Average salary: $73,171 /yearly
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- ...never be asked to manage or prescribe pain medication. Practice Medicine, Not Administration: Our cash-pay model means no prior authorizations and no fighting with insurance companies. Your time is dedicated to your patients. A Professional Environment: Our...SuggestedFull timePart timeWork at officeFlexible hours
AROmotion
Atlanta, GA4 days ago $65k - $70k
We are seeking an experienced Insurance Verification & Authorization Manager to lead our front-end revenue cycle operations. This role is... ...Communication Written Communication Team Management Prior Authorizations Insurance Verification Commercial Insurance...SuggestedPermanent employmentTemporary workWork experience placementWork at officeShift workRandstad
Lawrenceville, GA1 day ago- ...execution of strategic programs like Gold Carding and Provider Incentive Programs. This remote position requires managing the Prior Authorization list to ensure compliance and efficiency. The ideal candidate will have significant program management experience, including...SuggestedRemote job
- ...Clinical Administrative Coordinator (Pre-Authorization / Prior Authorization Specialist) Positions in this role are responsible for determining if prior authorization is required and whether it can be decisioned or requires additional clinical review. The role supports...Suggested
- ...Responsibilities: Responsible for verifying health benefits and authorizations of third-party coverage for all applicable scheduled and... ...billing specialist or manager when financial counseling is needed prior to the service. Communicates with clinical staff or manager...SuggestedWork at office
$105.81k - $138.89k
...for the flawless execution of high-impact programs like Gold Carding, Provider Incentive Programs, and the maintenance of our Prior Authorization (PA) List. You will ensure that every program is operationally sound, regulatory compliant, and scales effectively as our...SuggestedFull timeWork at officeRemote workShift work$26.41 - $61.79 per hour
...eligibility, benefits, and expected length of stay for requested treatments and procedures. Conduct thorough reviews to determine prior authorization and financial responsibilities. Process requests promptly within the required timelines. Refer complex cases to medical...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Macon, GA5 days ago- ...prepared clinical environment. Provide patient education and ensure comfort throughout their visit. Manage prescriptions, prior authorizations, and necessary paperwork. Support providers with follow-ups, biopsy tracking, and pathology coordination. Demonstrate...SuggestedLive outWork at officeLocal area
cleavermedicalgroup.com
Cumming, GA1 day ago $26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Columbus, GA2 days ago- ...organized for easy access by the clinical team. Insurance: Collaborate with patients to verify insurance coverage to include prior authorizations and pre‑determination. Assist patients in understanding their insurance benefits and financial responsibilities. Office...SuggestedFull timeWork at officeLocal areaMonday to FridayShift work
$26.41 - $61.79 per hour
...appropriate benefits, eligibility, and expected length of stay for requested treatments or procedures. Conduct reviews to ascertain prior authorization and financial responsibilities for Molina and its members. Process requests promptly, adhering to required timelines....SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Augusta, GA5 days ago$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office- ...care Perform Non-Stress Tests (NSTs) Provide clear and courteous communication with patients, families, and providers Obtain prior authorizations for medications and procedures Complete administrative tasks, including FMLA paperwork and medication requests Maintain...SuggestedWork at office
- Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and...SuggestedRemote jobWork from homeFlexible hours
- 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...SuggestedRemote jobWork from homeFlexible hours
- ...route incoming paper or electronic documents. Ensures proper authorizations have been obtained for patient visits and services, and requests... ...status changes and referral notes, within scope. Performs prior-authorization tasks as needed prior to services being rendered...Work at office
St Joseph'S/Candler
Savannah, GA4 days ago $35.5 - $53.25 per hour
...telephone calls, triage of phone calls regarding patient's medical concerns, triage of prescription refill requests, and obtaining prior authorizations for patient's medication request, and pre-certification for imaging procedures. In addition, this position will provide skin...Full timeTemporary workFlexible hoursShift workAdvocate Aurora Health
Rome, GA3 days ago- ...investigating trends and patterns, and providing education regarding payer guidelines for pre-certification, medical necessity and prior authorization. * Represents the department at meetings and on committees participates in the decision and policy-making process on system...Full timeShift work
Tift Regional Health System
Tifton, GA23 hours ago $20 per hour
...communication with members and providers Coordinate intake and follow-up appointment scheduling, medication refill requests, prior authorizations, lab orders and genetic testing, as well as assisting in documentation requests. Complete daily tasks in order to achieve...Hourly payFull timeTemporary workWork at officeForesight Mental Health
Decatur, GA1 day ago- ...in building a general neurology practice at Mansfield Hospital Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Advanced Practice Provider support No stroke call is required; tele...Work at office
OhioHealth
Mansfield, GA1 day 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...Local areaImmediate startFlexible hours
PhyNet Health System
Cartersville, GA4 days ago $20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...For contractorsWork at officeLocal areaHighmark Health
Atlanta, GA5 days ago$22 - $26 per hour
...review test results with providers, and communicate with patients as needed. Coordinate care : Manage patient medication prior authorizations, and assist with outgoing referrals and scheduling. Perform administrative tasks : Support scheduling, patient check-...Local areaRemote workMonday to Fridayknownwell
Atlanta, GA6 days ago$115k - $145k
...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...Work at officeLocal areaCollegium Pharmaceutical, Inc.
Savannah, GA11 hours ago- ...signs when applicable. Review and complete surgical documents prior to procedures and confirm all necessary services are in place... ...in electronic health records. Facilitate medication prior authorizations as required. Adhere to Standards of Conduct and fulfill...Hourly payFull timeWork at office
Dermatology Solutions Group
Athens, GA2 days ago - ...patient wait times. Verifies insurance coverage and/or validates authorizations if applicable. Explains regulatory financial requirements... ...include ensuring that referring physicians have obtained prior insurance authorization as needed and rescheduling appointments...Work at officeImmediate startFlexible hoursNight shift
$98.5k - $215k
...regulations and rating manual rules Developing and maintaining agency and broker relationships Working within broad limits and authorities on complex assignments This role will be filled at either the Executive Underwriter or AVP Underwriting Director level. The...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursZurich Insurance Company Ltd.
Atlanta, GA1 day ago- ...vascular patients includes pre and postsurgical questions, medication refills, wound complications, FMLA/disability paperwork, prior authorizations, etc. Provides patient education and counseling under the direction of the physician. Assists physician with examinations...Monday to FridayDay shift
Savannah Vascular Institute LLC
Savannah, GA2 days ago - ...patient wait times. Confirms insurance coverage and obtains authorizations if applicable. Explains regulatory financial requirements... ...could include ensuring that referring physicians have obtained prior insurance authorization as needed and rescheduling appointments...ReliefWork at officeImmediate startFlexible hoursNight shift
- ...The practice operates in a comfortable, well-appointed office setting. Registered Nurses manage the entire triage process, prior authorizations, and care coordination, allowing physicians to focus on patient care. Comprehensive marketing support helps physicians build...Hourly payPermanent employmentLive inCurrently hiringWork at officeRelocation packageMonday to FridayFlexible hours
Trinity Technology Solutions LLC
Suwanee, GA4 days ago
