Prior Authorization Specialist - Insurance
4500 San Pablo Rd Jacksonville, FL 32224
Prior Authorization Specialist - Medical Insurance
This role is responsible for obtaining Prior Authorization for auxiliary services.
Collects, reviews, discusses, and documents demographic, insurance, and financial information with patients and payers. Responsible for management and collection of Account Receivables through the use of automated systems and revenue cycle processes. Responds to and resolves a variety of account, billing and payment issues from patients and customers. Follows approved guidelines and policies regarding routine patient and payer interactions. Makes independent decisions that require individual and/or team analysis, reasoning, and problem solving. Interprets, applies and communicates policies regarding medical and financial aspects of patient care to assure optimal reimbursement. This individual must accurately document interactions and interpret interactions documented by others
Medical Insurance knowledge
Must have excellent customer service skills and possess the ability to negotiate payment reimbursement from patients and third party payers, via incoming and outgoing phone calls or face to face interactions.
Hours: M-F 8a-5p