Insurance Authorization Rep – AdventHealth West FL Imaging

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Career Development
• Whole Person & Mental Health Resources

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time Days

Shift: Monday through Friday

Location: 14055 RIVEREDGE DR, STE 250, Tampa, 33637

The community you’ll be caring for: AdventHealth West FL Imaging

• Rollover PDO with service year increases in accrual
• Comprehensive benefits package; including tuition reimbursement and matching 403b plan
• Patient facing positions receiving company paid initial sets of scrubs
• Company Discount programs
• Growing Organization
• Reimbursement for clinical position certifications

The role you’ll contribute:

Insurance Authorization Representative will work to obtain insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for patients undergoing imaging procedures at AH West Florida Imaging, Inc. Insurance Authorization Representative will work closely with all members of the physicians’ teams to assure timely and accurate authorization for both routine and stat items. This individual must possess basic clinical knowledge and terminology and must be able to effectively communicate with doctors/specialists, APPs and team members. This individual must be able to work in a fast pace, changing environment. This individual must also be able to identify problems and communicate with the members of the Revenue Cycle team (Coders, Patient Account Reps, Coding and AR Supervisors) and insurance companies in a timely manner.

The value you’ll bring to the team:

• Obtains and/or works with providers offices to obtain authorizations in a timely manner for imaging exams.
• Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program.
• Receives coverage authorization and works diligently to meet established timelines; may be required to obtain authorizations for same day procedures.
• Works closely with doctors, APPs and team members to support efforts to accomplish authorization/verification for both routine and STAT orders.
• Routinely arrange peer to peer authorizations between providers and insurance companies.

Minimum qualifications:

• High School diploma or equivalent
• 3-5 years of Insurance Verification Experience plus 1-2 years of Authorization experience OR 1-2 years healthcare experience in a clinical setting.

Preferred qualifications:

• Some education beyond High School
• Previous experience in a medical environment