What are the responsibilities and job description for the CMN / Prior Authorizations Representative position at JCR MEDICAL EQUIPMENT?
We are seeking a detail-oriented and dependable CMN / Prior Authorization Representative to join our growing healthcare team. This position is responsible for coordinating Certificates of Medical Necessity (CMNs) and obtaining prior authorizations for durable medical equipment (DME), while providing excellent customer service to patients, providers, and insurance companies.
Responsibilities:
• Verify, process, and track Certificates of Medical Necessity (CMNs)
• Ensure CMNs are accurate, complete, signed, and submitted timely
• Obtain and manage prior authorizations from insurance carriers
• Follow up with providers and insurance companies regarding missing documentation
• Maintain accurate records of authorization status and documentation
• Respond to inquiries related to CMN and prior authorization processes
• Provide professional and courteous customer service
• Assist with audits and quality assurance as needed
Qualifications:
• High school diploma or GED required
• Healthcare or medical office experience preferred
• Knowledge of CMN and prior authorization processes strongly preferred
• Customer service experience required
• Strong attention to detail and organizational skills
• Excellent verbal and written communication skills
• Proficient in Microsoft Office and healthcare software systems
Benefits:
• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401(k) Retirement Plan
Physical Requirements:
• Prolonged sitting and computer use
Background Screening Notice: This position requires a Level 2 background screening through the Florida Agency for Health Care Administration (AHCA). Applicants may review screening requirements by visiting: https://info.flclearinghouse.com
Monday thru Friday 9:00 AM - 5:00 PM
Weekends as needed.
Salary : $18 - $21