Insurance Authorization Specialist
1 week ago
A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.
Our Culture: Inspire hope. Build your legacy. Discover a rewarding, fulfilling, well-balanced career at Florida Digestive Health Specialist, LLP. With providers and locations across Florida, FDHS is one of the largest single-specialty, physician-owned GI practices in the state. FDHS was established in 2011 to provide comprehensive, high-quality gastroenterology services and foster advanced research for digestive health problems. With a growing team of nationally acclaimed care centers, providers, and staff, we continue to expand our reach to communities that need our care.
Essential Duties:
Obtain prior authorizations for medical procedures, treatments, and services by contacting insurance companies and verifying coverage details.
Accurately enter and update authorization information in the electronic medical record (EMR) system.
Monitor authorization status and follow up with insurance companies as needed to ensure timely approvals.
Inform patients of authorization status, coverage details, and any potential out of pocket expenses.
Work closely with physicians, nurses, and other healthcare providers to gather necessary documentation for authorization requests.
Collaborate with the Central Billing Office (CBO) to ensure accurate and complete submission of claims.
Assist billing department with preparation of billing data and medical claim submission to insurance companies.
Address and resolve any issues or discrepancies related to insurance authorizations.
Appeal denied authorizations by preparing and submitting appropriate documentation.
Maintain knowledge of insurance policies, procedures, and regulatory requirements.
Ensure compliance with all HIPAA regulations and maintain patient confidentiality at all times.
Other duties as assigned. Please note that the duties and responsibilities outlined in this job description are not exhaustive and may be subject to change at any time to meet the evolving needs of the company. In addition to the responsibilities listed above, employees may be required to perform additional tasks or duties as assigned by management.
Qualifications:
High School Diploma or equivalent
Minimum of (2) years’ experience in medical billing, insurance verification, or authorization processes.
Knowledge: Understanding of healthcare insurance plans, medical terminology, HIPAA regulations, and medical recordkeeping best practices.
Proficiency in EMR software and basic computer applications (e.g. Microsoft Office)
Strong organizational skills and attention to detail.
Excellent communication and interpersonal skills.
Ability to maintain effective and organized systems to ensure timely patient flow
Problem-solving abilities and a proactive approach to tasks
Benefits:
Competitive salary commensurate with experience.
Comprehensive benefits package including health insurance, retirement plan, paid time off and paid holidays.
Professional development opportunities
Positive and collaborative work environment
Physical Requirements:
Ability to sit for extended periods. Ability to lift and carry files or boxes weighing up to 20 lbs. Ability to use standard office equipment, such as computers, printers, and copiers.
EEO Statement:
It is the policy of Florida Digestive Health Specialists to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
When you join FDHS, you become part of a premier team striving to deliver unparalleled, personalized care while treating patients like family. And at FDHS, our patients are at the heart of everything we do. Join our team at FDHS and make a difference in the lives of our patients and employees alike
-
Insurance Authorization Specialist
4 weeks ago
Sarasota, United States Florida Digestive Health Specialists LLP Full timeThe Insurance Authorization Specialist ensures timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure necessary approvals to optimize reimbursement and patient...
-
Insurance Authorization Specialist
1 month ago
Sarasota, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
2 months ago
Sarasota, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
1 month ago
Sarasota, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
1 month ago
Sarasota, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
1 month ago
Sarasota, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
4 weeks ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeThe Insurance Authorization Specialist ensures timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure necessary approvals to optimize reimbursement and patient...
-
Insurance Authorization Specialist
3 weeks ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeThe Insurance Authorization Specialist ensures timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure necessary approvals to optimize reimbursement and patient...
-
Insurance Authorization Specialist
2 months ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
2 months ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
4 weeks ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeThe Insurance Authorization Specialist role involves close coordination with healthcare providers, insurance companies, and patients to verify coverage and secure approvals. The ideal candidate will possess strong communication skills, attention to detail, and a solid understanding of healthcare insurance processes.Our organization is committed to delivering...
-
Business Insurance Solutions Specialist
4 days ago
Sarasota, Florida, United States PURMORT & MARTIN INSURANCE AGENCY L Full timeJob OverviewPurmort & Martin Insurance Agency L is a leading independent insurance agency in Southwest Florida, known for its personalized service and expertise. We are seeking a talented Business Insurance Solutions Specialist to join our team.About the RoleThe Business Insurance Solutions Specialist will be responsible for interacting with clients daily,...
-
INSURANCE VERIFICATION SPECIALIST
1 week ago
Sarasota, United States EOTM - Partners Professional Full timeJob DescriptionJob DescriptionWe are seeking a detail-oriented and knowledgeable Insurance Verification Specialist in Sarasota, FL (this is an on-site, full-time, direct hire role). We are an insurance plan broker/administrator for student health insurance plans. We specialize in Medical and Health Science Universities. You will work directly with Account...
-
Senior Claims Resolution Specialist
6 days ago
Sarasota, Florida, United States Lilypad Insurance Managers Inc. Full timeAt Lilypad Insurance Managers Inc., we're looking for a highly skilled Senior Claims Resolution Specialist to join our dynamic claims team.Job OverviewLilypad Insurance Managers Inc. is a leading property and casualty insurance carrier dedicated to providing exceptional service to our policyholders. As a Senior Claims Resolution Specialist, you'll play a...
-
Compliance Specialist
1 week ago
Sarasota, United States Lilypad Insurance Full timeCompliance Specialist Lilypad Insurance is a dynamic and growing property and casualty insurance carrier, brimming with positive energy about our future. Our team of dedicated professionals work together to create effective products that meet the needs of our policyholders. As a member of Team Lilypad, you'll tackle exciting challenges while being guided by...
-
Medical Claims Coordinator
7 days ago
Sarasota, Florida, United States Florida Digestive Health Specialists LLP Full timeJob Summary:As a Medical Claims Coordinator with Florida Digestive Health Specialists LLP, you will play a vital role in ensuring timely and accurate authorization of medical procedures, treatments, and services.Responsibilities:Prior Authorization SpecialistVerify coverage details and obtain prior authorizations for medical procedures, treatments, and...
-
Dental Insurance Specialist
1 month ago
Sarasota, United States Aligned Dental Partners, LLC Full timeWe are growing and looking to add to our revenue cycle team in beautiful Sarasota! The right candidate for this opportunity will have extensive experience with all facets of Revenue Cycle, dental insurances, and dental practice management software (preferably Open Dental). Must have experience working within the portals and websites of all insurances. Must...
-
Dental Insurance Specialist
1 month ago
Sarasota, United States Aligned Dental Partners, LLC Full timeWe are growing and looking to add to our revenue cycle team in beautiful Sarasota! The right candidate for this opportunity will have extensive experience with all facets of Revenue Cycle, dental insurances, and dental practice management software (preferably Open Dental). Must have experience working within the portals and websites of all insurances. Must...
-
Commercial Lines Account Manager
2 months ago
sarasota, United States Atlas Insurance Agency Full timeWe are currently looking for a highly motivated insurance professional to join our Commercial Lines, Construction Division as an Account ManagerCommercial Lines, Construction Division Account ManagerCommercial · Sarasota, FloridaAre you interested in growing your insurance career? Do you have a strong desire to help others protect their future? Do you...
-
Commercial Lines Account Manager
3 months ago
sarasota, United States Atlas Insurance Agency Full timeWe are currently looking for a highly motivated insurance professional to join our Commercial Lines, Construction Division as an Account ManagerCommercial Lines, Construction Division Account ManagerCommercial · Sarasota, FloridaAre you interested in growing your insurance career? Do you have a strong desire to help others protect their future? Do you...
