1,059 prior authorization jobs at 289 companies in Florida
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Biologics & Prior Authorization Coordinator
Ocala, Florida, United States
OnsiteFull Time
MidState Skin Institute: Dermatology practice offering medical, surgical, and cosmetic skin care.
High school diploma, prior medical office/healthcare experience, knowledge of biologics and insurance prior authorizations, EMR experience, strong time-management and communication skills.
Curant Health: Provides personalized medication management and specialty pharmacy services.
3+ YOESupervise PA team; manage prior authorization requests, benefit investigations, appeals, and communications; requires state registration as a pharmacy technician and multi-year pharmacy/PA experience.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
VITAS Healthcare: Provides hospice and palliative care for end-of-life patients.
2+ YOERequires 2+ years of healthcare revenue cycle experience, high school diploma/GED, medical terminology knowledge, insurance authorization expertise, customer service, multitasking, and Microsoft Office skills.
Microsoft Outlook, Microsoft Excel, Medicare's Common Working File (CWF)
Humata Health: Automates healthcare prior authorization workflows using artificial intelligence.
3+ YOE3+ years hands-on Prior Authorization experience; familiarity with Epic, payer portals, revenue cycle; bachelor’s in Business, Healthcare Administration, or related field; strong data analysis and documentation skills; comfortable in a start-up environment.
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Washington or West Virginia or Wisconsin or Wyoming
$19-$32/hrRemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
1+ YOE1 year healthcare experience; HS/GED preferred. Processes pharmacy prior authorizations, verifies member eligibility, communicates with members/providers/pharmacies, documents PA decisions, and meets required turnaround times.
Shields Health Solutions: Integrates specialty pharmacy services into hospitals and health systems
1+ YOERequires 1+ year as a pharmacy technician, high school diploma or GED, Florida pharmacy technician license, and computer proficiency with Microsoft Office tools. PTCB or NHA certification is preferred.
Microsoft Office, Microsoft Outlook, Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Electronic Medical Records, email, database systems
Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, Florida, United States
RemoteFull Time
University of Miami: Provides higher education, academic research, and healthcare services.
2+ YOEBachelor's degree or equivalent, minimum 2 years relevant experience (oncology preferred), experience with utilization review and authorization, strong communication and coordination skills.
Authorization Representative I - BioPlus Specialty Pharmacy
St. Louis or Atlanta or Lake Mary or Indianapolis or Mason or Grand Prairie
HybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOEHS diploma/GED and 1+ year processing pharmacy prior authorizations; certified pharmacy technician and specialty pharmacy experience preferred; medical terminology and prior authorizations/appeals experience desired.
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
0.5+ YOE6 months customer service/pharmacy technician experience, high school diploma/GED, basic computer and Microsoft Office skills, pharmaceutical terminology knowledge, multitasking, confidentiality with PHI.
Microsoft Excel, Microsoft Word, Microsoft Access, Microsoft Outlook, Microsoft PowerPoint, Microsoft Visio
Nemours Children's Health: Pediatric health system providing clinical care, research, and education.
0.5+ YOERequires one year of specialized training beyond high school and at least six months of insurance authorization experience. Must coordinate authorizations, verify benefits, document records, communicate effectively, and solve payer issues.
Registered Pharmacy Technician II / Prior Authorization
Fort Myers, Florida, United States
HybridFull Time
Lee Health: Healthcare system providing hospital care and specialized medical services.
2+ YOEHigh school diploma, 2 years hospital pharmacy experience required, Florida registered pharmacy technician and CPhT/PTCB required (ExCPT may be accepted), data entry and pharmaceutical terminology knowledge.
Sarasota Arthritis Center: Provides medical diagnosis and treatment for rheumatology and autoimmune conditions.
2+ YOEHigh school diploma, 2+ years prior authorizations or infusion coordination experience, proficient with EMR, insurance portals, and Microsoft Office, strong organizational and communication skills.
Electronic Medical Records (EMR), insurance portals, Microsoft Office
IntelliRad Imaging: Physician-owned radiology group providing diagnostic and interventional services.
High school diploma or equivalent, bilingual Spanish and English, EHR proficiency, strong communication and organizational skills, and ability to manage multiple tasks in a fast-paced medical office.
Arizona or Delaware or Florida or Georgia or Idaho or Indiana or Louisiana or Missouri or New Hampshire or North Carolina or South Carolina or Tennessee or Texas or Vermont or Virginia
$45k-$52k/yrRemoteFull Time
Oshi Health: Virtual clinic specializing in gastrointestinal and digestive health care.
2+ YOE2+ years healthcare coordination experience in digital/remote settings; completed degree in a health or science field; EMR/EHR charting, Zoom/Slack/Microsoft Office proficiency; insurance and prior authorization knowledge.
Entry Level Automotive Technician - Tarpon Springs, FL
Tarpon Springs, Florida, United States
OnsiteFull Time
GoodyearNASDAQ: GT: Manufacturer of tires and provider of automotive services.
No prior experience required; must be 18+, valid driver's license, authorized to work in the U.S. Will train; HS/GED and prior automotive experience preferred.