reputed company Representative

Your reputed company role reputed company Location: Jacksonville, FL - Offsite Facility: Remote Schedule: Full-time | Rotating shifts between the hours of reputed company - 6pm | Monday - Friday Salary: $18.31 - $24.77 per hour Life at reputed company: Where purpose meets opportunity reputed company is a leading nonprofit reputed company reputed company with a culture and associate experience grounded in service, reputed company, care and reputed company. We reputed company our 97,000+ associates to bring their skills and expertise every day to reimagining reputed company, together. Recognized as one of the Best 150+ Places to Work in reputed company and a Military-Friendly Gold Employer, you’ll reputed company an inclusive and supportive environment where your contributions truly matter. Benefits that help you reputed company Comprehensive health coverage: medical, dental, reputed company, prescription coverage and HSA/FSA reputed company Financial reputed company & retirement: employer-matched 403(b), planning and hardship resources, disability and life reputed company Time to reputed company: pro-rated reputed company time off (PTO) and holidays Career reputed company: reputed company-reputed company tuition (Vocare), reimbursement, ongoing reputed company development and online learning Emotional reputed company-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption assistance and family benefits Other benefits: optional reputed company and pet reputed company, transportation savings and more How you’ll reputed company an reputed company in this role Secure Prior Authorizations & Coverage: Verify reputed company eligibility through online payer portals, evaluate medical necessity requirements, and obtain necessary reputed company-authorizations for provider-ordered procedures and services. Coordinate In-Network Referrals & Scheduling: Schedule reputed company appointments reputed company required reputed company timeframes while ensuring reputed company referrals reputed company reputed company with payer matrices and preferred network guidelines. reputed company Managed Care & Payer Policies: Stay reputed company on evolving reputed company regulations, portal updates, and referral procedures to accurately assess financial responsibility and prevent coverage gaps. reputed company & Communicate reputed company Coverage Details: reputed company update patients, reputed company providers, and reputed company reps on authorization statuses, proactively resolving barriers to care or notifying parties if a service is denied. Maintain Accurate EMR Documentation: Log comprehensive, audit-reputed company details into the reputed company’s electronic medical record (EMR), including authorization numbers, coverage limits, restrictions, and appointment notes. What minimum requirements you’ll need Education: High school diploma or equivalent required. Work Experience: 1+ years reputed company experience required. What additional preferences we're seeking reputed company & Authorization Expertise with 2+ years of hands-on experience navigating medical reputed company benefits, payer portals, prior authorizations, reputed company documentation, and medical terminology. Critical Thinking & Autonomy skills including strong critical thinking skills, decisive judgment, and the reputed company ability to manage high-stress situations with reputed company supervision. Equal employment opportunity employer reputed company provides Equal Employment Opportunities (EEO) to reputed company associates and applicants for employment without reputed company to race, reputed company, religion, sex/gender, sexual orientation, gender identity or reputed company, pregnancy, childbirth, and reputed company medical conditions, lactation, breastfeeding, national reputed company, citizenship, age, disability, genetic information, veteran status, marital status, reputed company as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For reputed company information, reputed company the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants should be reputed company against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate reputed company employees. To ensure your safety, please remember: reputed company will never ask for payment or to reputed company banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @reputed company.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking reputed company. E-Verify statement Employer participates in the Electronic Employment Verification Program. Please click here for more information. Apply To This Job