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Prior Auth Jobs in Florida (NOW HIRING)

Authentication methods (OAuth2, Basic Auth, API keys) * API schema validation (JSON Schema, XML ... Revenue cycle systems, prior authorization systems * Proficient in configuring and troubleshooting ...

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Prior Auth information

What is the difference between Prior Auth vs Medical Billing Specialist?

AspectPrior AuthMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, certifications varyCertification often preferred, knowledge of billing codes
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare to authorize proceduresUsed to process and submit medical claims
Common Search & ComparisonYesYes

Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

Are prior authorization jobs in high demand?

Prior authorization jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of medical policies and the use of authorization software, making skilled professionals valuable in healthcare administration. The demand is expected to grow as healthcare providers seek to streamline approval processes and reduce claim denials.

How do I become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance. Relevant skills include knowledge of medical billing, coding, and insurance policies, and certifications such as Certified Medical Administrative Assistant (CMAA) or Certified Coding Associate (CCA) can enhance job prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is prior authorization a stressful job?

Prior authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing tight deadlines to secure approvals quickly. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What cities in Florida are hiring for Prior Auth jobs?

Cities in Florida with the most Prior Auth job openings:

Infographic showing various Prior Auth job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Front Administration - St Augustine

Suncoast Skin Solutions

Saint Augustine, FL • On-site

$19 - $20/hr

Full-time

Posted 8 days ago


Suncoast Skin Solutions rating

5.9

Company rating: 5.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

Job Description:

Job Title: Front Desk Administration

Travel Required: Yes, regional travel as needed

Position Type: Full Time

Job Description: To serve patients by greeting and helping them, while facilitating efficient and timely entry into the office's setting. To support the overall administrative functions of the office with the end goal of providing excellent patient care and quality customer service.

Role and Responsibilities

Administrative

  • Greets all patients in a professional, friendly manner
  • Answers phones within a maximum of 3 rings; schedule appointments
  • Verifies and scans insurance cards and driver's license
  • Hands out appropriate literature and information forms to be filled out by the patient; checks for accuracy and completion
  • Reviews patient benefits and eligibility at check-in and check-out
  • Enters accurate patient demographic and financial information
  • Runs insurance eligibility to ensure active and if a referral/auth is needed
  • Obtains referrals/authorizations if required by insurance prior to the patient being seen
  • Collects appropriate payments and balances owed by patients
  • Enters charges and payments into billing system
  • Scans encounters/clinical/op-notes into the system
  • Schedules follow up appointments
  • Works no show, cancellation and recall reports
  • Ensures full utilization of the Provider's schedules
  • Balances out end of day business (cash/check/cc) with encounter forms
  • Generates daily batch reconciliation to be reviewed by Manager/Accounting
  • Serves as back-up for check-in and check out
  • Ensures a neat/tidy waiting room

Professional

  • Demonstrates initiative and responsibility
  • Able to perform repetitive tasks without loss of focus
  • Adheres to ethical principles
  • Time Management
  • Adapts to change
  • Attends all team meetings and mandatory in-service training/education
  • Basic computer skills/ Type minimum 45wpm

Communication

  • Recognizes and respects cultural diversity
  • Adapts communication to individual's ability to understand
  • Uses professional, pleasant telephone etiquette
  • Uses medical terminology appropriately
  • Treats all patients and co-workers with compassion, empathy, and mutual respect
  • Projects a professional manner and image
  • Consistent attendance and punctuality/ Adherence to time clock procedures

Legal

  • Maintains confidentiality and documents accurately
  • Uses appropriate guidelines for releasing patient information
  • Practices within the scope of education, training and personal capabilities
  • Conducts self in accordance with Suncoast's Employee Handbook.
  • Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA

Core Competencies

  • Efficiency
  • Attention to details
  • Organized
  • Punctual
  • Takes initiative, proactive
  • Team Player
  • Honesty/Integrity
  • Flexible
  • Calm under pressure
  • "A Doer", persistence
  • Problem solver, Strategic thinking, Creativity
  • Analytical skills
  • Clear and concise communication/Listening skills
  • Quick Learner, Intelligence
  • Follow through on commitments
  • Enthusiastic, Friendly, Positive attitude
  • Openness to advice and constructive criticism
  • Strong work ethic

Physical Demands

  • Prolonged Sitting/Standing/Walking
  • Occasional travel
  • Multitasking
  • Repetitive head, neck, hands wrists and arm motion/rotation
  • Extensive reading, writing, typing required
  • Lifting to 25lbs
  • Frequent use of office administrative equipment

Qualifications and Education Requirements:

High school diploma. Knowledgeable in computer programs, EMR systems, customer service, excellent verbal communication skills and clinical terminology preferred. A minimum of 1 year in a clinical administrative and customer service field preferred.

This is the compensation range for this position.

Compensation Range
$19—$20 USD

What Suncoast Skin Solutions employees say

Pay

Hours and flexibility

Workplace

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