Top 109 Prior authorization Jobs in Orlando Fl

Revenue Cycle Specialist
Neurology group in Orlando —Orlando, FL
- $22 an hour
- Full-time
- 5 years
- Research
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
5d
RN - Mobile Treatment Vehicle
Aspire Health Partners, Inc. —Orlando, FL
- $35 - $36 an hour
- Full-time
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
Pharmacy Technician 2
Elevance Health —Lake Mary, FL
- Contract
- Hybrid work
- Mid-level
- Office
- Data entry
- Employee stock purchase plan
- Paid holidays
Pharmacy Technician III
Elevance Health —Lake Mary, FL
- Hybrid work
- 5 years
- Office
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
12d
Patient Financial Navigator
Florida Cancer Specialists & Research Institute —Winter Park, FL
- Full-time
- Background check
- Medical office experience
- Office
- Tuition reimbursement
- 401(k) matching
13d
Medical Referral & Prior Authorization Specialist
Invested Health Center, Inc. —Orlando, FL
- $25 - $32 an hour
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Dental insurance
Medical Insurance Verification Specialist
SOLARA SURGICAL PARTNERS —Orlando, FL
- $21 - $23 an hour
- Full-time
- Background check
- Clean driving record
- Surgery
- Health savings account
- Disability insurance
Quick Apply
12d
Field Reimbursement Manager- Orlando, FL
Amgen —Orlando, FL
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
Pharmacy Technician I
Elevance Health —Lake Mary, FL
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Fair chance
- Employee stock purchase plan
- Paid holidays
Pharmacy Technician III
Elevance Health —Lake Mary, FL
- Monday to Friday
- Hybrid work
- 5 years
- Office
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
10d
Specialty Pharmacy Technician - Scripts Specialty Pharmacy
Orlando Health —Orlando, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- Loan repayment program
9d
Care Coordinator
Ennoble Care —Orlando, FL
- $75,000 - $85,000 a year
- Weekends as needed
- Spanish
- Nursing
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Member Advocate - Negotiator
Christian Care Ministry —Orlando, FL
- $66,500 - $90,500 a year
- Full-time
- 18 years or older
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Health savings account
Team Lead, Patient Solutions - Specialty Pharmacy
AssistRx —Sand Lake, FL
- $49,000 - $56,000 a year
- Full-time
- Background check
- Spanish
- 5 years
- Disability insurance
- Health insurance
Quick Apply
ELIGIBILITY AND BENEFITS
Eye Physicians of Central Florida —Orlando, FL
- High school diploma or GED
- Computer skills
- 1 year
Behavior Analyst – Compliance Consultant
Kinder Konsulting —Winter Park, FL
- $40 - $65 an hour
- Part-time
- Hybrid work
- Supervising experience
- Experience working with children
- Quality control
Quick Apply
Reimbursement Specialist
COPILOT Provider Support Services LLC —Maitland, FL
- HIPAA
- Research
- Mid-level
Quick Apply
Medical Insurance Eligibility Specialist
The Children's Lung, Asthma & Sleep Specialists —Winter Park, FL
- From $19 an hour
- Full-time
- Private practice
- HIPAA
- High school diploma or GED
- Health insurance
- 401(k)
Quick Apply
5d
Intake Coordinator
Sage Infusion —Orlando, FL
- $21 an hour
- Full-time
- Background check
- Spanish
- Computer literacy
Quick Apply
2d
Customer Service Specialist
Brown & Brown —Orlando, FL
- Full-time
- Office
- High school diploma or GED
- Quality control
- Employee stock purchase plan
- Paid holidays

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Revenue Cycle Specialist

Neurology group in Orlando
Orlando, FL

Quick Apply

Job Details

Full-time
$22 an hour
5 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance
Retirement plan

Qualifications

VLOOKUP function
Cash flow management
Electronic fund transfers
Appeals
Accounts receivable optimization
Medicare
Accounts receivable management
Medical insurance coverage verification
Overseeing healthcare denial management
Regulatory compliance in claims processing
Electronic transaction processing
Word embeddings
Medical coding experience in physician offices
Financial software
Overseeing health insurance pre-authorization
Workers' compensation insurance knowledge
Medicaid health insurance
Retrospective medical coding audits
Charge capture (medical billing)
Medicare regulations
Continuous improvement
Medical denial root cause analysis (RCA)
Medical insurance appeals management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical claims submission
Medicaid
Medical billing account reconciliation
Productivity software
Payment reconciliation
Clinical documentation standards

