Job Description

Prior Authorization Specialist – BioHealth Infusion Center

Company: BioHealth Infusion CenterPosition Type: Full-Time

Location: Onsite | 8684 Sunset Drive, South Miami, FL

Compensation: Competitive Pay + Benefits

About BioHealth Infusion Center: With over 25 years of healthcare experience, BioHealth Infusion Center is South Florida's premier destination for cutting-edge, evidence-based infusion therapy . We are dedicated to delivering exceptional patient care in a comfortable, state-of-the-art facility. Our comprehensive approach empowers patients to manage complex diseases through innovative biologic and non-biologic infusions . At BioHealth, we treat every patient like family, ensuring a stress-free experience from the initial intake process through the entirety of their therapy .

We are seeking a detail-oriented and proactive Prior Authorization Specialist to join our dedicated clinical and administrative team. In this role, you will ensure our patients receive seamless access to life-enhancing therapies by securing necessary insurance approvals quickly and efficiently.Position OverviewThe Prior Authorization Specialist plays a critical role in our patient intake process, acting as the primary liaison between patients, referring healthcare providers, and insurance companies. With a commitment to seating and treating every patient within two weeks of referral , this professional is responsible for obtaining and processing all prior authorization requests. The ideal candidate will possess a deep understanding of healthcare insurance processes and biologic infusion therapies to minimize denials and eliminate financial barriers to treatment.

Key Responsibilities:

Review patient accounts and initiate pre-authorizations for biologic and non-biologic infusion therapies.
Collect demographic, insurance, and clinical information to ensure all reimbursement requirements are met prior to treatment.
Work quickly to obtain insurance approvals, striving for success upon first-time submission to meet our two-week treatment goal .
Clinical Collaboration & DocumentationWork closely with referring physicians and our internal clinical staff (including our Medical Directors and APRNs) to gather necessary clinical documentation .
Enter and record authorization documentation accurately within the patient's electronic medical records.
Ensure strict compliance with specific insurance carrier requirements for specialized infusion medications.
Denial Management and AppealsInvestigate insurance denials promptly to prevent delays in patient care.Analyze the root cause of denials, determine what additional information is needed, and resubmit requests.
Coordinate peer-to-peer reviews or formal appeals to secure coverage for patients.Financial Services & Patient Communication
Perform accurate insurance verification and coordinate co-pay assistance services so patients can focus on treatment rather than financial burdens .
Assist eligible patients in obtaining program funding .
Communicate effectively with patients regarding the prior authorization process, potential delays, and financial implications.

QualificationsExperience and Education:

High School diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration or a related field preferred.
Minimum of 2–3 years of experience in medical billing, revenue cycle management, or processing prior authorizations.
Specific experience with prior authorizations for infusion therapies or biologic medications is highly preferred.Technical Skills
Proficiency in medical terminology and coding (CPT and ICD-10)
Experience navigating insurance portals and manufacturer co-pay assistance programs.
Strong computer skills, including proficiency with electronic health records (EHR) systems.Professional Attributes
Exceptional attention to detail and organizational skills to manage multiple requests and strict deadlines.
Strong critical thinking and problem-solving abilities to navigate complex insurance guidelines.
Excellent verbal and written communication skills to interact professionally with insurance representatives, clinical staff, and our patients.

Pay: $24.00 - $32.00 per hour

Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

prior authorization representative jobs in miami, fl

Prior Authorization Specialist

Insurance Verification Representative - Remote (Tri-County Area)

Patient Access Representative 1

Admitting Representative - Full-Time

Clinical Services/Prior Authorization Representative

Utilization Management Representative

Contact Center Associate 1 - UHealth Connect (Remote)

Patient Services Representative - Insurance Verification

Sr. Patient Access Representative

Admitting Representative - Per Diem (Day Shift)

Insurance Verification Representative - UHealth SoLé Mia

Patient Access Representative

Admitting Representative - Per Diem (Night Shift)

Clinical Business Operations Representative 2

UM Authorization Analyst 2 Bilingual

Surgery Scheduler 1 (H)

Clinical Business Operations Representative 3

Patient Access Representative 2, Full Time

Clinical Business Operations Representative 1

Patient Access Representative 3

I want to receive the latest job alert for prior authorization representative in miami, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected