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ALLEGIANCE ORTHOPAEDIC & SPINE INSTITUTE

60 Allegiance Jobs Hiring Near You

Spine Institute of Central Florida

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Surgical Prior Authorizations Specialist

Lakeland, FL · On-site

$16.75 - $22.25/hr

Spine Institute of Central Florida is a busy, fast paced Orthopaedic Spine Surgery practice. We specialize in the entire spectrum of non-surgical and surgical care of the spine. The Surgical Prior ...

Spine Institute of Central Florida

Be Seen First

Surgical Prior Authorizations Specialist

Lakeland, FL · On-site

$16.75 - $22.25/hr

Spine Institute of Central Florida is a busy, fast paced Orthopaedic Spine Surgery practice. We specialize in the entire spectrum of non-surgical and surgical care of the spine. The Surgical Prior ...

JEFFERY M REUBEN MD PA

Radiologic Technologist

Okatie, SC · On-site

$30/hr

Vision insurance Radiation Technician Orthopaedic Spine Surgery Practice (Full-Time/Part-Time) No nights, weekends or holidays Pay negotiable based on experience Position Summary Spine Institute of ...

Spine Institute of Central Florida

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Medical & Surgical Billing Specialist

Lakeland, FL · On-site

General Orthopaedic and Orthopaedic Spine, and/or surgical billing and coding background is ... Company Description The Comprehensive Spine Center at Spine Institute of Central Florida provides a ...

Spine Institute of Central Florida

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Medical & Surgical Billing Specialist

Lakeland, FL · On-site

General Orthopaedic and Orthopaedic Spine, and/or surgical billing and coding background is ... Company Description The Comprehensive Spine Center at Spine Institute of Central Florida provides a ...

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Surgical Prior Authorizations Specialist

Surgical Prior Authorizations Specialist

Spine Institute of Central Florida

Lakeland, FL • On-site

$16.75 - $22.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

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Job description

Job Summary

Spine Institute of Central Florida is in search of an Surgical Prior Authorizations Specialist for our very busy Orthopaedic Spine Practice.

Job Description

Spine Institute of Central Florida is a busy, fast paced Orthopaedic Spine Surgery practice. We specialize in the entire spectrum of non-surgical and surgical care of the spine. The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior authorizations for surgical procedures for our practice and ambulatory surgical center for procedures such as orthopaedic spine surgeries, injections, kyphoplasties, and single case agreements with insurance companies based on surgical/procedural needs.

Duties

  • Request, review, and process surgical authorization requests and single case agreements in accordance with insurance guidelines and managed care policies for orthopaedic spinal procedures such as surgeries, kyphoplasties, and injections for the practice and ambulatory surgical center.
  • Verify patient insurance coverage and eligibility to ensure proper authorization before procedures are scheduled.
  • Collaborate with physicians, surgeons, and administrative staff to gather necessary documentation for authorization submissions.
  • Utilize CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to accurately document procedures and diagnoses.
  • Maintain detailed medical records related to authorization requests, ensuring compliance with HIPAA regulations.
  • Follow up with insurance companies to track approval statuses and resolve any discrepancies or denials promptly.
  • Ensure all documentation is complete, accurate, and submitted within required timeframes to prevent delays in patient care.
  • Stay informed about changes in managed care policies, coding updates, and healthcare regulations affecting surgical authorizations.

Requirements

  • Proven experience in medical office settings, preferably within surgical, ambulatory surgical centers, or specialty clinics.
  • Strong knowledge of managed care processes, insurance verification, and prior authorization procedures.
  • Familiarity with medical terminology, medical records management, and medical coding including CPT, ICD-9, ICD-10 codes.
  • Experience working with HIPAA regulations to safeguard patient confidentiality.
  • Excellent organizational skills with the ability to manage multiple cases efficiently under tight deadlines.
  • Office experience in a healthcare environment is essential; dental office experience is a plus.
  • Proficiency with electronic health records (EHR) systems and insurance claim platforms.
  • Effective communication skills for liaising between healthcare providers, insurance companies, and patients. Join our team as a Surgical Authorizations Specialist to play a vital role in streamlining surgical approvals while ensuring compliance and delivering exceptional support for patient care initiatives!

Seeking candidates who share our mission, vision, and core values in providing the absolute best patient care experience.

  • Competitive salary
  • Comprehensive training
  • IRA with employer match
  • Health, Vision, Dental insurance
  • Paid time off
  • Ability to make an impact in the communities we serve

Company Description

The Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of Spinal services. We specialize in the entire spectrum of non-surgical and surgical care of the spine. For your convenience, all services are available under one roof; including very effective and highly sophisticated spinal evaluation and treatment programs, diagnostic imaging, interventional pain management, spine specialized rehabilitation and therapy programs specially designed for specific spinal conditions and injuries to ensure maximal results.