Care Access & Insurance Authorization Specialist

North Florida Surgeons, P.A.; Jacksonville (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

North Florida Surgeons, Colon and Rectal Associates is seeking a Precertification/Authorization Specialist to help patients access care by coordinating insurance prior to authorization and verifying coverage.

You will review medical records, apply health policy knowledge, and communicate with providers and insurers. Experience in medical offices, CPT/ICD coding, and EHR systems is a plus.

Qualifications

• Medical office experience; dental office experience is also relevant.
• Knowledge of health insurance, insurance verification, managed care, and insurance policy requirements.
• Familiarity with medical billing, medical records, electronic health records (EHR) management, and CPT and ICD coding.
• Working knowledge of Microsoft Office and the ability to organize details, communicate professionally, and handle sensitive information.

Responsibilities

• Verify insurance eligibility and benefits and identify authorization requirements for planned services.
• Review medical records and clinical documentation; use medical terminology and medical coding, including CPT, ICD-9, and ICD-10 coding, to support requests.
• Submit and track prior authorization requests with managed care plans; follow up on missing information or decisions.
• Update electronic medical records and electronic health records (EMR/EHR), maintain records, and document communications accurately.
• Protect confidential information by following HIPAA and clinical confidentiality policies; provide responsive customer service.

Job description

North Florida Surgeons, Colon and Rectal Associates is seeking a Precertification/Authorization Specialist to help patients access care by coordinating insurance prior to authorization and verifying coverage.

You will review medical records, apply health policy knowledge, and communicate with providers and insurers. Experience in medical offices, CPT/ICD coding, and EHR systems is a plus.