Top 88 Prior authorization Jobs in West Palm Beach, Fl

Billing Representative III (A/R) - Boynton Beach, Florida
NYU Langone Health —Boynton Beach, FL
- Full-time
- Basic math
- English
- Mid-level
- Wellness program
Authorization and Benefits Coordinator
Gastro Health —West Palm Beach, FL
- Extended hours
- Spanish
- English
- Mid-level
- Profit sharing
- AD&D insurance
Quick Apply
Medicaid Eligibility Advocate
HCA Florida JFK North Hospital —West Palm Beach, FL
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Patient Services Coordinator
PT Solutions Physical Therapy —West Palm Beach, FL
- $19 - $21 an hour
- Full-time
- Private practice
- Customer service
- HIPAA
- Paid time off
Quick Apply
Benefits and Eligibility and Account Specialist
Palm Beach Orthopaedic Institute —Palm Beach Gardens, FL
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Lead Patient Access Representative
Conifer Revenue Cycle Solutions —West Palm Beach, FL
- Full-time
- Hospital
- Mid-level
- Office
14d
Verification of Benefits Specialist
ALIYA HEALTH GROUP LLC —West Palm Beach, FL
- From $20 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Associate's degree
- Health insurance
- Dental insurance
Quick Apply
Patient Access Representative III - Financial Counselor
Conifer Revenue Cycle Solutions —West Palm Beach, FL
- Full-time
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
Authorization Representative
KabaFusion —Boca Raton, FL
- Full-time
- Microsoft Excel
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply
Referral Coordinator
CLAREMEDICA HEALTH PARTNERS LLC —Palm Beach Gardens, FL
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply
Authorization & Referral Specialist
Orthopedic Center of Palm Beach County —Lake Worth, FL
- $18 - $21 an hour
- Full-time
- Background check
- Customer service
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
3d
Surgery Scheduler
Center for Bone & Joint Surgery —Royal Palm Beach, FL
- Surgery
- High school diploma or GED
- Clinic
- Health savings account
- Paid holidays
Quick Apply
Center Operation Director & X Ray Limited Scope
Concentra —Delray Beach, FL
- 8 hour shift
- CPR Certification
- BLS Certification
- HIPAA
- Commuter assistance
- Disability insurance
Pharmacy Retail Technician 1, Retail Pharmacy - BHE Boynton Beach, $7000 Bonus,FT
Baptist Health South Florida —Boynton Beach, FL
- $18.32 - $23.82 an hour
- Full-time
- Outpatient experience
- High school diploma or GED
- Cleaning
- Tuition reimbursement
14d
Medical Billing and Coding Specialist
The Derm Group, LLP —Wellington, FL
- $18 - $23 an hour
- Full-time
- Bilingual
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Certified Medical Assistant or Phlebotomy Technician
Delray Center for Healing —Delray Beach, FL
- $19 - $22 an hour
- Part-time
- CPR Certification
- Psychiatry
- Patient monitoring
- Free parking
- Paid training
Quick Apply
Certified Clinical Medical Assistant - Pediatrics
The Pediatric Center —Wellington, FL
- $16 - $21 an hour
- Full-time
- Background check
- Spanish
- Primary Care
- Health insurance
- Dental insurance
Quick Apply
Patient Coordinator and Receptionist
Retina Group of Florida —Jupiter, FL
- Full-time
- Computer literacy
- Travel
- In-person
- Health insurance
- Dental insurance
Quick Apply
1d
Medical Assistant (FGP) - Palm Beach County, West Palm Beach, Florida
NYU Langone Health —West Palm Beach, FL
- Full-time
- Vital signs
- HIPAA
- High school diploma or GED
- Wellness program
Experienced Patient Access Representative II - Off Campus ED
Conifer Revenue Cycle Solutions —West Palm Beach, FL
- Full-time
- Medical office experience
- Mid-level
- Administrative experience

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Billing Representative III (A/R) - Boynton Beach, Florida

NYU Langone Health -
Boynton Beach, FL

Apply Now

Job Details

Full-time

Benefits

Wellness program

Qualifications

Medical software
Basic math
Employee relationship building
English
High school diploma or GED
Typing
Grammar Experience

Full Job Description

Position Summary:
We have an exciting opportunity to join our team as a Billing Representative III (A/R) - Florida.

In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates. This role provides support to staff with escalated issues and participates in training and process improvement efforts.

Job Responsibilities:

Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
Perform daily tasks in assigned work queues and according to manager assignments.
Identify payer, provider credentialing, and/or coding issues and address them with management.
Follow workflows provided in training classes and request additional training as needed.
Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe.
Review reports to identify revenue opportunities, unpaid claims, delays in obtaining authorizations/financial clearance.
Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality.
Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers.
Work following operational policies and procedures, and regulatory requirements.
Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality.
Read and apply policies and procedures to make appropriate decisions.
Coordinate functions and work cooperatively with others.
Responsible for assisting other billing representatives with difficult and escalated issues.
Assist department supervisor with special projects and staff training.
Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service or Authorizations.
Other related duties as assigned.

Patient Experience and Access

Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate
Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
Partners with internal and external team members to support collaboration and promote a positive patient experience.
Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.

Minimum Qualifications:
To qualify you must have a High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 3 years experience in a similar role. Light, accurate keyboarding skills required. Prefer that candidates type 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding.
Personal Characteristics:
Strong verbal and written communication skills, with the ability to collaborate across departments.
Strong critical thinking and effective listening skills
Professional demeanor and positive attitude required
Time management skills required
Ability to develop and maintain effective working relationships with peers, other staff and leadership

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal."

Apply Now

Refine Your Search

prior authorization jobs in west palm beach, fl

Billing Representative III (A/R) - Boynton Beach, Florida

Authorization and Benefits Coordinator

Medicaid Eligibility Advocate

Patient Services Coordinator

Benefits and Eligibility and Account Specialist

Lead Patient Access Representative

Verification of Benefits Specialist

Patient Access Representative III - Financial Counselor

Authorization Representative

Referral Coordinator

Authorization & Referral Specialist

Surgery Scheduler

Center Operation Director & X Ray Limited Scope

Pharmacy Retail Technician 1, Retail Pharmacy - BHE Boynton Beach, $7000 Bonus,FT

Medical Billing and Coding Specialist

Certified Medical Assistant or Phlebotomy Technician

Certified Clinical Medical Assistant - Pediatrics

Patient Coordinator and Receptionist

Medical Assistant (FGP) - Palm Beach County, West Palm Beach, Florida

Experienced Patient Access Representative II - Off Campus ED

I want to receive the latest job alert for prior authorization in west palm beach, fl

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