Jobs in Crystal river fl

Last updated: 7 hours ago

Insurance Verification & Authorization Specialist (on-site)

PedIM HealthcareCrystal River, Florida, United States, 34428

Full-time

Quick Apply

Work From Home Product Tester – $25-$45/hr – No Experience Needed

OCPAHomosassa Springs, Florida, us

Remote

Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

Uber Eats Seasonal Delivery - Driver

Uber eatsCrystal River, FL, US

Full-time +1

Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your... Show more

Work From Home Product Tester – $25-$45/hr – No Experience Needed

OCPAHomosassa, Florida, us

Remote

Part-time +1

92F Petroleum Supply Specialist

Army National GuardCrystal River, FL

Part-time

Fuel is one of the most vital components of the Army National Guard.It’s what keeps Soldiers pushing onward, and as a Petroleum Supply Specialist, you’ll make sure they’ll never run out.In this pos... Show more

Weekend Sign Installer

Mark Bray Enterprises - Weekend Directional ServiceBeverly Hill, FL, US

Full-time

Quick Apply

Weekend Sign Installer  Are you looking for a flexible way to earn extra income on the weekends—and potentially grow it into your own small business?  Applicant should live in or ne... Show more

Get Paid to Test Products at Home – Flexible Hours, Weekly Pay

OCPABeverly Hills, Florida, us

Part-time +1

Before and/or After School Site Supervisor

YMCA of the SuncoastLecanto, FL, USA

Full-time

Quick Apply

Before and/or After School Site Supervisor.Youth Development Specialists, Support Staff, and Volunteers.The Youth Development Program Site Director is responsible for the administration, leadership... Show more

Paid Product Tester

Product Review JobsCRYSTAL RIVER, FL, US

Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

Earn up to $25 per survey Online Survey Taker

Earn HausBeverly Hills, Florida, United States

Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

Maintenance Technician

Sibex, Inc.Crystal River, Florida, United States

Full-time

Quick Apply

At Power Designers Sibex, we’re redefining industrial energy solutions.Under new leadership, we’re building a culture of innovation, collaboration, and excellence.Join us and be part of a team that... Show more

Remote Customer Product Specialists – Entry Level

GLHomosassa Springs, Florida

Remote

Full-time

We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market. Show more

Patient Care Assistant

Crystal River Health And Rehabilitation CenterCrystal River, FL, US

Full-time

Join Our Family: Start Your Healthcare Journey (Free CNA Training!).Are you looking for more than just a job? Do you have a natural gift for helping others? At.We are looking for compassionate.Pati... Show more

Remote Corporate Development Associate - AI Trainer ($50-$60 per hour)

Data AnnotationPine Ridge, Florida

Remote

Full-time +1

DataAnnotation is committed to creating high-quality AI.Join our team to help train the next generation of AI while enjoying the flexibility of remote work and the freedom to set your own&nbsp... Show more

House Sitter

HouseSitter.comCrystal River, Florida, USA

Full-time

Hello, I'm John, a homeowner in Crystal River, Florida, and I'm looking for a reliable house sitter to help take care of my property while I'm away.The position offers a generous pay ra... Show more

Business to Business Sales Representative – SicknWell

QUICK CARE MED P LCrystal River, Florida, United States, 34428

Full-time

Quick Apply

We’re looking for motivated, results-driven sales professionals to help expand SicknWell, an innovative healthcare benefit designed for today’s workforce.SicknWell is a powerful alternative—or comp... Show more

Customer Service Representative - Remote - 50k-60k/Year

Spade Recruiting USAHomosassa Springs, Florida

Remote

Full-time

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day pr... Show more

Work From Home Product Tester – $25-$45/hr – No Experience Needed

OCPABeverly Hills, Florida, us

Remote

Part-time +1

Personal Banker - Crystal River

GTE FinancialCrystal River, FL, United States

Full-time

Come join our GTE Financial team! We are looking for a customer-focused individual to join our team.The Member Relationship Officer will ensure members' needs are achieved by conducting a thorough ... Show more

Insurance Verification & Authorization Specialist (on-site)

PedIM HealthcareCrystal River, Florida, United States, 34428

3 days ago

Job type

Full-time

Quick Apply

Job description

Description:

Position Summary

The Insurance Verification & Authorization Specialist is responsible for verifying patient insurance coverage, eligibility, and benefits to ensure a seamless billing and authorization process. This role involves securing prior authorizations, obtaining referrals when necessary, and documenting insurance details in the system. The specialist collaborates with various departments to ensure compliance with payer guidelines and maintains accuracy in patient records.

Essential Duties and Responsibilities

Verify patient insurance eligibility, benefits, and coverage status with insurance providers.
Secure prior authorizations and referrals in accordance with payer contract requirements.
Accurately document patient insurance details, including policy numbers, group numbers, copays, deductibles, and coinsurance, in the Practice Management (PM) system.
Maintain and update an internal list of insurance carriers requiring authorization.
Perform account audits to ensure all necessary authorizations are secured.
Ensure compliance with medical necessity requirements as per Centers for Medicare & Medicaid Services (CMS) standards.
Identify patients requiring Medicare Advance Beneficiary Notices of Noncoverage (ABNs).
Assist the Business Office in obtaining retro-authorizations when needed.
Follow escalation procedures for missing authorizations and proactively communicate with stakeholders to prevent payment delays.
Maintain strict patient confidentiality and comply with HIPAA regulations.
Perform other duties as assigned.

Requirements:

Qualifications and Requirements

Technical Skills:

Proficiency in Electronic Health Records (EHR) and Practice Management (PM) systems, including eClinicalWorks (ECW).
Strong understanding of government and private payer billing regulations.
Familiarity with healthcare coding systems and clinic operations.

Soft Skills:

Excellent customer service, organizational, and communication skills.
Ability to manage multiple tasks, meet deadlines, and work efficiently in a fast-paced environment.
Strong problem-solving and analytical skills.
Ability to work independently while collaborating effectively with patients, providers, and insurance companies in a professional and empathetic manner.

Preferred Knowledge & Abilities

In-depth understanding of insurance verification, contract benefits, and medical terminology.
Accuracy in data entry while maintaining information integrity.
Experience with government and third-party payer guidelines (Medicare, Medicaid, managed care, and commercial insurance).
Ability to train and support colleagues in insurance verification processes.
Commitment to service excellence and high-quality patient care.

Education:

High school diploma or equivalent (GED) required.

Experience:

Minimum of one year of experience in a medical or billing environment.
Knowledge of medical terminology preferred.

This role requires strong attention to detail, a proactive approach, and the ability to navigate the complexities of insurance verification while ensuring compliance with industry regulations. If you have a passion for patient care and expertise in insurance verification, we encourage you to apply!

PM20

Compensation details: 16-18 Hourly Wage

PI3fefb0154d07-26276-37251115