Customer Service Representative

Amergis

Bradenton (FL)

On-site

USD 19,000 - 28,000

Full time

6 days ago
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Benefits offered by this job

Health, dental, vision, and life
401(k) savings plan
Awards and recognition programs

Job summary

Amergis is hiring a Referral Specialist to schedule referrals for patients and providers, and to pre-authorize tests and procedures. You will coordinate with facilities at the request of providers and staff, and communicate effectively with patients and clinics.

This role requires knowledge of clinical terminology, insurance billing, and coding, with 1–3 years of healthcare experience. Strong computer skills and familiarity with HIPAA are essential.

Qualifications

  • High school graduate or GED required.
  • Minimum of one-three years’ experience in a healthcare or clinical setting.
  • Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance.
  • Typing, 10 key, and computer skills required.
  • Proficiency in Microsoft Office applications required.
  • Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals is preferred.
  • Knowledge of third-party reimbursement regulations is preferred.
  • Patient Management, Billing and Managed Care system processes competency.
  • Understanding of functions and workflow of Clinical/Hospital departments.

Responsibilities

  • Schedule referrals for patients and providers.
  • Pre-authorize and pre-certify tests/procedures.
  • Coordinate scheduling with facilities at providers’/staff request.
  • Communicate with patients, clinics, and hospitals.
  • Review clinical data to report medical necessity to insurance companies.

Skills

Patient management
Billing
HIPAA knowledge
Microsoft Office

Education

High school diploma or GED
Professional Certification
Technical school / 1 year college

Job description

Work hours are 8-5pm with one hour for lunch.

Position Summary:

The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures Scheduling of other tests with facilities at the request of providers and/or staff. Communicates effectively with patients, clinics, and hospitals. Reviews clinical data to report medical necessity to insurance companies. Performs all work with accord to the mission, vision, and values of the practice.

Qualifications:
Education
Years of Related Experience

Minimum

Preferred

Minimum

Preferred

High School Graduate/Equivalent

0 – 1

Professional Certification

1 – 3

Technical School/1 Year College

3 – 5

Education:
  • High school graduate or GED required.
Work experience:
  • Minimum of one-three years’ experience in a healthcare or clinical setting.
Knowledge
  • Knowledge of clinical terminology, insurance billing, procedural and diagnosis coding, federal and state insurance
  • Knowledge of regulations and HIPAA privacy standards is strongly preferred.
  • Typing, 10 key, and computer skills required.
  • Proficiency in Microsoft Office applications required.
  • Acute healthcare knowledge and ability to evaluate clinical data to acquire pre-authorizations and referrals is preferred. Knowledge of third-party reimbursement regulations is preferred.
  • Patient Management, Billing and Managed Care system processes competency.
  • Understanding of functions and workflow of Clinical/Hospital departments.
Benefits

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

  • Competitive pay & weekly paychecks
  • Health, dental, vision, and life insurance
  • 401(k) savings plan
  • Awards and recognition programs

*Benefit eligibility is dependent on employment status.

About Amergis

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school‑based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Job Category: Admin

Job Function: Admin | Customer Service Representative | Customer Service Representative

Job Type: Contract - Full Time

Setting: Healthcare Facilities

Position Type: Healthcare

Office Number: 0713

Contract Duration: 8

Pay Rate: $17 / Hour

Date Posted: 2026-09-15T14:42:39

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