Current jobs related to Authorization Representative - Tampa - AdventHealth Medical Group West FL
-
Clinical Authorizations Specialist
3 days ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timeJob Title: Clinical Authorizations RepresentativeJob Summary:We are seeking a highly skilled Clinical Authorizations Representative to join our team at Orthopaedic Solutions Management. As a key member of our team, you will be responsible for communicating with patients, staff, and physicians to ensure seamless authorization processes for diagnostic...
-
Patient Access Representative II
2 weeks ago
Tampa, Florida, United States Florida Orthopaedic Institute Full timeAbout the RoleThe Patient Access Representative II - Benefits/Authorizations is a key member of our team, responsible for ensuring seamless patient access to our orthopedic care services. This role requires strong communication and organizational skills, with a focus on accurately obtaining and documenting referrals and authorizations.Key...
-
Patient Access Representative II
2 weeks ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timeJob Title: Patient Access Representative IIAt Orthopaedic Solutions Management, we are seeking a highly skilled Patient Access Representative II to join our team. This role is responsible for ensuring that all patients are authorized for the physician, the date of service, and all anticipated services.Key Responsibilities:Coordinate with primary care...
-
Customer Service Representative
4 weeks ago
Tampa, Florida, United States RemX Full timeRemX is seeking skilled Customer Service Representatives to join their team in Plantation and Miramar, FL. This is a high-volume, call center environment where you will be responsible for providing exceptional customer service and support to our members over the phone. **Job Summary:** As a Customer Service Representative, you will be the single point of...
-
Customer Service Representative
2 weeks ago
Tampa, Florida, United States RemX Full timeCustomer Service Representative Job Description **Job Summary:** We are seeking a highly motivated and detail-oriented Customer Service Representative to join our team at RemX. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients through inbound calls. **Key Responsibilities:** * Respond...
-
Customer Service Representative
5 months ago
Tampa, United States Ada Business Solutions Full timeAs a Customer Service Representative, you'll be an integral part of our fast-paced environment, supporting on-site community fundraising initiatives and representing our clients with professionalism and impact. This is an entry-level role where your willingness to learn and commitment to success are key. We provide comprehensive training and ongoing support...
-
Customer Service Representative
2 weeks ago
Tampa, Florida, United States RemX Full timeJob Title: Customer Service Representative **Job Summary:** We are seeking a highly skilled Customer Service Representative to join our team at RemX. **Responsibilities:** * Respond to inbound calls and own consumer inquiries and issues * Provide education and status on previously submitted pre-authorizations or pre-determination requests * Meet...
-
Customer Service Representative
3 days ago
Tampa, Florida, United States RemX Full timeJob Title: Customer Service RepresentativeJob Summary: We are seeking a highly motivated and detail-oriented Customer Service Representative to join our team at RemX. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients through inbound calls.Key Responsibilities:Respond to and resolve...
-
Patient Access Representative I
2 weeks ago
Tampa, Florida, United States Florida Orthopaedic Institute Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Patient Access Representative I to join our team at Florida Orthopaedic Institute. As a Patient Access Representative I, you will play a vital role in ensuring that our patients receive world-class orthopedic care by accurately and efficiently verifying and documenting all new and existing...
-
Customer Service Representative
2 weeks ago
Tampa, Florida, United States RemX Full timeJob Title: Customer Service Representative About the Role: We are seeking a highly motivated and customer-focused Customer Service Representative to join our team at RemX. As a key member of our customer service team, you will be responsible for providing exceptional service to our customers through inbound calls, ensuring their issues are resolved...
-
Customer Service Representative
4 weeks ago
Tampa, Florida, United States Chadwell Supply Full timeJob Title: Call Center RepresentativeChadwell Supply is a successful family-owned business in the maintenance, repair and operations industry. We have 28 branches nationwide and are growing into more locations.Job Summary:We are seeking an enthusiastic and energetic individual to work as a Call Center Representative. The Call Center Representative will...
-
Customer Service Representative
2 weeks ago
Tampa, Florida, United States RemX Full timeJob Title: Customer Service RepresentativeLocation: RemoteJob Type: Full-timePay: $18.00 per hourHours: Varying hours between 7am-11pm, Monday-SundayAbout the Job:We are seeking a highly motivated and customer-focused Customer Service Representative to join our team at RemX. As a Customer Service Representative, you will be responsible for providing...
-
Sales Representative
2 weeks ago
Tampa, Florida, United States Cricket Wireless Authorized Retailer Full timeJob Title: Bilingual Sales RepresentativeJob Description:We are seeking a highly motivated and experienced Bilingual Sales Representative to join our team at Cricket Wireless Authorized Retailer. The ideal candidate will be fluent in both English and Spanish, with a proven track record in sales.Key Responsibilities:Develop and maintain relationships with...