Full Job Description

Job Summary

The Revenue Cycle Specialist is responsible for maximizing the financial performance of Orlando Epilepsy Center by managing all aspects of the physician revenue cycle, from charge capture through final payment resolution. This position requires an experienced healthcare revenue cycle professional with extensive knowledge of medical billing, insurance claims processing, coding compliance, accounts receivable management, denial resolution, payment reconciliation, and reimbursement optimization.The successful candidate must be highly organized, analytical, and capable of working independently in a fast-paced, high-pressure environment with changing priorities and deadlines. This individual is expected to maintain a relentless focus on reducing accounts receivable, accelerating cash collections, improving billing accuracy, and achieving established key performance indicators (KPIs).The Revenue Cycle Specialist must demonstrate initiative, adaptability, and a willingness to assume new responsibilities, special projects, and operational challenges as they arise. Success in this role requires exceptional attention to detail, strong problem-solving skills, and a commitment to continuous process improvement while maintaining compliance with all payer and regulatory requirements.Required Qualifications

Minimum of five (5) years of progressive experience in physician practice revenue cycle management.
Extensive knowledge of healthcare reimbursement, medical billing, insurance claims processing, and accounts receivable management.
Strong understanding of CPT, ICD-10-CM, HCPCS Level II coding, modifiers, medical necessity requirements, and payer billing guidelines.
Demonstrated experience auditing provider documentation and medical coding for accuracy and compliance.
Proven success managing insurance accounts receivable, reducing aging balances, and maximizing collections.
Experience researching, resolving, and appealing insurance claim denials and underpayments.
Advanced proficiency in Microsoft Excel, including Pivot Tables, XLOOKUP/VLOOKUP, formulas, filtering, sorting, reporting, and data analysis.
Basic working knowledge of Microsoft Word for creating, editing, and formatting business documents and correspondence.
Demonstrated experience using payer portals to verify eligibility, research claim status, submit appeals, obtain prior authorizations, and resolve reimbursement issues.
Experience working with electronic claim submission, clearinghouses, electronic remittance advice (ERA), electronic funds transfer (EFT), and payment reconciliation.
Working knowledge of Medicare, Medicaid, commercial insurance carriers, workers' compensation, and managed care reimbursement methodologies.
Ability to identify billing trends, analyze payer behavior, and recommend workflow improvements that increase reimbursement and reduce denials.
Strong analytical, organizational, and critical-thinking skills.
Excellent verbal and written communication skills.
Ability to work independently with minimal supervision while managing multiple priorities and deadlines.
Ability to perform effectively in a fast-paced, high-pressure environment while consistently meeting productivity and quality expectations.
Willingness to accept additional responsibilities, participate in special projects, and adapt to changing operational priorities.
Strong commitment to maintaining focus on reducing accounts receivable and improving organizational cash flow.

Preferred Qualifications

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Revenue Cycle Representative (CRCR), or equivalent healthcare revenue cycle certification.
Experience working in a neurology, epilepsy, or other physician specialty practice.
Experience using AdvancedMD Practice Management and Electronic Health Record (EHR) software.
Experience working with major payer portals, including Medicare Administrative Contractors (MACs), Medicaid portals, Availity, and commercial insurance carrier websites.
Experience developing operational reports, dashboards, and revenue cycle performance metrics.
Demonstrated ability to identify operational inefficiencies and implement process improvements that enhance reimbursement, reduce denials, and improve overall revenue cycle performance.

Pay: $22.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

prior authorization jobs in orlando fl

Revenue Cycle Specialist

RN - Mobile Treatment Vehicle

Pharmacy Technician 2

Pharmacy Technician III

Patient Financial Navigator

Medical Referral & Prior Authorization Specialist

Medical Insurance Verification Specialist

Field Reimbursement Manager- Orlando, FL

Pharmacy Technician I

Pharmacy Technician III

Specialty Pharmacy Technician - Scripts Specialty Pharmacy

Care Coordinator

Member Advocate - Negotiator

Team Lead, Patient Solutions - Specialty Pharmacy

ELIGIBILITY AND BENEFITS

Behavior Analyst – Compliance Consultant

Reimbursement Specialist

Medical Insurance Eligibility Specialist

Intake Coordinator

Customer Service Specialist

I want to receive the latest job alert for prior authorization in orlando fl

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