Insurance Specialist

Prior Authorization Specialist – Revenue Cycle Management (RCM)

📍 Clearwater, FL (Onsite)

💲 $22–$23/hour (Based on Experience)

🕒 Full-Time | Temp-to-Hire

Join a Growing Healthcare Technology Organization Making a Real Impact

We are seeking an experienced Prior Authorization Specialist to join a rapidly growing healthcare technology company that is transforming the way patients recover from surgery and mobility-related conditions. This role is ideal for someone with a strong background in insurance verification, prior authorizations, revenue cycle management, and payer guidelines who thrives in a fast-paced healthcare environment.

As an EVA Specialist, you will play a critical role in ensuring patients receive timely access to care by verifying insurance coverage, securing authorizations, and supporting reimbursement processes. If you are detail-oriented, highly organized, and passionate about helping patients navigate the healthcare system, we'd love to hear from you.

Why You'll Love This Opportunity

✅ Be part of an innovative healthcare organization improving patient outcomes nationwide

✅ Stable, growing company with long-term career advancement opportunities

✅ High-impact role supporting patient access to care and reimbursement success

✅ Collaborative team environment with supportive leadership

✅ Modern office environment in Clearwater, FL

✅ Opportunity to expand your expertise within Revenue Cycle Management and healthcare operations

Key Responsibilities

• Verify and confirm patient demographics, insurance eligibility, and benefits
• Obtain and process prior authorizations and referrals as required by payers
• Ensure compliance with HIPAA, CMS, Medicaid, OIG, and other federal and state regulations
• Review and apply appropriate CPT, HCPCS, and ICD-10 coding requirements
• Ensure services meet payer-specific guidelines and authorization requirements
• Accurately complete insurance verification and authorization documentation
• Obtain single-case agreements when necessary to secure reimbursement
• Collaborate with clinical and operational teams to obtain missing documentation
• Resolve claim rejections and authorization-related issues
• Assist with additional billing and revenue cycle activities as needed

Qualifications

• 2 years of experience in Revenue Cycle Management, Insurance Verification, Prior Authorization, or Patient Access
• Strong knowledge of insurance eligibility and benefits verification
• Experience working with CPT, HCPCS, and ICD-10 coding
• Familiarity with Medicare, Medicaid, commercial payers, and authorization processes
• Experience using EMR/EHR systems and payer portals
• Excellent attention to detail and organizational skills
• Strong communication and problem-solving abilities
• Ability to manage multiple priorities in a deadline-driven healthcare environment

Preferred Experience

• Prior experience in durable medical equipment (DME), rehabilitation, orthopedic, or healthcare technology environments
• Experience resolving authorization denials and claim rejections
• Knowledge of front-end revenue cycle best practices

If you're looking for a position where you can make a meaningful impact while growing your career within healthcare operations and revenue cycle management, we encourage you to apply today.

TempExperts is an Equal Opportunity Employer.