Authorization Specialist

1 week ago


Jacksonville, Florida, United States Center for Orthopedic and Research Excel Full time
Job Overview

At 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 ensuring that our patients receive the necessary authorizations and benefits verification prior to their appointments.

Key Responsibilities
  • Conduct pre-registration and registration processes, ensuring accurate eligibility verification and benefit documentation.
  • Communicate effectively with patients and insurance providers to gather essential demographic and reimbursement information.
  • Utilize online verification systems to confirm real-time eligibility and ensure accuracy.
  • Respond to inquiries from healthcare providers and support staff regarding the status of prior authorizations.
Qualifications
  • High school diploma or equivalent is required.
  • A minimum of two to three years of experience in a healthcare setting, specifically in prior authorization.
  • Strong communication skills to interact with patients, physicians, and insurance representatives.
  • Comprehensive understanding of managed care insurance and the prior authorization process.
Essential Skills
  • Ability to manage multiple tasks in a fast-paced environment while maintaining attention to detail.
  • Proficient in computer applications, particularly in navigating Windows-based programs.
  • Knowledge of insurance plan requirements for both Medicaid and commercial plans.
Work Environment

This position is based in a standard office environment, requiring both sitting and standing, along with some manual dexterity for computer and calculator use.

Note: This job description serves as a guideline for the responsibilities and qualifications of the role. Duties and requirements may evolve as the needs of the organization change.



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