Prior Authorization Representative Position Available In Polk, Florida

Prior Authorization Representative Spine Institute of Central Florida – 3.0

Lakeland, FL Job Details Full-time Estimated:

$34.3K – $40.7K a year 21 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Qualifications Workers’ compensation law Insurance verification Customer service Surgery 1 year Entry level Full Job Description Job description We are seeking a prior authorizations individual to add to our well established authorization team.

Responsibilities:

Obtain pre-authorizations/pre-certification per payer requirements for services rendered and ensures authorization information is documented in the appropriately in the system Process authorization requests in a timely manner Obtain accurate patient information and enter required information (non-clinical and structured clinical data) into the computer database Provide excellent customer service to all internal and external customers Maintain communication with the providers, clinical staff, and patients in relationship to authorization status Answer calls from physician offices, hospitals, insurance companies, and patients using exemplary customer service skills Contact various clinics, facilities, and companies to obtain information to accurately complete authorization requests in a timely manner

Qualifications:

Mastery on navigating insurances as well as helping patients obtain authorization for, but not limited to, Spinal and extremity injections, office visits, Advanced imaging including MRI, CT Scans, etc, Physical Therapy, interventional spine procedures and surgeries. Candidate must be well versed in obtaining routine authorizations, stat authorizations, and multi-visit appointment authorizations. Familiarity with workers compensation a plus Must have familiarity with what to do with authorization denials and pathways to submit for, check up on and confirm approvals. Arrange and maintain patient appointments to include surgery appointments. Candidate must be 100% reliable and dependable. Candidate must be upbeat and energetic and work well with the authorizations team. Good, friendly and professional rapport with patients, providers and co-workers. Must have 1+ years of prior authorizations experience., preferably including procedures, stat situations, and surgical level of care experience.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Experience:

prior authorization: 1 year (Required) Ability to

Commute:

Lakeland, FL 33813 (Required)

Work Location:

In person