Authorization Specialist

Frantz EyeCare; Fort Myers (FL); On-site; USD 37,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Vision insurance

401(k)

Life insurance

Job summary

Frantz EyeCare in Fort Myers, FL is seeking an Authorization and Benefit Verification Specialist to obtain medical authorizations for scheduled and non-scheduled procedures, ensuring proper reimbursement for patient procedures.

Under the direction of the Insurance Manager, you will verify insurance details, contact carriers, coordinate with physicians and patients, and monitor authorization status to meet deadlines. This role supports a growing practice with competitive benefits.

Qualifications

• Obtain verifications and authorizations for medical procedures.
• Communicate with insurance carriers, referring physicians and patients about authorization results.
• Monitor status of authorization requests and follow up to ensure timely approvals.

Responsibilities

• Generate and review schedules in accordance with timelines.
• Contacts insurance companies to obtain verification and authorizations for procedures.
• Communicate with internal departments, physicians and patients regarding authorization process and results.
• Respond to patient and insurance inquiries with clear information.
• Monitor status and follow up to ensure receipt of authorization within established timelines.
• File and maintain documents.
• Perform other duties as assigned.

Skills

Insurance verification

Authorization management

Communication

Schedule coordination

Job description

Authorization and Benefit Verification Specialist

Under the direction of the Insurance Manager, the Authorizations Specialist performs duties directly responsible for obtaining medical authorizations for scheduled and non-scheduled procedures to ensure appropriate reimbursement for patient procedures.

• Health insurance
• Paid time off
• Vision insurance
• 401(k)
• Life insurance

Position Requirements

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Generate and review schedules in accordance with timelines and protocols.
• Contacts insurance companies, or utilize web-based insurance resources, to obtain verification and authorizations for medical procedures.
• Communicate with internal departments, referring physicians and patients regarding authorization process and results.
• Must be able to obtain information to respond to difficult patient and medical insurance inquiries.
• Monitor status of authorization requests in accordance with internal protocols and initiate follow up as necessary to ensure receipt of established authorization within established time lines.
• Files and maintains documents
• Various other duties as assigned

Full-Time/Part-Time Full-Time

About the Organization Established in Fort Myers, FL, as Florida Eye Health in 1994 by Jonathan M. Frantz, MD, FACS, the practice changed its name to Frantz EyeCare in late 2012. Frantz EyeCare is a well-established and growing practice in Southwest Florida with locations in Fort Myers, Naples, Cape Coral, Lehigh Acres, and Punta Gorda. Our people are the reason for our continued success. We are a team of thinkers and innovators, and are committed to changing the lives of the residents of SWFL by improving their quality of life through better vision. Here are the top 5 elements that describe the very essence of what makes Frantz EyeCare a special place. Impacting our patients' everyday lives. We impact our community and the world by changing people's lives through better vision and improved confidence. Investing in the right people and seeing great results is critical to our growth as a practice. We continually train and improve our processes and systems to achieve the best clinical outcomes and operational efficiencies. Embracing a no-limits mindset. At Frantz EyeCare the galaxy is the limit. We recognize and are continually adapting to change and innovating our technology. This enables us to see opportunities where others do not and motivates us to challenge ourselves to realize what is possible for the future. Improving every year. We believe in driving improvement and innovation. We will push your limits to achieve your greatest self. We win as a team. We win when the entire Frantz EyeCare team works together to drive strong results. We each play a critical role in our collective success. When we work together as a team, we can accomplish more than what is possible individually.

EOE Statement Frantz EyeCare is an Equal Opportunity Employer. We believe a diverse workforce strengthens our organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law.

This position is currently accepting applications.