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Contract Insurance Prior Authorization Jobs in Florida

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Surgery Scheduler

Palm Coast, FL · On-site

$15.75 - $20.25/hr

This candidate should have experience using EMR systems as well as knowledge of insurance prior-authorization requirements. This person needs to be able to effectively communicate with patients ...

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Surgical 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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Surgical 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 ...

The ideal candidate will have experience reading medical charts and working on insurance prior / pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of ...

The ideal candidate will have experience reading medical charts and working on insurance prior / pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of ...

The ideal candidate will have experience reading medical charts and working on insurance prior / pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of ...

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Contract Insurance Prior Authorization information

What is the difference between Contract Insurance Prior Authorization vs Medical Insurance Claims Specialist?

AspectContract Insurance Prior AuthorizationMedical Insurance Claims Specialist
Primary RoleSecuring approval for specific procedures or treatments before serviceProcessing and managing insurance claims after services are rendered
Work EnvironmentHealthcare providers, insurance companies, or third-party administratorsHospitals, clinics, insurance companies, or claims processing centers
Required CredentialsKnowledge of insurance policies, healthcare regulations, often certifications in healthcare administrationUnderstanding 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 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:
Insurance Authorization Representative

Insurance Authorization Representative

Healthcare Support Staffing

Sarasota, FL • On-site

$14 - $16/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

POSITION SUMMARY:


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 related assignments as directed.

ESSENTIAL FUNCTIONS:


  • Handles activities related to verification of insurance benefits for customers.
  • Notifies customer of any deductible and/or coinsurance due.
  • Completes financial assistance applications, if appropriate.
  • Contacts customer directly when necessary to obtain additional information.
  • Contacts Primary Care Physicians with regard to referral information.
  • Complies pre-certification information and forwards to insurance company to establish medical necessity and prior approval.
  • Performs regular follow-up calls with insurance companies checking status of prior authorization request.  Submits additional documentation, if required.
  • Reviews denials and follows up according to standard procedures.  Researches other payment options with customer, when appropriate.
  • Answers phones for Insurance Skill.
  • Promote and maintain teamwork with internal and external Hoveround associates and Health Plans.
  • Participates in training sessions as requested.
  • Maintains confidentiality of all records.
  • Works minimum 40-hour work week with required overtime as business needs dictate.
Qualifications
  • 2 years of Medical Authorization, verifications and Pre-certifications experience (major insurances/commercial insurance)
Additional Information

Hours for this Position:

 M-F 9:30am-6:00pm 

Advantages of this Opportunity:


  • Competitive salary $14 - $16 per hr.
  • Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
  • Growth potential
  • Fun and positive work environment



Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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