Average salary: $79,107 /yearly
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$150k - $250k
...Equipment, CPM/CPE, Machinery Breakdown, ALOP/DSU) within delegated authority. Negotiate terms, conditions, and pricing to ensure... ...employment visas. Recruitment agencies: All resumes submitted without prior HR authorization will be considered unsolicited. HDI Global...SuggestedTemporary workLocal areaVisa sponsorshipWork visaFlexible hours$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
Atlanta, GA7 days ago- ...growing and we have an immediate need for an Insurance Verification/Authorization Specialist. This position will be responsible for pre-... ...The right person will demonstrate: ~ Proven prior relevant experience including ~ Insurance Verification ~ Prior...SuggestedWork at officeImmediate startWeekend work
ATLii & John C. Lipman
Smyrna, GA4 days ago - ...Jack Hughston Memorial Hospital in Columbus, Georgia, is seeking a qualified individual to complete the precertification and prior authorization process for surgical procedures and tests. This role involves communicating approvals and denials effectively to medical staff...Suggested
Jack Hughston Memorial Hospital
Columbus, GA2 days ago - ...Serve as a liaison with insurance carriers and providers to resolve claims issues and aid with the appeals process. Assist with prior authorizations, ID card requests, and network searches. Ensure accurate and up-to-date records by updating system(s) with employee...SuggestedTemporary workWork at officeLocal areaRemote workFlexible hours
Patriot Growth Insurance Services
Atlanta, GA5 days ago - ...PruittHealth is seeking an Authorization Specialist in Norcross, GA to ensure timely and authorized healthcare services for patients. The specialist will engage in insurance coverage verification, prior authorization processes, and collaboration with various stakeholders...Suggested
PruittHealth
Peachtree Corners, GA2 days ago - ...Georgia Pain and Spine Care in Stockbridge, Georgia, is seeking a Prior Authorization Coordinator to ensure timely and accurate processing of insurance authorizations. The role involves collaborating with clinical teams and managing documentation to support patient care...Suggested
Georgia Pain and Spine Care
Stockbridge, GA3 days ago - ...Complete the precertification and prior authorization process by calling insurance companies, adjusters, and patients. Communicate the approval or denial of surgeries and/or tests effectively to physicians, physicians' staff, and patients. Complete accuracy checks between...SuggestedFull time
Jack Hughston Memorial Hospital
Columbus, GA2 days ago - ...clinical documentation for insurance review Manage daily work queues and maintain workflow organization Initiate and obtain prior authorizations Upload clinicals and secure approvals Navigate denials and peer-to-peer review processes as needed Support patient access and...SuggestedContract workLocal areaMonday to Friday
- ...Elevance Health is seeking an Authorization Representative II to manage prior authorization requests at BioPlus Specialty Pharmacy. This role requires a minimum of 2 years’ experience processing pharmacy prior authorizations and knowledge of Medicare and Medicaid guidelines...SuggestedWork at officeRemote work2 days per week1 day per week
Elevance Health
Atlanta, GA2 days ago $20 - $24 per hour
...responsible for confirming and documenting insurance coverage and authorization requirements for both physician (professional) and hospital (... ...exclusions, and medical necessity rules Identify when prior authorizations / pre-certifications are required and...SuggestedPrestige Staffing Healthcare Jobs - Clinical & Allied Health
Atlanta, GA7 days ago$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Atlanta, GA4 days ago- ...affordability. Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to improving patient health outcomes by offering a pharmacist-...Suggested
Curant Health
Smyrna, GA7 days ago - ...supported by a robust local referral network Dedicated support staff: two or more medical assistants trained to scribe, manage prior authorizations, and perform patient follow-up Modern, well-appointed facilities with specialized equipment and dedicated procedure rooms...SuggestedLocal areaImmediate startFlexible hours
Sedermatologyspecialists
Cartersville, GA2 days ago - ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Atlanta, GA5 days ago - ...including mailed-in requests from providers and members Intake Pre-Authorization requests and/or inquiries on existing pre-authorizations via... ...disruptions, natural disasters, and to process incoming Prior Authorization requests received via mail from Providers and Members...Local areaRemote workMonday to FridayFlexible hoursShift workWeekend work
- ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You perform fluoroscopy-guided RFA with... ...Administration: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a...Full timePart timeWork at office2 days per week3 days per week1 day per week
AROmotion
Atlanta, GA5 days ago - ...DESCRIPTION The Precertification Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process. RESPONSIBILITIES Prioritize incoming authorization requests according to urgency Obtain authorization...Full timeRelocation
VALID8 Financial
Columbus, GA3 days ago $100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...Full timeLocal areaRemote workArgonaut Management Services, Inc
Atlanta, GA4 days ago- Pain Care, LLC is seeking a full-time Prior Authorization Coordinator in Stockbridge, Georgia. The role involves obtaining insurance benefits and prior authorizations, ensuring compliance with medical policies, and maintaining confidentiality. Responsibilities include managing...Full time
- ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...Full timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Atlanta, GA8 days ago - ...Under general supervision of a licensed provider, as an Insurance Authorization Coordinator one must be detail oriented with excellent phone... ...schedule ahead of time to determine pre-certification and prior authorization requirements. Must be familiar with Medicare...Full timeWork at office
Summit Spine and Joint Centers
Lawrenceville, GA6 days ago - ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You focus on performing RFA with precision... ...Burden: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a patient...Full timePart timeWork at office2 days per week3 days per week1 day per week
AROmotion
Atlanta, GA4 days ago - ...A secret healthcare partner is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity in a managed care environment. This fully remote role offers flexibility and opportunities to impact patient access to medications...Remote work
Pharmacy Careers
Lawrenceville, GA5 days ago - ...each location. Mileage reimbursement is provided./ppPlease note: prior hands-on dermatology experience is required to be considered... ...EMR/liliManage patient callbacks, clinical messages, prior authorizations, and task lists as needed/liliClean, sterilize, and maintain medical...Full timeWork at officeLocal area
$40k - $52.3k
...with medical terminology and/or ICD-10 codes o Bachelor's Degree o Prior member service or customer service telephone experience o Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization **Additional...Full timeTemporary workApprenticeshipRemote workHumana
Atlanta, GA3 days ago$68.5k - $88.02k
...with URAC and ACHC specialty pharmacy accreditation standards and survey readiness ~ Experience optimizing patient access, prior authorization, and reimbursement workflows ~ Strong analytical skills with experience using data to drive operational and performance improvements...Temporary workLocal areaImmediate startFlexible hoursCardinal Health
Atlanta, GA3 days ago$42k
...Holiday, plus Your Birthday as a Holiday just for you! Job Description and Job Duties: Under general supervision, the Prior Authorization Specialist reviews and submits authorizations requests and communicates with clinical staff and payers to ensure requirements...Temporary workAvita Community Partners
Flowery Branch, GA3 days ago$75k - $98k
Job Type Full-time Description WHY NORTH RISK PARTNERS Are you interested in doing work that matters everyday with an organization intentional about building and living out a values-driven team culture? North Risk Partners is a fast-growing firm dedicated...Full timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shiftNorth Risk Partners
Augusta, GA6 days ago- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The ideal candidate will hold a PharmD or Bachelor of Pharmacy, possess an active U.S. pharmacist license, and have experience...Remote workWork from homeFlexible hours
Pharmacy Careers
Atlanta, GA5 days ago
