We have other current jobs related to this field that you can find below
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Procedure Authorization Specialist
3 weeks ago
Jacksonville, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionEstablished in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people...
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Procedure Authorization Specialist
3 weeks ago
Jacksonville, United States Healthcare Outcomes Performance Company Full timeObtains benefit verification and necessary authorizations Uses online, web-based verification systems and reviews real-time eligibility responses to ensure the accuracy of insurance eligibility. Creates appropriate referrals to attach to pending visi Authorization, Specialist, Healthcare, Technology, Insurance
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Surgical Authorization Specialist
1 month ago
Jacksonville, United States Southeast Orthopedic Specialists, Inc. Full timeJob DescriptionJob DescriptionSURGICAL AUTHORIZATION SPECIALISTEstablished in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic...
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Medical Authorization Specialist
6 days ago
Jacksonville, Florida, United States HALO Precision Diagnostics Full timeContribute to Healthcare ExcellenceHALO Precision Diagnostics is seeking a dedicated full-time, remote Medical Authorization Specialist. Candidates should possess a minimum of one year of experience in authorizations, billing, medical insurance verification, and eligibility assessment to qualify for this role. The working hours are from 8 AM to 4:30 PM,...
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Surgical Authorization Specialist
3 months ago
Jacksonville, United States Southeast Orthopedic Specialists, Inc. Full timeJob DescriptionJob DescriptionSURGICAL AUTHORIZATION SPECIALISTEstablished in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic...
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Authorization Specialist
9 hours ago
Jacksonville, Florida, United States Center for Orthopedic and Research Excel Full timeJob OverviewAt Center for Orthopedic and Research Excel, we pride ourselves on being a leading provider in orthopedic care. Our commitment is to enhance the health and well-being of our patients by providing top-notch services tailored to their needs.We are currently seeking a Prior Authorization Specialist to join our dedicated team. This role is crucial in...
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Authorization Specialist
10 hours ago
Jacksonville, Florida, United States Center for Orthopedic and Research Excel Full timeJob OverviewAt Center for Orthopedic and Research Excel, we pride ourselves on being a leading provider in orthopedic care. Our commitment is to ensure that exceptional orthopedic services are accessible to all patients, both now and in the future.We are currently seeking a Prior Authorization Specialist to join our dedicated team. This role is crucial in...
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Authorization Processing Specialist
10 hours ago
Jacksonville, Florida, United States Center for Orthopedic and Research Excel Full timeJob OverviewThe Center for Orthopedic and Research Excel is a prominent institution in orthopedic healthcare, committed to providing exceptional service to our patients. We are expanding our team and seeking a dedicated Prior Authorization Specialist to enhance our operational efficiency.Position SummaryThe Prior Authorization Specialist plays a crucial role...
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Referral and Authorization Specialist
8 hours ago
Jacksonville, Florida, United States Jax Spine & Pain Centers Full timeJax Spine & Pain Centers is seeking a dedicated Referral and Authorization Specialist to join our growing team. In this role, you will play a vital part in ensuring smooth patient care by managing referrals and authorizations efficiently. As a key member of our administrative team, you will be responsible for verifying insurance benefits, obtaining...
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Prior Authorization Specialist
4 weeks ago
Jacksonville, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionEstablished in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people...
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Prior Authorization Specialist
1 month ago
Jacksonville, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionEstablished in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people...
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Authorization Specialist/Referral Specialist
3 months ago
Jacksonville, United States Jax Spine & Pain Centers Full time $16 - $18We are looking to hire an Authorization Specialist who will be responsible for processing and verifying all patient referrals and authorizations; providing excellent care, and collaborating effectively with all departments.Essential Functions:Obtains and reviews authorization requests and follows the referral processes. Utilizes multiple computer programs to...
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Authorization Specialist
3 months ago
Jacksonville, United States Cancer Specialists of North Florida Full timeJob DescriptionJob DescriptionCancer Specialists of North Florida is recruiting for an experienced Authorization Specialist for our busy Central Business Office. This is not a remote position. The Authorization Specialist is responsible for obtaining and recording all drug authorizations needed. This position completes the financial approvals in EMR. In...
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Surgical Authorization Coordinator
6 days ago
Jacksonville, Florida, United States Southeast Orthopedic Specialists, Inc. Full timeJob OverviewSURGICAL AUTHORIZATION SPECIALISTFounded in 2001, Southeast Orthopedic Specialists stands as a prominent authority in orthopedic healthcare. Our commitment is to evolve alongside our patients, ensuring that we address their needs both now and in the future. We strive to provide exceptional orthopedic care that is accessible to a broad audience.At...
