Prior Authorization Specialist
$16.75 - $22.50/hr
At least 1-2 years of insurance verification * FULL PA process- obtaining the PA form, filling it ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Prior Authorization Specialist
$16.75 - $22.50/hr
At least 1-2 years of insurance verification * FULL PA process- obtaining the PA form, filling it ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Prior Authorization Specialist
Altamonte Springs, FL · On-site
$16.75 - $22.50/hr
At least 1-2 years of insurance verification * FULL PA process- obtaining the PA form, filling it ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Prior Authorization Specialist
Altamonte Springs, FL · On-site
$16.75 - $22.50/hr
At least 1-2 years of insurance verification * FULL PA process- obtaining the PA form, filling it ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Biologics & Prior Authorization Coordinator
Ocala, FL · On-site
$17.25 - $21.50/hr
Biologics/Prior Authorization Coordinator Summary: This is a full-time position ... This position is eligible for health insurance, paid time off, 401k, etc. This position reports to ...
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Biologics & Prior Authorization Coordinator
Ocala, FL · On-site
$17.25 - $21.50/hr
Biologics/Prior Authorization Coordinator Summary: This is a full-time position ... This position is eligible for health insurance, paid time off, 401k, etc. This position reports to ...
Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. * Verify the patient's Medicaid, private insurance, and self-pay payor sources via telephone, or online ...
Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. * Verify the patient's Medicaid, private insurance, and self-pay payor sources via telephone, or online ...
Prior Authorization Coordinator 11:30am- 8pm
Miramar, FL · On-site
$17 - $21/hr
Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. * Verify the patient's Medicaid, private insurance, and self-pay payor sources via telephone, or online ...
Prior Authorization Coordinator 11:30am- 8pm
Miramar, FL · On-site
$17 - $21/hr
Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. * Verify the patient's Medicaid, private insurance, and self-pay payor sources via telephone, or online ...
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Prior Authorizations Specialist
Lakeland, FL · On-site
$16.75 - $22.25/hr
The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior ... Verify patient insurance coverage and eligibility to ensure proper authorization before procedures ...
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Prior Authorizations Specialist
Lakeland, FL · On-site
$16.75 - $22.25/hr
The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior ... Verify patient insurance coverage and eligibility to ensure proper authorization before procedures ...
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Prior Authorizations Specialist
Lakeland, FL · On-site
$16.75 - $22.25/hr
The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior ... Verify patient insurance coverage and eligibility to ensure proper authorization before procedures ...
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Prior Authorizations Specialist
Lakeland, FL · On-site
$16.75 - $22.25/hr
The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior ... Verify patient insurance coverage and eligibility to ensure proper authorization before procedures ...
Registered Pharmacy Technician II / Prior Authorization
$20.37 - $24.44/hr
This will be done through communication with Lee Physician Clinics and insurance companies. * Technicians will manage work queues Monday through Friday, to ensure prior authorizations are submitted ...
Registered Pharmacy Technician II / Prior Authorization
$20.37 - $24.44/hr
This will be done through communication with Lee Physician Clinics and insurance companies. * Technicians will manage work queues Monday through Friday, to ensure prior authorizations are submitted ...
Assists Insurance Processor II's and Supervisor with completion of verifications and prior authorizations of DME coverage, evaluates portion to be paid by customer, and performs other Insurance ...
Assists Insurance Processor II's and Supervisor with completion of verifications and prior authorizations of DME coverage, evaluates portion to be paid by customer, and performs other Insurance ...
Insurance Authorization Coordinator I
Pensacola, FL · On-site
$16.50 - $20.50/hr
Verify patients' insurance coverage, eligibility, demographics, benefits and financial responsibility to determine if prior authorization is required for specific medical procedures or treatments ...
Insurance Authorization Coordinator I
Pensacola, FL · On-site
$16.50 - $20.50/hr
Verify patients' insurance coverage, eligibility, demographics, benefits and financial responsibility to determine if prior authorization is required for specific medical procedures or treatments ...
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Medical Assistant Nephrology
Pembroke Pines, FL · On-site
$16.50 - $21/hr
Manage appointment scheduling, prescription refills, and insurance/prior authorization processing * Answer clinic telephones and support front-desk operations * Provide patient education on self-care ...
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Medical Assistant Nephrology
Pembroke Pines, FL · On-site
$16.50 - $21/hr
Manage appointment scheduling, prescription refills, and insurance/prior authorization processing * Answer clinic telephones and support front-desk operations * Provide patient education on self-care ...
