Top 18 Authorization specialist Jobs in Pensacola, Fl

Intake Specialist
Peoples Home Health, LLC —Pensacola, FL
- Weekends as needed
- Microsoft Word
- Microsoft Excel
- Medical office experience
- Paid holidays
- Disability insurance
Quick Apply
Patient Access Specialist I
Nemours —Pensacola, FL
- Full-time
- High school diploma or GED
- 1 year
- Entry level
Access Specialist I - Oncology
Baptist Health Care, Inc. —Gulf Breeze, FL
- Full-time
- Background check
- Computer literacy
- HIPAA
Quick Apply
4d
Records Retrieval Specialist I
Retrev LLC —Pensacola, FL
- Full-time
- HIPAA
- High school diploma or GED
- Conflict management
- Health insurance
- Paid time off
Quick Apply
Radiology Registration & Scheduling Specialist
West Florida Medical Center Clinic PA —Pensacola, FL
- Extended hours
- Computer literacy
- Writing skills
- Basic math
Business Process Specialist - Authorizations
Peoples Home Health, LLC —Pensacola, FL
- Microsoft Excel
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
2d
Front Office Specialist
Retina Specialty Institute —Pensacola, FL
- $17 - $20 an hour
- Full-time
- Bilingual
- Background check
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Front Office Specialist
Clarkson Eyecare —Pace, FL
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
Medical Biller - PCR
Peoples Home Health, LLC —Pensacola, FL
- Microsoft Word
- Microsoft Excel
- Medical office experience
- Paid holidays
- Disability insurance
Quick Apply
Medical Biller - PCR
Peoples Health Services LLC —Pensacola, FL
- Microsoft Word
- Microsoft Excel
- Medical office experience
- Paid holidays
- Disability insurance
Quick Apply
ADMINISTRATIVE ASSISTANT II - 43000864
The State of Florida —Pensacola, FL
- $36,498 a year
- Bilingual
- Background check
- Microsoft Excel
- Paid holidays
- Health insurance
4d
Medical Assistant Ortho Trauma
Ascension —Pensacola, FL
- Full-time
- Vital signs
- BLS Certification
- High school diploma or GED
- Disability insurance
- Health insurance
Medical Assistant Ortho Surgery
Ascension —Pensacola, FL
- Full-time
- Vital signs
- Surgery
- BLS Certification
- Disability insurance
- Health insurance

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Patient Access Specialist I
Nemours —Pensacola, FL
Adhere to end of ay business processing standard by verifying that cash analysis and receipts balance. The position is responsible for: Greeting patient in…
Access Specialist I - Oncology
Baptist Health Care, Inc. —Gulf Breeze, FL
This position is responsible for receiving all incoming phone calls, web requests, and referral sources and following through with and relevant inquiry…
Quick Apply
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
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
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11d

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Intake Specialist

Peoples Home Health, LLC -
Pensacola, FL

Quick Apply

Job Details

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Word
Microsoft Excel
Word embeddings
High school diploma or GED

Full Job Description

Description:

Why Peoples?
Peoples Health Services is the only family-owned, locally governed Hospice and Home Health provider in the Florida Panhandle. We believe that when we take care of the people who care for our patients, everyone benefits. We offer competitive pay, medical, dental, vision, group life, short-term disability benefits, a PTO program, 6 paid holidays, recognition programs, and work-life balance initiatives including a Relax & Recharge Day annually. Join a team that is dedicated to caring for our community—and each other.

Position Summary:

Is responsible for distributing admission information according to company policy; prioritizing phone calls; ensuring admission packets are available and appropriate; and interpreting insurance policy benefits to accurately reflect coverage amounts and Client co-pay (prior approval of insurance authorization). The Intake Specialist must be able to discuss and relay appropriate clinical information to obtain authorization for Home Care Services. They are also responsible for accurate data entry of referral data into HCMS. Abide by and demonstrates the company Mission, Vision, and Guiding Principles through both behavior and job performance on a day-to-day basis.

Essential Duties & Responsibilities:

Accurately enters all demographic, financial and referral data into the computer systems to facilitate billing and scheduling in a timely manner.
Answer phones and appropriately routes referral calls. Routes calls based on clinical needs.
Prioritizes phone call for follow up (i.e. doctors, insurance company)
Back up to Intake Supervisor by preparing the client referral for clinical in accordance with company policy, state and federal guidelines and private insurance contracts.
Appropriately prioritizes referrals so that the most urgent needs are met first. This includes consulting with CTM’s, schedulers, and referral sources for coordination of admission dates ad times.
Calculates co-pays and deductible amounts as per insurance reimbursement rates.
Completes all necessary documentation for initial authorization in accordance with the insurance company contracts.
Completes all request for all follow up authorization as needed, notifies staff of all authorizations received and visit limits as well as need to discharge client due to denial for further authorization.
Participates in communications and resolution of problems with insurance interpretation. Identifies insurance carriers and verifies benefits and eligibility.
Collaborates with CTM/Case Manager on authorized visit to assure accurate utilization for patient needs.
Follow up with AE/Liaisons via text or email to assure notification of referrals received and documentation needed.
Answer text or calls on weekends and after hours for insurance questions of new referrals.
Acts as backup to clinical staff and assist as necessary with copying, faxing, etc.
Demonstrates the ability to make customers feel satisfied and appreciated.
Maintains an understanding of the company’s scope of services.
Understands the infrastructure and how and where to transfer calls in the company.
Maintains a professional image.
Uses appropriate phone etiquette.
Promotes a customer friendly atmosphere for all visitors and ensures patient confidentiality at all times.
Participates in accreditation program.
Assist referral sources with finding placement for patient that company cannot accept due to insurance reasons.
Passes on all outstanding referrals and details to the nighttime/ weekend intake supervisor, via phone/ email.
Maintains daily referral report and sends out to assigned staff.
Performs other duties as assigned.

Working Conditions:

Office Environment. May be exposed to biological hazards.

Requirements:

Education/Experience:

Associates degree preferred,
High School Graduate (or equivalent) required.
Minimum three (3) years of prior experience in a medical field or medical office setting is preferred.
Knowledge of billing, insurance reimbursement, medical terminology, diagnosis coding preferred.
Experience with trouble shooting computer errors, maintaining records, and organizing is preferred.
Proficiency using Microsoft Word, and Excel is required.
Able to prioritize and manage time effectively and make independent decisions when necessary.

Quick Apply

Refine Your Search

authorization specialist jobs in pensacola, fl

Intake Specialist

Patient Access Specialist I

Access Specialist I - Oncology

Records Retrieval Specialist I

Radiology Registration & Scheduling Specialist

Business Process Specialist - Authorizations

Front Office Specialist

Front Office Specialist

Medical Biller - PCR

Medical Biller - PCR

ADMINISTRATIVE ASSISTANT II - 43000864

Medical Assistant Ortho Trauma

Medical Assistant Ortho Surgery

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