Prior Authorization Navigator

North Florida Surgeons, P.A.; Jacksonville (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

North Florida Surgeons, P.A. is seeking a Prior Authorizations Specialist to assist patients requiring insurance carrier pre-authorization. You will interview patients, assess medication needs, and liaise with insurers and nurse managers for approvals.

This role emphasizes accuracy, HIPAA compliance, and strong communication as you verify coverage, enter benefits data, and provide clear information to patients about their plans.

Qualifications

• Requires high school diploma or equivalent.
• Healthcare receptionist experience preferred.
• Excellent verbal and written communication skills.
• Strong organizational and multitasking abilities.

Responsibilities

• Verifies patient insurance coverage and ensures visits/procedures are covered.
• Enters data accurately and updates patient benefit information.
• Liaises with insurance companies and nurse managers for prior authorization.
• Maintains patient insurance records with meticulous attention to detail.
• Communicates with patients about coverage and upcoming authorizations.
• Complies with HIPAA confidentiality standards when handling patient information.
• Performs other duties as assigned by supervisor, manager or physician.

Skills

Verbal communication

Written communication

Organization

Multi-tasking

Education

High School Diploma or Equivalent

Job description

North Florida Surgeons, P.A. is seeking a Prior Authorizations Specialist to assist patients requiring insurance carrier pre-authorization. You will interview patients, assess medication needs, and liaise with insurers and nurse managers for approvals.

This role emphasizes accuracy, HIPAA compliance, and strong communication as you verify coverage, enter benefits data, and provide clear information to patients about their plans.