Claims Specialist

Claims Specialist/Authorizations Representative – Full-Time

📍 Zephyrhills, FL

💰 $17 – $19/hr

🕘 Flexible Shifts: 7:45 AM – 4:45 PM | 8:00 AM – 5:00 PM

🏢 Fully In-Person | Multispecialty Office

About the Role

We are seeking a detail-oriented Authorizations Representative to join our multispecialty healthcare team in Zephyrhills, FL. In this fully in-person role, you will provide critical support to front-office operations, including check-in, check-out, and medical records, while managing insurance authorization and verification for both routine and STAT orders.

This position is ideal for candidates with insurance verification experience, strong organizational skills, and the ability to work flexible shifts in a fast-paced clinic and hospital environment.

Key Responsibilities

• Provide backup support for all front-office positions, including patient check-in, check-out, and medical records
• Obtain authorizations within hospital and clinic settings, accurately entering data into software programs
• Review insurance verification and complete the authorization process within established timelines
• Receive coverage authorization and meet established timelines, including same-day procedures
• Work closely with physicians and team members to accomplish authorizations/verification for routine and STAT orders
• Arrange and oversee peer-to-peer authorizations between specialists and insurance companies
• Request authorizations from insurance companies and hospital departments for specific services and care parameters
• Serve as a liaison between the clinic and hospital departments to ensure timely service provision
• Assist in correcting claim denials and help patients understand financial responsibilities
• Provide effective communication to patients, families, and healthcare professionals while maintaining confidentiality
• Adhere to all company policies and procedures and perform other duties as assigned

Qualifications & Skills

• High school diploma or equivalent (required)
• 1 years of authorization experience (required)
• 3 years of insurance verification experience (required)
• Proficiency in EMR and EPM systems (required)
• Strong knowledge of medical terminology, ICD-10, and CPT coding (required)
• Demonstrated computer proficiency, including word processing and data entry
• Ability to type 30 WPM and 10-key by touch
• Strong organizational, multitasking, and problem-solving skills
• Excellent interpersonal and communication skills
• Previous customer service experience
• Ability to adhere to strict timelines and maintain attention to detail

Compensation & Benefits

💰 $17 – $19/hr

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

• Benefits from Day One: Medical, Dental, Vision, Life, and Disability Insurance
• Paid Time Off from Day One
• 403(b) Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development Opportunities
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits
• Fully in-person role with flexible weekday shifts
• Supportive team environment in a multispecialty office
• Opportunity to gain experience across hospital and clinic operations

Apply Today

If you’re ready to advance your career in healthcare administration and play a key role in patient care, we’d love to hear from you!

Josh McCoy

📧 josh.mccoy@adeccona.com

📞 Call: 231-903-0006

📱 Text: 423-528-6053