- AdventHealth (Tampa, FL)
- …for clinical position certifications **The role you'll contribute** **:** Insurance Authorization Representative will work as a liaison with Hospital ... Authorization departments to obtain insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for… more
- University of Miami (Miami, FL)
- …RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart reviews for ... medical necessity and identify the need for authorization . The nurse coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior ... authorization and managing authorization related denials to ensure patient financial health. **Essential Functions** + Confirms, enters, and/or updates required… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position ... Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry leader in both the… more
- University of Miami (Miami, FL)
- …initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare ... for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and… more
- Surgery Care Affiliates (Belleair Beach, FL)
- …inspire change. If you join our team, they will. Responsibilities The Authorization Supervisor will provide direct support for the team that verifies insurance ... for office visits, procedures, and elective surgeries. Responsibilities for Authorization Supervisor + Coordinates, supervises and is accountable for providing… more
- BAE Systems (Jacksonville, FL)
- …Site. Duties and responsibilities will include: Maintains and coordinates the Work Authorization Form process; Ensures that all trades and subcontractors abide by ... CFR 1915 (OSHA), and company policies and procedures. Verifies that all Work Authorization Forms are generated in the technically proper manner and filled out… more
- BayCare Health System (Clearwater, FL)
- …two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non-benefit eligible** ) remote ... training, the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance information… more
- Molina Healthcare (Jacksonville, FL)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from… more
- AdventHealth (Maitland, FL)
- …**The role you'll contribute:** The Pre-Access Infusion Benefits and Authorization Specialist, under general supervision, maintains performance standards appropriate ... of chemotherapy regimen/treatment orders and determines insurance benefits and authorization requirements. Reviews clinical data such as patient pathology reports,… more