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Revenue Cycle Authorization & Eligibility Specialist (RCM)

Clearwater, FL 33759

Posted: 03/02/2026 Job Number: 15983 Pay Rate: 23.00

Job Description

Pay: $23.00 per hour
Position Type: Contract-to-Hire
Location: Clearwater, FL (Onsite)

About the Opportunity
We are representing an innovative medical technology organization that is transforming the way rehabilitative care is delivered. Through advanced telehealth solutions and proprietary medical technology, this organization provides in-home recovery programs designed to improve patient outcomes, increase compliance, and accelerate healing.
As the company continues to expand into new clinical markets, they are growing their Revenue Cycle Management team and seeking a detail-oriented professional to support eligibility verification and prior authorization functions.
This is an exciting opportunity to join a forward-thinking healthcare organization during a high-growth phase.
Why You’ll Love This Opportunity
  • Work with a company revolutionizing in-home rehabilitation care
  • Join a collaborative and expanding Revenue Cycle team
  • Play a high-impact role that directly affects reimbursement and revenue integrity
  • Contract-to-hire opportunity with long-term potential
  • Growth opportunities within Revenue Cycle and healthcare operations
  • Stable weekday schedule in a professional corporate environment
  • Meaningful work that supports improved patient recovery outcomes

Position Overview
The Revenue Cycle Authorization & Eligibility Specialist plays a key role in front-end revenue cycle operations. This individual ensures accurate, compliant, and timely verification and authorization of services delivered through a remote rehabilitation platform.
The ideal candidate has hands-on experience in eligibility verification, payer guidelines, CPT/ICD coding, and electronic health systems, along with the ability to thrive in a deadline-driven healthcare environment.
Key Responsibilities
  • Verify and confirm patient demographics (name, address, date of birth)
  • Check insurance eligibility and benefit details
  • Confirm insurance referrals and prior authorizations as required
  • Ensure compliance with HIPAA, CMS, Medicaid, OIG, and other state/federal regulations
  • Assign appropriate CPT, HCPCS, and ICD-10-CM codes to services
  • Ensure services align with governmental and third-party payer guidelines
  • Accurately complete and process insurance verification and authorization documentation
  • Obtain single case agreements when required to secure reimbursement
  • Collaborate with internal teams to obtain missing or incomplete documentation
  • Resolve claim rejections and assist with resubmissions
  • Support additional billing and revenue cycle duties as needed

Qualifications
  • Experience in front-end Revenue Cycle Management (RCM)
  • Working knowledge of CPT, HCPCS, and ICD-10-CM coding
  • Familiarity with payer guidelines and authorization requirements
  • Experience with electronic health record (EHR/EMR) systems
  • Strong attention to detail and documentation accuracy
  • Ability to work in a fast-paced, deadline-driven healthcare environment
  • Excellent communication and organizational skills

Ideal Candidate Profile
  • Proactive in preventing denials before services are rendered
  • Compliance-focused and detail-oriented
  • Comfortable communicating with insurance payers
  • Strong problem-solving skills
  • Team-oriented with the ability to work independently

 

Additional Information

If interested please apply online or call 727.210.7855.
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About Clearwater, FL

Ready to embark on a new career adventure in beautiful Clearwater, Florida? This vibrant coastal city offers not only stunning beaches and year-round sunshine but also a thriving job market with endless opportunities for growth and development. Imagine working steps away from the iconic Clearwater Beach, indulging in delicious seafood at local eateries, and enjoying performances at the renowned Ruth Eckerd Hall. From the cultural scene in downtown St. Petersburg to cheering on the Tampa Bay Buccaneers at Raymond James Stadium, this area has something for everyone. Begin your job search today and discover why Clearwater, Florida, is the perfect place to take your career to the next level.