- Review and evaluate preauthorization requests for orthopaedic procedures and treatments, ensuring completeness and accuracy of documentation.
- Verify patient insurance coverage and eligibility for requested services.
- Collaborate with healthcare providers to gather necessary medical records and supporting documentation.
- Communicate with insurance companies to obtain preauthorization approvals or address any additional information or documentation requirements.
- Maintain accurate and up-to-date records of preauthorization requests, approvals, and denials.
- Educate healthcare providers on preauthorization requirements and assist in resolving any preauthorization-related issues or concerns.
- Stay updated on insurance industry regulations, policies, and guidelines related to orthopaedic preauthorization.
- Prior experience in orthopaedic preauthorization or medical insurance verification preferred.
- Strong knowledge of orthopaedic procedures, treatments, and medical terminology.
- Familiarity with insurance coding systems (e.g., CPT, ICD-10) and insurance claim processes.
- Excellent attention to detail and ability to analyze complex medical documentation.
- Strong communication skills, both written and verbal, with the ability to effectively interact with healthcare professionals, insurance companies, and patients.
- Proficient computer skills, including experience with electronic medical record (EMR) systems and preauthorization software.
- Ability to work independently and as part of a team, managing multiple priorities and meeting deadlines in a fast-paced environment.
- Commitment to maintaining patient confidentiality and adhering to HIPAA guidelines.
-
Pre-Authorization Specialist
2 weeks ago
Orthopaedic Associates Fort Walton Beach, United StatesJob Description · Job Description · We are seeking a highly motivated and detail-oriented individual to join our dynamic healthcare team as an Orthopaedic/Spine Preauthorization Specialist. In this position, you will play a crucial role in ensuring the smooth and efficient oper ...
-
Pre-Authorization Specialist
3 weeks ago
Orthoassociates Niceville, United StatesWe are seeking a highly motivated and detail-oriented individual to join our dynamic healthcare team as an Orthopaedic/Spine Preauthorization Specialist. In this position, you will play a crucial role in ensuring the smooth and efficient operation of our Preauthorization Departme ...
-
Pre-Authorization Specialist
2 weeks ago
Orthopaedic Associates (Niceville) Niceville, United StatesJob Description · Job DescriptionWe are seeking a highly motivated and detail-oriented individual to join our dynamic healthcare team as an Orthopaedic/Spine Preauthorization Specialist. In this position, you will play a crucial role in ensuring the smooth and efficient operation ...
-
Customer Service Specialist
2 weeks ago
AdaptHealth LLC Fort Walton Beach, United StatesJob Description · Job DescriptionDescription:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting ...
-
Customer Service Specialist
2 weeks ago
AdaptHealth LLC Fort Walton Beach, United StatesJob Description · Job DescriptionDescription:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting ...
-
Customer Service Specialist
2 weeks ago
AdaptHealth LLC Fort Walton Beach, FL, United States: · AdaptHealth Opportunity - Apply Today At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about ...
-
Medical Referrals Specialist
2 weeks ago
Orthopaedic Associates (Niceville) Fort Walton Beach, United StatesJob Description · Job DescriptionReferral specialists are responsible for ensuring patients are already cleared for specialty service office visits. They resolve registration, pre-certification, and case-related affairs before the client's appointment. Also, they give support to ...
-
DVOP Government Operations Consultant II
1 week ago
State of Florida Fort Walton Beach, United StatesRequisition No: 829441 · Agency: Commerce · Working Title: DVOP GOVERNMENT OPERATIONS CONSULTANT II · Pay Plan: Career Service · Position Number: · Salary: $42,776.81 · Posting Closing Date: 05/24/2024 · Total Compensation Estimator Tool · JOB TYPE: FULL TIME/ CS · POSITION LOC ...
-
dvop government operations consultant ii
1 week ago
MyFlorida FORT WALTON BEACH, United StatesDVOP GOVERNMENT OPERATIONS CONSULTANT II · Date: May 15, 2024 · Location: · FORT WALTON BEACH, FL, US, 32547 · The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website \_operations/human\_resource\_management/for\_job\_applicants/ ...
-
Medical Referrals Specialist
3 weeks ago
Orthopaedic Associates (Niceville) Fort Walton Beach, United StatesReferral specialists are responsible for ensuring patients are already cleared for specialty service office visits. · They resolve registration, pre-certification, and case-related affairs before the client's appointment. · Also, they give support to clinical staff to manage the ...
-
Gastroenterology Technologist
3 weeks ago
Surgical Care Affiliates Fort Walton Beach, United StatesOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and healt ...
-
Store Customer Service Specialist
3 weeks ago
The Sherwin-Williams Company Fort Walton Beach, United States· This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Servic ...
-
Gastroenterology Technologist
3 weeks ago
Surgery Care Affiliates Fort Walton Beach, United StatesOverview · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and hea ...
-
Surgery Coordinator
2 weeks ago
Northwest Florida ENT Fort Walton Beach, United StatesBenefits: · 401(k) matching · Company parties · Competitive salary · Dental insurance · Employee discounts · Free uniforms · Health insurance · Opportunity for advancement · Paid time off · Vision insurance · Northwest Florida ENT · Full Job Description: The Surgical Coordinator ...
-
Travel Psychology in Fort Walton Beach, FL
1 week ago
VieMed Healthcare Staffing Fort Walton Beach, United StatesVHS is looking for an experienced Psychologist with mental and behavioral health experience for an opportunity in Fort Walton, FL Be the Best Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job satisfaction our Employe ...
-
Surgery Coordinator
3 weeks ago
Northwest Florida ENT Fort Walton Beach, United StatesBenefits: · 401(k) matching · Company parties · Competitive salary · Dental insurance · Employee discounts · Free uniforms · Health insurance · Opportunity for advancement · Paid time off · Vision insurance · Northwest Florida ENT · Full Job Description: The Surgical ...
-
Registered Nurse Pre Assessment Testing
3 weeks ago
Surgical Care Affiliates Fort Walton Beach, FL, United StatesRegistered Nurse Pre Assessment Testing - Emerald Coast Surgery Center · Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates cre ...
-
Store Customer Service Specialist
3 days ago
The Sherwin-Williams Company Fort Walton Beach, United StatesThis is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service S ...
-
adult protective investigator
22 hours ago
My Florida Corp Defunct Fort Walton Beach, United StatesADULT PROTECTIVE INVESTIGATOR · Date: May 8, 2024 · Location: · FORT WALTON BEACH, FL, US, 32547 CRESTVIEW, FL, US, 32536 · The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ) . · Requisition No: 821676 · Agency: Children and ...
-
adult protective investigator
1 week ago
My Florida Corp Defunct Fort Walton Beach, United StatesADULT PROTECTIVE INVESTIGATOR · Date: May 8, 2024 · Location: · FORT WALTON BEACH, FL, US, 32547 CRESTVIEW, FL, US, 32536 · The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ) . · Requisition No: 821676 · Agency: Children and ...
Pre-Authorization Specialist - Fort Walton Beach, United States - Orthopaedic Associates
3 weeks ago
Description
We are seeking a highly motivated and detail-oriented individual to join our dynamic healthcare team as an Orthopaedic/Spine Preauthorization Specialist. In this position, you will play a crucial role in ensuring the smooth and efficient operation of our Preauthorization Department. You will be responsible for reviewing and processing preauthorization requests for Orthopaedic, Imaging, Surgery, Pain Management, and Spine procedures and treatments, working closely with healthcare providers, insurance companies, and patients to ensure timely approvals.
Responsibilities:
Qualifications: