Medical Insurance Authorization Specialist

FLORIDA HEART AND HEALTH

Tamarac, FL Job Details Part-time | Full-time $18.00 - $19.75 an hour 1 day ago Benefits Health insurance Dental insurance Qualifications Spanish Customer communication Managed care Customer service Medical office experience HIPAA Medical coding guidelines Medical administrative support Pre-authorization review for utilization management Electronic health record (EHR) management for billing and coding Health information regulatory compliance Productivity software Clinical confidentiality policies Medical terminology Full Job Description Job Summary We are seeking a proactive , bilingual (English and Spanish)and detail-oriented Medical Insurance Authorization Specialist to join our healthcare team. In this vital role, you will be responsible for managing insurance prior authorization processes, ensuring timely approval for medical procedures and services. Your expertise in health insurance policies, medical coding, and electronic health records (EHR) management will help facilitate seamless patient care and optimize reimbursement workflows. The ideal candidate will possess strong communication skills, a thorough understanding of managed care protocols, and a commitment to maintaining clinical confidentiality policies. Responsibilities Review medical documentation and verify insurance coverage to obtain prior authorization for procedures, tests, and treatments. Communicate effectively with healthcare providers, insurance companies, and patients to gather necessary information and expedite approvals. Utilize CPT coding, ICD-9, ICD-10, and ICD coding systems accurately to support authorization requests. Maintain detailed records of authorization requests, approvals, denials, and appeals within electronic health record (EHR) systems. Ensure compliance with HIPAA regulations and clinical confidentiality policies during all patient information handling. Collaborate with medical office staff to verify insurance benefits and update patient records accordingly. Stay current on health insurance policy changes, managed care guidelines, and industry best practices to improve authorization efficiency. Requirements Proven experience in medical office administration, medical billing, or insurance verification roles. Strong knowledge of health insurance policies, managed care processes, and insurance prior authorization procedures. Familiarity with medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and ICD coding standards. Proficiency in Microsoft Office applications and electronic health records (EHR) or electronic medical records (EMR) management systems. Excellent customer service skills with the ability to communicate clearly and professionally across diverse stakeholders. Knowledge of clinical confidentiality policies such as HIPAA to ensure patient privacy at all times. Ability to multitask efficiently in a fast-paced healthcare environment while maintaining attention to detail. Prior experience working with health insurance companies or managed care organizations is highly preferred. Join our dedicated team as a Medical Insurance Authorization Specialist and play a crucial role in delivering exceptional patient care through efficient authorization processes!

Pay:

$18.00 - $19.75 per hour Expected hours: 40.0 per week

Benefits:

Dental insurance Health insurance

Work Location:

In person