Prior Authorization Specialist – Revenue Cycle Management (RCM)
📍 Clearwater, FL (Onsite)
💲 $22–$23/hour (Based on Experience)
🕒 Full-Time | Temp-to-Hire
Join a Growing Healthcare Technology Organization Making a Real Impact
We are seeking an experienced Prior Authorization Specialist to join a rapidly growing healthcare technology company that is transforming the way patients recover from surgery and mobility-related conditions. This role is ideal for someone with a strong background in insurance verification, prior authorizations, revenue cycle management, and payer guidelines who thrives in a fast-paced healthcare environment.
As an EVA Specialist, you will play a critical role in ensuring patients receive timely access to care by verifying insurance coverage, securing authorizations, and supporting reimbursement processes. If you are detail-oriented, highly organized, and passionate about helping patients navigate the healthcare system, we'd love to hear from you.
Why You'll Love This Opportunity
✅ Be part of an innovative healthcare organization improving patient outcomes nationwide
✅ Stable, growing company with long-term career advancement opportunities
✅ High-impact role supporting patient access to care and reimbursement success
✅ Collaborative team environment with supportive leadership
✅ Modern office environment in Clearwater, FL
✅ Opportunity to expand your expertise within Revenue Cycle Management and healthcare operations
Key Responsibilities
- Verify and confirm patient demographics, insurance eligibility, and benefits
- Obtain and process prior authorizations and referrals as required by payers
- Ensure compliance with HIPAA, CMS, Medicaid, OIG, and other federal and state regulations
- Review and apply appropriate CPT, HCPCS, and ICD-10 coding requirements
- Ensure services meet payer-specific guidelines and authorization requirements
- Accurately complete insurance verification and authorization documentation
- Obtain single-case agreements when necessary to secure reimbursement
- Collaborate with clinical and operational teams to obtain missing documentation
- Resolve claim rejections and authorization-related issues
- Assist with additional billing and revenue cycle activities as needed
Qualifications
- 2+ years of experience in Revenue Cycle Management, Insurance Verification, Prior Authorization, or Patient Access
- Strong knowledge of insurance eligibility and benefits verification
- Experience working with CPT, HCPCS, and ICD-10 coding
- Familiarity with Medicare, Medicaid, commercial payers, and authorization processes
- Experience using EMR/EHR systems and payer portals
- Excellent attention to detail and organizational skills
- Strong communication and problem-solving abilities
- Ability to manage multiple priorities in a deadline-driven healthcare environment
Preferred Experience
- Prior experience in durable medical equipment (DME), rehabilitation, orthopedic, or healthcare technology environments
- Experience resolving authorization denials and claim rejections
- Knowledge of front-end revenue cycle best practices
If you're looking for a position where you can make a meaningful impact while growing your career within healthcare operations and revenue cycle management, we encourage you to apply today.
TempExperts is an Equal Opportunity Employer.