ZipRecruiter

Log In

1

Home Based Prior Authorization Jobs in Florida (NOW HIRING)

Radiology Partners

Authorization Specialist

Tampa, FL · On-site

$17 - $22.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered ... Maintains CPT code authorization files based on managed care contracts. Performs clerical duties as ...

Radiology Partners

Authorization Specialist

Tampa, FL · On-site

$16.50 - $21.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered ... Maintains CPT code authorization files based on managed care contracts. Performs clerical duties as ...

next page

Showing results 1-20

All JobsHome Based Prior Authorization JobsHome Based Prior Authorization Jobs in Florida

Home Based Prior Authorization information

What is a home based prior authorization specialist?

A Home Based Prior Authorization specialist is a healthcare professional who works remotely to review and process prior authorization requests for medical procedures, medications, or services. Their main role is to ensure that treatments and prescriptions meet insurance requirements before approval, helping patients receive necessary care while managing costs for providers and insurers. These specialists communicate with healthcare providers, insurance companies, and sometimes patients, using secure online systems to perform their duties from home. Their work is critical in streamlining healthcare access and preventing unnecessary delays in treatment.

What are the key skills and qualifications needed to thrive as a home based prior authorization specialist?

To thrive as a Home Based Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance policies, and healthcare procedures, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is typically required, along with certifications like CPC or CPB being advantageous. Strong attention to detail, effective communication, and the ability to work independently are valuable soft skills in this remote role. These competencies ensure timely and accurate authorization processing, reduce claim denials, and support seamless patient care coordination.

What are some common challenges faced in a home based prior authorization role and how can they be managed?

One common challenge in a home-based prior authorization role is maintaining effective communication with healthcare providers and insurance companies while working remotely. This can be managed by utilizing secure digital communication tools and staying organized with thorough documentation. Another challenge is staying updated on frequently changing insurance policies and regulations, which can be addressed by participating in ongoing training and regularly reviewing updates from payers. Additionally, managing distractions and maintaining productivity at home requires setting a dedicated workspace and a structured daily routine.

What is the difference between Home Based Prior Authorization vs Medical Coder?

AspectHome Based Prior AuthorizationMedical Coder
CredentialsTypically requires healthcare experience, knowledge of insurance policies, and sometimes certifications in healthcare administrationRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentRemote, healthcare or insurance company settingRemote or on-site, healthcare facility or billing office
Industry UsageUsed in insurance, healthcare administration, and utilization reviewUsed in medical billing, coding, and health information management

Home Based Prior Authorization specialists focus on reviewing and approving insurance requests for medical procedures, requiring healthcare knowledge. Medical Coders translate medical records into codes for billing, requiring coding certifications. While both roles are remote and healthcare-related, they serve different functions within the healthcare industry.

What are the most commonly searched types of Prior Authorization jobs in Florida?

The most popular types of Prior Authorization jobs in Florida are:

What are popular job titles related to Home Based Prior Authorization jobs in Florida?

For Home Based Prior Authorization jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Home Based Prior Authorization jobs in Florida look for?

The top searched job categories for Home Based Prior Authorization jobs in Florida are:

What cities in Florida are hiring for Home Based Prior Authorization jobs?

Cities in Florida with the most Home Based Prior Authorization job openings:

Home Based Prior Authorization jobs near you
Infographic showing various Home Based Prior Authorization job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution.

Prior Authorization Specialist

Lake Mary, FL • On-site

Select Source International
IT Services • 51 - 200 employees
Learn more about Select Source Internationalexternal

$19 - $20/hr

Full-time

This job post has expired 5 days ago. Applications are no longer accepted.

Job description

Job title – Prior Authorization Specialist

Location – Lake Mary, FL 32746

Job type – 6 months contract with possible extension

Role Overview

We are seeking an experienced Verification of Benefits Specialist to join our healthcare operations team in Lake Mary, FL. This position is responsible for verifying insurance benefits, obtaining prior authorizations and referrals, managing denials and appeals, and maintaining accurate patient insurance and authorization records.

This is NOT a customer service position. Candidates must have prior experience in insurance benefits verification and/or prior authorization.

Key Responsibilities

  • Contact insurance companies to verify patient insurance benefits and coverage.
  • Initiate and follow up on prior authorizations, PCP referrals, and Letters of Agreement (LOAs) for new and ongoing services.
  • Track authorization requests and follow up with insurance providers to obtain outcomes.
  • File and manage appeals for denied coverage when required.
  • Maintain accurate patient records related to benefits, coordination of benefits, authorizations, denials, appeals, outcomes, and insurance communications.
  • Coordinate with internal departments to obtain information required for benefit verification, authorization, and appeals.
  • Communicate authorization status and coverage information to patients and relevant internal teams.
  • Prepare and communicate patient financial responsibility estimates and collect applicable co-pays.
  • Apply company procedures, payer guidelines, and contracted/non-contracted requirements when processing cases.
  • Review and process incoming correspondence and documentation and update patient records based on outcomes.
  • Perform other related duties as assigned.

Required Qualifications

  • Minimum 1 year of experience in insurance benefits verification and/or prior authorization.
  • Prior experience working with health insurance benefits and authorizations is required.
  • High School Diploma or GED equivalent.
  • Knowledge of Medicare rules and regulations.
  • Understanding of managed care, benefits, and authorization processes.
  • Advanced proficiency with Microsoft Office, including Excel and Outlook.
  • Strong verbal and written communication skills.
  • Ability to communicate professionally with insurance companies, patients, and internal departments.
  • Strong attention to detail and accuracy.
  • Ability to work effectively under pressure and meet strict deadlines.

Preferred Qualifications

  • 2+ years of experience in insurance benefits verification, prior authorization, collections, or managed care contracting.
  • Experience working with healthcare providers, medical practices, hospitals, or insurance organizations.
  • Experience handling insurance denials, appeals, referrals, and authorization follow-up.
  • Familiarity with practice management or healthcare information systems.

Company Description

Select Source International (SSI) is a distinguished workforce solutions provider with nearly 25 years of experience delivering top-tier staffing, recruiting, and managed services. Based in Minneapolis, Minnesota, SSI has established itself as a global leader, serving a broad, diverse clientele across industries with unwavering dedication and excellence.

As a trusted partner, we bring a wealth of expertise and best-in-business differentiators to comprehensively support your evolving workforce needs. SSI is ISO 9001, ISO 14001, and SOC 2 Type II certified, underscoring our strict commitment to quality, environmental responsibility, and data security. Our industry-leading capabilities are further validated by numerous awards in sustainability and supplier diversity.

Select Source International logo

About Select Source International

Sourced by ZipRecruiter

Select Source International (SSI) is an IT, Health Care, and Engineering Services consulting firm that has been in business since 1998. SSI consultants have provided exceptional services that have been appreciated by clients, customers, and users alike at several large Fortune 500 companies, mid-size enterprises, and consulting companies.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Minneapolis, MN, US

Year founded

1999

Social media

FacebookTwitter

View All Select Source International Jobs