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UF Health

Medical Assistant Prior Authorization Specialist | Community Health and Family Medicine| Day Shift | Full-time

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$41,153 / year median in Florida

-3% projected decline

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Job Description

Overview Under the direction of our ambulatory pharmacist this position will be responsible for prior authorizations for their assigned clinics. The Medical Assistant provides patient care in a physician's office setting under the direct responsibility of a licensed physician. Clinical skills performed are within the scope of a Medical Assistant as defined by Florida Statutes 458.3485 and UFHP Clinical Policy and Procedure. The MA may also perform clerical, insurance, and medical record functions. May be required to float to other UFHP practices, as needed, for staffing.
Qualifications Medical Assistant Minimum Education and Experience Requirements:
Candidate must be a graduate of an accredited course of study as a Certified or Registered Medical Assistant Accredited MA certifications include, but are not limited to, AAMA, NHA, NCCT, AMCA, AAMA and
AMT. EMT
license can be used in lieu of an MA certification. One year prior authorization experience preferred. One year of direct patient care experience in an ambulatory care setting is preferred. Person should display initiative, have the ability to multitask, and be able to assume additional responsibilities. Proven ability to problem-solve and be a team member is essential.
Licensure/Certification/Registration:
Must possess and maintain current certification or registration as a Medical Assistant. AHA or Red Cross Basic Life Support (CPR) is required or must be obtained within first 90 days of employment. Must maintain current Basic Life Support (CPR). Must successfully complete medication test within 30 days of hire or Red Cross.
Motor Vehicle Operator Designation:
Will not operate vehicles for an assigned business purposes
Qualifications:
Medical Assistant Minimum Education and Experience Requirements:
Candidate must be a graduate of an accredited course of study as a Certified or Registered Medical Assistant Accredited MA certifications include, but are not limited to, AAMA, NHA, NCCT, AMCA, AAMA and
AMT. EMT
license can be used in lieu of an MA certification. One year prior authorization experience preferred. One year of direct patient care experience in an ambulatory care setting is preferred. Person should display initiative, have the ability to multitask, and be able to assume additional responsibilities. Proven ability to problem-solve and be a team member is essential.
Licensure/Certification/Registration:
Must possess and maintain current certification or registration as a Medical Assistant. AHA or Red Cross Basic Life Support (CPR) is required or must be obtained within first 90 days of employment. Must maintain current Basic Life Support (CPR). Must successfully complete medication test within 30 days of hire or Red Cross.
Motor Vehicle Operator Designation:
Will not operate vehicles for an assigned business purposes