Insurance Authorization Coordinator

4 days ago


Sarasota, Florida, United States Florida Digestive Health Specialists LLP Full time
{"Job Title:

Insurance Authorization Specialist

Job Summary:

The Insurance Authorization Specialist plays a critical role in ensuring timely and accurate authorization of medical procedures, treatments, and services. This position requires strong communication skills, attention to detail, and a solid understanding of healthcare insurance processes.

Key Responsibilities:
  • 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 the 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.
Requirements:
  • High School Diploma or equivalent
  • Minimum of 2 years' experience in medical billing, insurance verification, or authorization processes
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:

Florida Digestive Health Specialists is an equal opportunity employer and welcomes applications from diverse candidates.

"

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