Prior Authorization Representative
Winning Assistants
Winning Assistants is recruiting a Prior Authorization Specialist to process insurance authorizations efficiently. The role demands at least 1 year of experience in medical billing or prior authorizations, strong communication skills, and familiarity with EMR/EHR systems.
Responsibilities include verifying eligibility for insurance coverage, submitting requests, and maintaining documentation. This is a remote position requiring proficiency in English.
#J-18808-Ljbffr- ...when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients’ prior-authorizations for procedures and tests as needed Follows guidelines established...SuggestedFull timeWork at officeMonday to Friday
- ...looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients... ...insurance companies are paid in a timely fashion Initiates prior authorization for all procedures requested by staff, providers, and or...SuggestedShift work
- ...inquiries. Perform refill reminder calls under the supervision of a pharmacist. Resolve insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance. Ensure appropriate documentation in all required systems...SuggestedWork at officeLocal areaRemote work2 days per week1 day per week
- ...medical terminology and common diagnostic/procedural visit types. Experience with insurance verification, referrals, and prior authorization workflows. Bilingual skills (as applicable to patient population). Freeman Perks and Programs For eligible full time...SuggestedFull timePart timeWork experience placementWork at officeFlexible hours
- ...remote Customer Service (Phone) Pharmacy Representative. You will handle inbound and outbound... ...providing information on copays, benefits, prior auths, and other pharmacy program... ...the tracking system, assists with prior authorizations, appeals, and coverage determinations,...SuggestedRemote workMonday to Friday
- ...Position: Prior Authorization Representative Location: Clay Center, KS Job Id: 804 # of Openings: 1 Prior Authorization Representative Summary Responsible for reviewing scheduled patient services to determine prior authorization requirements and obtaining approvals. Provides...
$22 - $24 per hour
...to ensure the timely retrieval of necessary patient information (e.g.,face sheets, Prior Authorizations) required for accurate and prompt billing. Act as a professional representative of Falck when interacting with external partners and agencies. Documentation Integrity...Hourly payWork at officeLocal areaMonday to Friday- ...relationships with HCPs and office staff Utilize data, insights, and reporting tools to drive performance Navigate and support prior authorizations (PA) and pharmacy pull-through processes Consistently meet or exceed sales targets while operating within compliance...Work at office
$115k - $150k
...Strong account based selling skills with demonstrated success in prior sales roles Working knowledge of strategies and tactics to pull-through local formulary wins. Understanding of prior authorization process and experience partnering with key healthcare providers and...Work at officeLocal area- ...Experience in respiratory/allergy or other healthcare sales. Familiarity with managed care, formularies, retail pharmacy operations, prior authorization processes. Strong presentation, influencing and business planning skills. Self‑starter with attention to detail and ability...Local areaNight shift
- ...necessary. Familiarity with; Managed Care Plans, Insurance Formularies, Retail Pharmacies (understanding prescription processing, prior authorizations etc.) Why GSK? Our values and expectations are at the heart of everything we do and form an important part of our culture....Live inWork at officeLocal areaRemote workNight shift
- ...Coverage Determination Representative As one of the largest and most respected specialty... ...gathering all information required on an authorization, completing, and submitting the authorization... .... Responsibilities Obtain prior authorizations; initiate requests, track...
- ...Prior Authorization Representative Complex Authorizations The Prior Authorization Representative will manage authorization requests for specialty medications and help ensure cases move efficiently through the insurance approval process. The ideal candidate will have...Contract workWork at officeLocal areaRemote work
- ...EDI Representative It is an exhilarating time of growth for USPh, and we are hiring a Patient Account... ...data elements, insurance verification, authorization for services, and collections for all patient portions, including prior balances. Responsibilities: Work...Work at office
- ...Insurance Benefits Coordinator Coordinates insurance benefits verification and secures prior authorizations for surgical procedures, diagnostic testing, medications, referrals, and related services. Interprets payer-specific authorization requirements and ensures compliance...Daily paidFull timeTemporary workPart timeWork at officeFlexible hoursShift work
- ...Practice Representative The Practice Representative serves as a key liaison between Georgia Eye Institute (GEI) and its patients... ...record (EHR) system. Process and manage referrals, authorizations, and prior approvals as required. Assist in patient check-in and...Work at office
$20.5 - $27.59 per hour
...BILH Practice Representative When you join the growing BILH team, you're not just taking a job, you're making a difference in people... ...and utilizing hospital computer systems. Confirms prior authorizations, referrals and pre-certifications for patient's insurance...Hourly payFull timeWork experience placementMonday to FridayShift work- ...Medicare Operations Representative As a Medicare Operations Representative, you will process Medicare coverage requests such as prior authorizations, drug exceptions, and appeals through both phone and fax channels. Working in a fast-paced, highly regulated environment...
$18.15 - $22.69 per hour
...Authorization Representative I Location: 700 Broadway, Denver, CO 80203 Hybrid 1: This role requires associates to be in-office 1 day per week... ...and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and...Work at officeLocal area1 day per week- ...our remote team. In this role, you will be on the front lines of patient care, processing coverage-related requests such as prior authorizations, coverage determinations, and appeals. You will work closely with members, prescribers, and clinical pharmacists to ensure cases...Remote work
$20 - $22 per hour
...Prior Authorization Representative Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary - Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance...Hourly payWork at office$17 - $28.46 per hour
...Benefits Verification Representative At CVS Health, we're building a world of health around every consumer and surrounding ourselves... ...Benefits experience. - Previous experience working with Prior Authorizations. - Experience with various insurance plans offered by...Hourly payFull timeContract workWork experience placementWork at officeLocal areaWork from homeFlexible hours- ...Operations Representative II About the Role We are seeking a remote Operations Representative II to support Medicare members and... ...providers by processing coverage-related requests (e.g., prior authorizations, appeals) via phone and fax. In this fast-paced role, you...Remote work
- ...Description Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and preregistration of the patient for a positive customer...Work at officeRemote work
- ...Front Office Representative Southwest Behavioral and Health Services is seeking a dedicated and empathetic Front Office Rep who... ...be responsible for processing medication refill requests, prior authorizations, and lab results. In addition, manages prescriber schedules...Full timeTemporary work
- ...Health Care Representative The Health Care Representative will support medical office operations by actively performing... ...a computerized information system; current or prior experience obtaining/checking authorizations; experience scanning documents and handling a multi...Work experience placementWork at office
- ...procedures, tests, surgeries, etc. Answers phone calls and/or inquiries from insurance carriers or other parties to assist in the prior authorization for scheduled procedures as necessary. Performs the precertification process for scheduled procedures as necessary,...
$20.5 - $27.59 per hour
...Practice Representative When you join the growing BILH team, you're not just taking a job, you're making a difference in people... ...accurate and confidential patient information Confirm prior authorizations, referrals, and pre-certifications as needed Provide occasional...Hourly payFull timeWork experience placementMonday to FridayShift work- ...agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to...Full timeWork at office
- ...scheduling, screening, and confirming medical appointments using a computerized information system; current or prior experience obtaining/checking authorizations; experience scanning documents and handling a multi-line phone system. Equal Employment Opportunity...Work experience placementWork at office
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