Part-Time Authorization Specialist

Nflsurgeons; Jacksonville (FL); On-site; USD 42,000 - 54,000; 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 policy knowledge, and communicate clearly with providers and insurers.

Your work will ensure accurate, timely authorization support, navigate coverage requirements, and support care teams in coordinating treatment steps with payers while maintaining

Qualifications

• Medical office experience
• Dental office experience is relevant
• Knowledge of health insurance, verification, managed care, and policy requirements

Responsibilities

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

Skills

Health insurance knowledge

HIPAA compliance

EMR/EHR management

CPT/ICD coding

Microsoft Office

Tools

Microsoft Office

Job description

Precertification/Authorization Specialist – North Florida Surgeons, Colon and Rectal Associates.

Overview

As a Precertification/Authorization Specialist, you’ll help patients access care by coordinating insurance prior to authorization and verifying coverage. You’ll review medical records, apply health insurance policy knowledge, and communicate clearly with providers and insurers. Your impact: Accurate, timely authorization support helps patients and care teams navigate coverage requirements with greater clarity.

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 (Current Procedural Terminology), ICD-9, and ICD-10 (International Classification of Diseases) 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 (Health Insurance Portability and Accountability Act) and clinical confidentiality policies; provide responsive customer service.

Requirements

• Medical office or other 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.