Clinical Authorization Specialist HFMG - Oncology
2 days ago
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OnsiteFull-timeEntry
Summary
Health First is seeking a Clinical Authorization Specialist HFMG - Oncology to join their team in Melbourne, FL. The role involves reviewing insurance benefits, submissions for authorizations, and creating cost estimates.
About the Role
As a Clinical Authorization Specialist, you will be responsible for gathering prior authorizations, contacting insurance companies for revisions, submitting clinical documentation, entering authorization information into systems, identifying insurance trends, processing referrals, reviewing coding for compliance, and providing information to patients.
About You
Required:
- Technical Diploma in Practical Nursing.
- Two years of experience in healthcare.
- Licensed Practical Nurse (LPN) licensure in the State of Florida.
- Proficient in Microsoft Office – Outlook, Word, Excel, PowerPoint.
- Working knowledge of managed care and insurance programs.
- Ability to work autonomously with minimal supervision.
- Ability to prioritize and organize to maximize quality, value, and service.
- Ability to adapt to a potentially rapidly changing environment or work process.
- Excellent teamwork and collaboration skills.
Preferred:
- Previous Medical Coding experience in ICD-9, ICD-10, CPT, and HCPCS.
Benefits
- Full-time schedule with shift times from 8:00 AM to 5:00 PM.
- Diversity and inclusion culture that encourages and respects diverse voices.
Health First
Health First is Central Florida's only fully integrated health system. With a mission to positively change the wellness and health of the communities we serve, Health First offers the latest technological advances and quality care at our four hospitals and through our many Outpatient & Wellness Services, as well as the area's only Trauma and Heart Centers. Health First also offers multiple commercial and Medicare health plans, the largest multi-specialty physician group in Brevard County, and a fitness center to help members of our community stay healthy.
Melbourne, FL