Authorization Specialist - USFTGP UMSA RCO Front End
Tampa, FL · On-site
$17 - $22.75/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
Tampa, FL · On-site
$17 - $22.75/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
Tampa, FL · On-site
$17 - $22.75/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
Tampa, FL · On-site
$17 - $22.75/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Department Manager
Miami, FL · On-site
Strong knowledge of insurance verification, prior authorizations, and payer guidelines * Bilingual English/Spanish required * Proficiency with EMR systems and Microsoft Office (Excel, Word, Outlook ...
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Authorization Department Manager
Miami, FL · On-site
Strong knowledge of insurance verification, prior authorizations, and payer guidelines * Bilingual English/Spanish required * Proficiency with EMR systems and Microsoft Office (Excel, Word, Outlook ...
Authorization Department Manager
Miami, FL · On-site
Strong knowledge of insurance verification, prior authorizations, and payer guidelines * Bilingual English/Spanish required * Proficiency with EMR systems and Microsoft Office (Excel, Word, Outlook ...
Quick apply
Authorization Department Manager
Miami, FL · On-site
Strong knowledge of insurance verification, prior authorizations, and payer guidelines * Bilingual English/Spanish required * Proficiency with EMR systems and Microsoft Office (Excel, Word, Outlook ...
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
Tampa, FL · On-site
$17 - $22.75/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
Tampa, FL · On-site
$17 - $22.75/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - TGMG Phy Practice Plan
Tampa, FL · On-site
$16.25 - $21.50/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - TGMG Phy Practice Plan
Tampa, FL · On-site
$16.25 - $21.50/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
$16.25 - $21.50/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Authorization Specialist - USFTGP UMSA RCO Front End
$16.25 - $21.50/hr
... prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans. * Ability to accurately document clinical, insurance, and authorization ...
Contract Insurance Prior Authorization information
What is the difference between Contract Insurance Prior Authorization vs Medical Insurance Claims Specialist?
| Aspect | Contract Insurance Prior Authorization | Medical Insurance Claims Specialist |
|---|---|---|
| Primary Role | Securing approval for specific procedures or treatments before service | Processing and managing insurance claims after services are rendered |
| Work Environment | Healthcare providers, insurance companies, or third-party administrators | Hospitals, clinics, insurance companies, or claims processing centers |
| Required Credentials | Knowledge of insurance policies, healthcare regulations, often certifications in healthcare administration | Understanding of insurance billing, coding, and claims processing, often with certifications like CPC or CCS |
Contract Insurance Prior Authorization involves obtaining approval before healthcare services, while Medical Insurance Claims Specialists handle post-service claims processing. Both roles require knowledge of insurance policies and healthcare regulations, but they focus on different stages of the insurance process.
What are the most commonly searched types of Insurance Prior Authorization jobs in Florida? The most popular types of Insurance Prior Authorization jobs in Florida are:
What are popular job titles related to Contract Insurance Prior Authorization jobs in Florida? For Contract Insurance Prior Authorization jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Contract Insurance Prior Authorization jobs in Florida look for? The top searched job categories for Contract Insurance Prior Authorization jobs in Florida are:
What cities in Florida are hiring for Contract Insurance Prior Authorization jobs? Cities in Florida with the most Contract Insurance Prior Authorization job openings:
$16.75 - $22.50/hr
Full-time
Re-posted 4 days ago
Job description
Company Description
Here at CiNQ Recruitment, we believe in finding the right fit, for you and our clients. Whether you seek long-term employment solutions for your business or your next career move, we understand the importance of individual and business needs. With over 30 years of successful staffing and recruiting experience, we excel at providing passive candidates with the right skills and cultural fit for specialized positions. Here is the opportunity to work with an exciting pharmaceutical company.
Job Description
Hiring Manager Notes:
- M-F 11a-8p
- $16-$19
- At least 1-2 years of insurance verification
- FULL PA process- obtaining the PA form, filling it out, calling dr. office and obtaining lab and cart notes.
- Pharmacy background a good plus
- Eligibility verification/investigation experience
- Well spoken
Position Summary:
Perform duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided through the specialty pharmacy, working within the limits of standard or accepted practice.
Essential Functions:
- Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards, and build trusted and enduring customer relationships that yield loyalty.
- Investigate and verify benefits for pharmacy and medical third party claims for assigned cases. May communicate with financial assistance team of drug manufacturers to apply for and secure financial assistance for patient when assigned.
- Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed. Review for accuracy of prescribed treatment regimen prior to submission of authorization.
- Facilitate appeals process between the patient, physician and insurance company by requesting denial information and facilitates obtaining the denial letter from the insurance, patient or physician. Composes clinical appeals letters based off of specific denial reason and patients clinical presentation. Ensures all clinical information and documentation are obtained prior to appeal submission. Coordinates appointment of representative document with patient and physician office.
- Completes status check with insurance company regarding receipt of prior authorization and appeal and approval or denial status.Â
Additional Information
All your information will be kept confidential according to EEO guidelines.