PRN Insurance Authorization Representative: AdventHealth Imaging West Florida
Location Address: Tampa, FL
Top Reasons to Work at AdventHealth Medical Group West Florida
Rollover PDO with service year increases in accrual
Comprehensive benefits package; including tuition reimbursement and matching 403b plan
Patient facing positions receiving company paid initial sets of scrubs
Company Discount programs
PRN Days/Variable Shifts
You Will Be Responsible For:
Obtains and/or works with providers offices to obtain authorizations in a timely manner for imaging exams.
Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program.
Receives coverage authorization and works diligently to meet established timelines; may be required to obtain authorizations for same day procedures.
Works closely with doctors, APPs and team members to support efforts to accomplish authorization/verification for both routine and STAT orders.
Routinely arrange peer to peer authorizations between providers and insurance companies.
Requests authorization from insurance company to provide specific services and parameters of care.
What You Will Need:
High School diploma or equivalent
3-5 years of Insurance Verification Experience plus 1-2 years of Authorization experience OR 1-2 years healthcare experience in a clinical setting.
Proficiency in EMR
Previous insurance verification experience
Proficiency in Medical Terminology
Previous customer service work experience
Problem Solving Skills and Attention to Detail
Knowledge of ICD-10 and CPT coding
Knowledge of payer requirements for authorization and billing
Insurance Authorization Representative will work to obtain insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for patients undergoing imaging procedures at AH West Florida Imaging, Inc. Insurance Authorization Representative will work closely with all members of the physicians’ teams to assure timely and accurate authorization for both routine and stat items. This individual must possess basic clinical knowledge and terminology and must be able to effectively communicate with doctors/specialists, APPs and team members. This individual must be able to work in a fast pace, changing environment. This individual must also be able to identify problems and communicate with the members of the Revenue Cycle team (Coders, Patient Account Reps, Coding and AR Supervisors) and insurance companies in a timely manner.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.