Now Hiring - Gastro Florida - Healthcare Authorizations Specialist/Insurance Advisor in Pinellas Park, FL

Full description of the position

Authorization Specialist/Front Office Support

We are seeking a competent, conscientious, service-oriented individual with strong character to work in one our gastroenterology medical offices in St. Petersburg as an Authorization Specialist. This individual will be responsible for insurance verification functions, obtaining referrals and prior authorizations for medical outpatient office visits and procedure services and providing front office support. He/She will work under the direction of the division's Practice Manager or his/her designee.

Minimum Requirements:
High school graduate with 2 years of medical office experience, including at least 1 year in a specialty practice performing in the role of Authorization Specialist, Prior Authorization Specialist, Insurance Verification Specialist with medical receptionist experience utilizing EMR/practice management systems. Must have the ability to multitask, take initiative, and work in a fast-paced medical environment.

Criminal background and drug screening required as well as excellent professional references.

Some openings will require Spanish fluency.

Role:
Authorization & Referrals
- Perform insurance verification and provider participation with insurance carriers.
- Reviews referrals for completeness and follows up for additional information if necessary.
- Processing on a timely basis, requests for services and/or procedures requiring prior authorization as received from physician’s and/or other medical offices.
- Telephoning, faxing or otherwise communicating with insurance carriers and referring physicians for purposes of obtaining approval for services requiring pre-certification and/or prior authorization.
- Tracking through electronic and/or other means the number, nature status of referrals received on a daily, weekly, or other basis as may be required for quality assurance and/or other internal review purposes.
- Enters referrals, authorizations and supporting documentation into the medical record following established policy and procedures.

Front Office Support

Check-in

- Greet and arrive all patients in a courteous manner.

- Ensure patients complete the required documentation and their information (insurance, demographic, etc) is current in the medical record.

- Enter appropriate data into EMR.

- Perform insurance verification in practice management system.

- Collect any patient copayments and balances.

Check-out

- Inquire if patient has any more questions from their visit. Alert supervisor if service recovery needed.

- Collect any co-insurance or balances not collected during check-in.

- Schedule follow-up appointments.

Scheduling

- Schedule office appointments.

- Respond to requests for medical records or other forms to be completed by providers.

- Recommend actions and strategies to improve patient access.

Additional Billing/Telephone

- Patient registration functions if scheduling new patient.

- Charge capture of physician services as necessary.

- Maintain current with HIPAA and other compliance training.

- Reconcile daily charges and payments received; and prepare daily bank deposit.

- Assist in collection efforts.

- Triage incoming phone calls in an effective manner.

Other Duties as Assigned

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Gastro Florida is the largest gastroenterology group in Tampa Bay with over 25 practices located in Hillsborough, Pinellas, Polk and Pasco counties and growing. The corporate headquarters (CBO) is located in beautiful Feather Sound (Clearwater). We are dedicated and working hard to become the best place to work and providing every team member the opportunity to be part of something bigger than just a job.

The group offers GI diagnostic strategies, colon cancer prevention, nonsurgical cancer intervention, nutrition consultations, remote monitoring, ancillary services and the latest groundbreaking therapies, including clinical research, to provide an integrated patient experience powered by our dedicated team members.

Gastro Florida is committed to Affability, Affordability, Access, Answers, and Accuracy.

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Contract type:

• Permanent

Weekly day range:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• medical office: 2 years (Required)
• Specialty office: 1 year (Required)
• eClinicalWorks: 1 year (Preferred)
• Health Insurance Verification Specialists: 1 year (Required)

Work Location: One location