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Medical Insurance Authorization Specialist CordiCare Davie, FL Job Details Full-time $20 - $24 an hour 6 hours ago Benefits Paid holidays Paid time off Opportunities for advancement Qualifications Customer communication Medicare Commercial insurance knowledge Collaboration Medical coding experience in physician offices Medical coding experience in outpatient clinics High school diploma or GED Pre-authorization review for utilization management Attention to detail Organizational skills Technical Proficiency Full Job Description Insurance Authorization Specialist -

Cardiology Practice Location:

Broward County / South Florida (

Specify:

On-site)

Job Type:

Full-time /

Office Bilingual:

English and Spanish Salary Range:

$20.00 - $24.00 / hour Job Summary We are seeking an experienced and detail-oriented Insurance Authorization Specialist to join our growing cardiology practice in South Florida. In this role, you will be responsible for securing prior authorizations for a high volume of complex cardiovascular procedures, diagnostic imaging, and interventions. The ideal candidate possesses deep knowledge of cardiology

CPT/ICD-10

codes, utilization management portals, and medical necessity criteria to ensure seamless patient care and maximize practice revenue.

Key Responsibilities Prior Authorization Management:

Obtain timely prior authorizations for non-invasive diagnostic tests (Echocardiograms, Stress Tests, Holter Monitors) and invasive procedures. eClinicalWorks (eCW)

Workflow:

Efficiently navigate eClinicalWorks to extract required clinical notes, track authorization statuses within patient charts, and document approval numbers and expiration dates.

Utilization Portals:

Navigate and submit clinical documentation through third-party utilization management platforms including EviCore, RadMD (NIA), Availity , and major commercial/Medicare Advantage portals (Florida Blue, Humana, Aetna, UHC).

Medical Necessity Review:

Audit electronic health records to extract clinical documentation (e.g., chest pain, dyspnea, syncope, abnormal EKGs) to substantiate medical necessity and prevent insurance denials.

Denial & Appeal Handling:

Identify root causes of authorization denials, correct coding errors, and collaborate with clinical staff to submit robust medical appeals.

Peer-to-Peer Coordination:

Actively schedule and coordinate urgent Peer-to-Peer reviews between our cardiologists and insurance medical directors to overturn denials.

Patient & Clinic Communication:

Update scheduling teams and patients regarding authorization status, potential out-of-pocket costs, or scheduling delays due to pending approvals.

Requirements & Qualifications Education:

High School Diploma or equivalent; certification in Medical Coding, Billing, or Administration is a plus.

Experience:

Minimum of 2-3 years of medical prior authorization experience, specifically within a Cardiology practice or specialty setting .

Software Proficiency:

Strong, hands-on experience using eClinicalWorks (eCW) is highly preferred.

Technical Skills:

Deep familiarity with cardiovascular CPT codes (e.g., 93306, 93015, 93454) and ICD-10 coding.

Knowledge:

Strong understanding of South Florida commercial insurance plans, Medicare Advantage, and Managed Care guidelines.

Soft Skills:

Excellent written and verbal communication skills, strong organizational abilities, and a proactive approach to problem-solving.

Bilingual Preferred:

Fluency in English and Spanish is highly desired to serve our South Florida patient demographic. Benefits Paid Time Off (PTO) and paid holidays Career growth opportunities within a leading healthcare network

I Pay:

$20.00 - $24.00 per hour

Work Location:

In person