-
Bilingual Customer Service Representative
2 weeks ago
Tampa, Florida, United States Cricket Wireless Authorized Retailer Full time{"h1": "Bilingual Customer Service Representative Job Description"} Job Summary We are seeking a highly motivated and skilled Bilingual Customer Service Representative to provide exceptional customer service to our Spanish-speaking customers. The ideal candidate will be fluent in both English and Spanish, with excellent communication skills in both...
-
Customer Service Representative
1 month ago
Tampa, Florida, United States eQHealth Solutions Full time**Customer Service Representative**At eQHealth Solutions, we are seeking a highly skilled and customer-focused Customer Service Representative to join our team. As a key member of our customer support team, you will be responsible for providing exceptional service to our internal and external customers.**Key Responsibilities:**Provide courteous and prompt...
-
Customer Service Representative
3 weeks ago
Tampa, Florida, United States RemX Full timeJob Title: Customer Service RepresentativeWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at RemX. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients, resolving customer inquiries and issues, and meeting performance goals.Job...
-
Sales Representative
4 weeks ago
Tampa, Florida, United States Pure Barre Full timePure Barre Sales Representative Job DescriptionAt Pure Barre, we are seeking a highly motivated and results-driven Sales Representative to join our team. As a Sales Representative, you will be responsible for driving sales and service excellence to expand our Pure Barre community.Key Responsibilities:Execute sales process of lead generation, follow up, and...
-
Customer Service Representative
4 weeks ago
Tampa, Florida, United States Chadwell Supply Full timeJob Title: Call Center RepresentativeChadwell Supply is a leading provider of maintenance, repair, and operations solutions. We are seeking a highly motivated and customer-focused Call Center Representative to join our team.Key Responsibilities:Answer inbound calls from customers and respond to their inquiries in a timely and professional manner.Process...
-
Customer Service Representative
3 days ago
Tampa, Florida, United States Ledgent Technology Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Customer Service Representative to join our team at Ledgent Technology. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients in a call center environment.Key ResponsibilitiesAnswer high-volume, inbound calls or texts from...
-
Sales Representative
2 weeks ago
Tampa, Florida, United States Pure Barre Full timePure Barre Sales Representative Job DescriptionPure Barre is a national leader in barre fitness with over 500 franchise locations in the United States and Canada. We're seeking a qualified Sales Representative to join our team at Pure Barre Carrollwood - Tampa, FL.The Sales Representative will assist the General Manager with new membership sales by building...
Authorization Representative
3 months ago
GENERAL SUMMARY :
Insurance Authorization Representative will work as a liaison with Hospital Authorization departments to obtain insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for all patients undergoing surgical procedures, endoscopic procedures, testing and infusions within the hospital as well as clinic setting. Insurance Authorization Representative will work closely with all members of the physicians teams to assure timely and accurate authorization for both routine and stat items. This individual must possess basic clinical knowledge and terminology and must be able to effectively communicate with and support multiple doctors/specialists, APPs and team members. This individual must be able to work in a fast pace, changing environment. This individual must also be able to identify problems and communicate with the members of the Revenue Cycle team (Coders, Patient Account Reps, Coding and AR Supervisors) and insurance companies in a timely manner.
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES :
Obtains and/or works with Hospital Departments to obtain authorizations in a timely manner for endoscopic procedures, surgical procedures, radiology and laboratory testing, infusions and visits within the hospital and clinic setting.
Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program.
Receives coverage authorization and works diligently to meet established timelines; may be required to obtain authorizations for same day procedures.
Works closely with doctors, APPs and team members to support efforts to accomplish authorization/verification for both routine and STAT orders.
Routinely arrange and oversee peer to peer authorizations between specialists and insurance companies.
Requests authorization from insurance company/Hospital Department to provide specific services and parameters of care.
Serves as liaison between clinic and specific areas of hospital to assure timely authorization and provision of services.
Provides effective communication to patient/family, team members, and other health care professionals and maintains confidentiality.
Assist in correcting claim denials.
Provide assistance to patients in understanding their financial responsibility and walking the patients through the process.
Adhere to all company policies and procedures.
Obtains necessary demographic, diagnostic and insurance information.
Obtains clinical information required to request prior authorizations
Provides back up to all front office positions; check in, check out, and medical records
Qualifications
KNOWLEDGE AND SKILLS REQUIRED :
Demonstrated effective communication and interpersonal relation skills
Demonstrated computer experience using word processing and data entry software
Must be able to type 30 wpm and know 10-key by touch
Strong Organizational Skills
Ability to adhere to strict timelines
Multi-tasking skills
Proficiency in EMR and EPM
Previous insurance verification experience
Proficiency in Medical Terminology
Previous customer service work experience
Problem Solving Skills and Attention to Detail
Knowledge of ICD-10 and CPT coding
Knowledge of payer requirements for authorization and billin
EDUCATION AND EXPERIENCE REQUIRED :
High School diploma or equivalent
3-5 years of Insurance Verification Experience plus 1-2 years of Authorization experience.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Patient Financial Services
Organization: AdventHealth Medical Group West FL
Schedule: Full-time
Shift: 1 - Day
Req ID: 24026509
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
