Insurance Authorization Specialist

COASTAL ORTHOPEDICS & SPORTS MEDICINE•Bradenton, FL

3h•Onsite

About The Position

Build a rewarding career with Coastal Orthopedics—where your expertise helps patients receive the care they need, when they need it most. At Coastal Orthopedics, we believe exceptional patient care starts with an exceptional team. As an Insurance Authorization Specialist, you’ll play a key role behind the scenes by helping patients navigate the insurance process smoothly and efficiently while supporting our physicians and clinical staff every step of the way. If you’re detail-oriented, compassionate, and thrive in a fast-paced medical environment, we’d love to meet you.

Requirements

At least 1 year of experience in a medical office setting handling insurance authorizations and verifications, including workers’ compensation.
Working knowledge of NextGen or a similar EMR system.
Strong understanding of medical terminology and insurance terminology.
Excellent organizational, communication, and problem-solving skills.

Responsibilities

Coordinate and secure insurance pre-authorizations and referrals for elective, urgent, and emergent procedures.
Verify in-network and out-of-network provider status and process authorizations accordingly.
Determine estimated patient financial responsibility for imaging and durable medical equipment services.
Investigate and resolve authorization and referral issues quickly and accurately.
Maintain organized documentation and manage workflow tasks within the NextGen EMR system.
Research insurance guidelines and coverage requirements to support timely patient care and reimbursement.