Prior Authorization Pro: Healthcare Coverage Specialist

Nflsurgeons; Jacksonville (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Nflsurgeons is seeking a Prior Authorizations Specialist to support patients requiring insurance pre-authorization for treatments.

You will interview patients, liaise with insurance carriers and nurse managers, verify coverage, and process authorizations efficiently while maintaining privacy and accuracy.

The role requires excellent communication, strong organizational skills, and the ability to multitask in a fast-paced clinical environment. Healthcare receptionist experience is preferred.

Qualifications

• Strong verbal and written communication skills.
• Experience in healthcare receptionist is preferred.
• Attention to detail and excellent organizational abilities.

Responsibilities

• Verify patient insurance coverage and ensure visits/procedures are covered.
• Enter data accurately and update benefit information.
• Maintain patient insurance records and ensure HIPAA compliance.
• Liaise with insurance carriers and patients to resolve authorizations.

Skills

Verbal communication

Written communication

Organizational skills

Multitasking

Education

High School Diploma or equivalent

Job description

Nflsurgeons is seeking a Prior Authorizations Specialist to support patients requiring insurance pre-authorization for treatments.

You will interview patients, liaise with insurance carriers and nurse managers, verify coverage, and process authorizations efficiently while maintaining privacy and accuracy.

The role requires excellent communication, strong organizational skills, and the ability to multitask in a fast-paced clinical environment. Healthcare receptionist experience is preferred.