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Surgical Authorization Coordinator
6 days ago
Jacksonville, Florida, United States Southeast Orthopedic Specialists, Inc. Full timeJob OverviewSURGICAL AUTHORIZATION SPECIALISTFounded in 2001, Southeast Orthopedic Specialists stands as a prominent authority in orthopedic healthcare. Our commitment is to evolve alongside our patients, ensuring that we meet their needs now and in the future. We strive to provide top-tier orthopedic care that is accessible to a broad audience.At Southeast...
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Authorization Specialist Radiation
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Surgical Authorization Coordinator
7 hours ago
Jacksonville, Florida, United States Southeast Orthopedic Specialists, Inc. Full timeJob OverviewSURGICAL AUTHORIZATION SPECIALISTFounded in 2001, Southeast Orthopedic Specialists stands as a prominent authority in orthopedic healthcare. Our commitment is to evolve alongside our patients, ensuring that we meet their needs now and in the future. We strive to provide exceptional orthopedic care that is accessible to a broad audience.At...
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Medication Authorization Specialist
1 month ago
Jacksonville, United States Serenity Healthcare Full timeJob DescriptionJob DescriptionMedication Authorization Specialist Serenity is a rapidly growing Healthcare Tech company committed to creating the finest patient experience. This is a high-visibility role with frequent interactions with clinical staff and other professionals. This is a great opportunity to grow your career and make a difference for those who...
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Surgical Authorization Coordinator
6 days ago
Jacksonville, Florida, United States Southeast Orthopedic Specialists Full timeSURGICAL AUTHORIZATION COORDINATOR At Southeast Orthopedic Specialists, a premier provider in orthopedic healthcare, we pride ourselves on our commitment to our patients and their needs. Our mission is to deliver exceptional orthopedic care that is accessible to all individuals, ensuring a positive impact on their health and well-being. We offer our...
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HMO Specialist I
2 days ago
Jacksonville, Florida, United States Nemours Children\'s Health Full timeNemours Children's Health is seeking a skilled professional to fill the role of HMO Specialist.Job Summary:The HMO Specialist will be responsible for verifying insurance eligibility and benefits, obtaining authorizations for office visits and procedures, and communicating with clinical teams and patient families regarding referrals and authorizations.Key...
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Procedure Authorization Specialist
2 months ago
Southeast Orthopedic Specialists is a leading provider of comprehensive orthopedic care in the Southeast region. We are committed to delivering exceptional patient-centered care and improving the quality of life for our patients through advanced orthopedic treatments.
Benefits:
- Competitive Health & Welfare Benefits
- Monthly $43 stipend to use toward ancillary benefits
- 401k plan
- Employee Assistance Program that is available 24/7 to provide support
- Employee Appreciation Days
As a Procedure Authorization Specialist at Southeast Orthopedic Specialists, you will be responsible for obtaining insurance pre-authorizations and verifying coverage for medical procedures. You will work closely with healthcare providers, insurance companies, and patients to ensure timely approvals and accurate billing. This role requires attention to detail, excellent communication skills, and a strong understanding of medical insurance processes.
Key Responsibilities:
- Obtain pre-authorizations from insurance companies for orthopedic procedures and treatments.
- Verify patient insurance coverage and benefits for planned procedures.
- Communicate with healthcare providers to gather necessary clinical information for authorization requests.
- Submit authorization requests accurately and in a timely manner.
- Follow up with insurance companies and providers to track the status of authorization requests.
- Resolve any issues or denials related to pre-authorizations.
- Educate patients on insurance coverage and financial responsibilities.
- Ensure compliance with all relevant regulations and policies related to insurance authorization processes.
Minimum Qualifications:
- Two years of experience in the healthcare field is required with previous call center experience is preferred.
- Minimum one year in Prior Auth and or Insurance verification
Preferred: Experience in Spinal Cord, Kyphoplasty highly preferred
Essential Functions
- Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
- Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
- Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
- Verifies benefits on all surgical procedures.
- Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management.
- Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
- Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
- Work with department manager to respond to and reduce complaints timely and professionally.
- Assist surgery schedulers with STAT authorizations.
- Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
- Assists in identifying opportunities for improvement within the daily workflow process.
- Attends department meetings as required.
Qualifications and Skills:
- High school diploma or equivalent; additional education in healthcare administration or related field preferred.
- Proven experience in medical billing, insurance verification, or procedure authorization within a healthcare setting.
- Strong understanding of medical terminology and insurance procedures.
- Excellent communication skills, both verbal and written.
- Ability to work independently and collaboratively in a fast-paced environment.
- Detail-oriented with strong organizational and time management skills.
- Proficient computer skills, including knowledge of electronic health record (EHR) systems and insurance portals.
- Familiarity with CPT and ICD-10 coding preferred.
Working Conditions:
- This position is typically based in an office environment within a healthcare facility.
- Regular hours with occasional overtime may be required based on workload and deadlines.
- Interaction with patients, healthcare providers, and insurance representatives is common.