Prior Authorization & Scheduling Specialist

KIDZ Medical Services; West Palm Beach (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

KIDZ Medical Services in West Palm Beach, FL seeks an energetic, dependable Authorization Specialist to complete authorizations and referrals for our medical services. You will verify insurance coverage, review patient medical histories, and coordinate with providers to ensure timely prior authorization for appointments and procedures.

You will interact with healthcare providers, insurance companies, and patients to obtain authorization information and communicate any potential delays or

Qualifications

• Completes authorizations and referrals for medical services.
• Verifies insurance coverage and reviews patient medical history.
• Monitors schedule for add-on patients and ensures prior authorization.

Responsibilities

• Verifies information provided by referring physicians and verifies insurance coverage.
• Analyze patient records and insurance policies to determine if procedures, treatments, or medications require prior authorization.
• Ensure patients are eligible for services and that insurance benefits are accurate.
• Interacts with healthcare providers, insurance companies, and patients to obtain and provide information needed for authorization decisions.
• Notify providers of potential coverage options.
• Complete billing documentation.
• Monitors the schedule for add-on patients to ensure prior authorization is obtained before appointments or procedures.
• Remain informed about healthcare industry regulations, trends and insurance policies.

Job description

KIDZ Medical Services in West Palm Beach, FL seeks an energetic, dependable Authorization Specialist to complete authorizations and referrals for our medical services. You will verify insurance coverage, review patient medical histories, and coordinate with providers to ensure timely prior authorization for appointments and procedures.

You will interact with healthcare providers, insurance companies, and patients to obtain authorization information and communicate any potential delays or