Top 10 Prior authorization specialist Jobs in Winter Haven, Fl

Patient Account Rep
Central Florida Health Care, Inc. —Winter Haven, FL
- Microsoft Excel
- Microsoft Outlook
- Mid-level
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Part-Time Referral Coordinator
Soni Family Practice —Lakeland, FL
- Part-time
- Bilingual
- HIPAA
- Mid-level
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3d
Receptionist- North Lakeland
COAST DENTAL —Lakeland, FL
- Dental office
- Organizational skills
- Entry level
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Receptionist- North Lakeland
Coast Dental and Orthodontics —Lakeland, FL
- Dental office
- Organizational skills
- Entry level
Primary Care - Lead Referral Coordinator
Soni Family Practice —Kissimmee, FL
- Full-time
- Bilingual
- Primary Care
- HIPAA
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3d
Call Center Specialist
Soni Family Practice —Clermont, FL
- Spanish
- HIPAA
- English
Quick Apply
9d

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Medical Front Desk Receptionist
Newsom Eye and Laser Center —Sebring, FL
Manage the day’s schedule according to protocol: place telephone calls to no-show appointments and reschedule as needed, include recalls and call-sheets.
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Medical Assistant
Amer Technology, Inc —Lakeland, FL
Looking for Medical Assistant who will perform Front/Back Office duties and must be comfortable to draw blood. Medical Assistant: 4 years (Preferred).
$24 - $25 an hour
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15h

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Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
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20h

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Patient Account Rep

Central Florida Health Care, Inc. -
Winter Haven, FL

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Job Details

Qualifications

Insurance third-party billing
Microsoft Excel
Microsoft Outlook
Electronic health records (EHR) management
High school diploma or GED
Math
Medical records
Medical terminology

Full Job Description

Title: Managed Care Patient Account Representative

Reports to: Director of Managed Care

FLSA Status: Non-Exempt
Personnel Supervised: None

POSITION SUMMARY:
MINIMAL QUALIFICATIONS:
Minimum of 1-3 years healthcare experience working in a managed care, revenue cycle or billing office setting

Knowledge of medical terminology or concepts is a must

Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is a must.

High school graduate or equivalent required.

KNOWLEDGE AND SKILLS:
Electronic Health Records

Knowledge of billing practices and billing office functions required, FQHC preferred

Knowledge of medical records, E H R required

Must have good math skills and effective communication skills

Must have good problem-solving skills

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:

Be familiar with CFHC’s program philosophies, goals and objectives. Be cognizant of and comply with all CFHC’s policies and procedures, as well as state and federal regulations.

Be competent in performing the duties of a referral specialist.

Report as needed to CMO any pertinent information or situations that impact on patient care or CFHC liability.

Attend and participate in mandatory CFHC meetings (Center Specific meetings, Corporate meetings, and other meetings as designated by the CMO or CEO).

Demonstrate ability to work cooperatively with other members of the clinical team. Be supportive of coworkers.

Maintain a neat and professional appearance at all times.

Carry out any other activities deemed appropriate by the CMO or CEO.

Coordinate all aspects of completing referrals ordered by CFHC providers

Complete referrals in a timely manner; STAT referrals must be completed by end of business day, URGENT referrals within 24 hours, and ROUTINE referrals within 72 hours

Obtain appropriate authorizations from insurance companies sending necessary

documentation from the patient’s medical record as required

Schedule referral appointments for patient (when applicable) ensuring proper paperwork is faxed to the specialist or given to the patient to take to the appointment (example, labs, x-ray reports, progress notes)

Notify patient of scheduled referral appointment

Document appropriately and thoroughly

Track all referrals accordingly to improve the quality and continuity of care provided to patients. This includes, but is not limited to, initiating reminder calls to patients prior to their scheduled appointment and obtaining the referral report from the specialist.

Notify the ordering provider and/or Referral Specialist Supervisor of any problems in obtaining a patient’s referral, including issues with obtaining authorizations from third party payors or making appointments with a specialist, patient refusal of a referral, or patient no show to scheduled referral appointment

Maintain specialty provider list including payor sources they accept

Review referral log weekly to ensure completion of all referrals

Other duties as assigned by Referral Specialist Supervisor

PHYSICAL REQUIREMENTS:
Requires 80% or more time spent sedentary.

Independently mobile.

Ability to lift weight equivalents that would be required with repositioning equipment and lifting supplies.

Ability to adapt and function in varying environments of workload, patient acuity, worksites, and work shifts.

Occasional travel required

American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

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Refine Your Search

prior authorization specialist jobs in winter haven, fl

Patient Account Rep

Part-Time Referral Coordinator

Receptionist- North Lakeland

Receptionist- North Lakeland

Primary Care - Lead Referral Coordinator

Call Center Specialist

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