Average salary: $73,171 /yearly
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- ...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, GA3 days 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
- A healthcare organization in Smyrna, GA, is seeking a Prior Authorization Specialist to provide exceptional customer service and assist in the prior authorization process. This role requires excellent documentation skills and the ability to manage a high volume of inquiries...Suggested
- ...affordability. Curant Health , the leader in patient-centric chronic disease management via specialty pharmacy is searching for a Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to improving patient health outcomes by offering a pharmacist-...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- ...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
- ...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...SuggestedRemote work
Diverse Lynx
Atlanta, GA1 day ago $19.01 - $24.19 per hour
...Job Summary We are seeking a dedicated Intake Coordinator Associate to join our team. This role is vital in managing Prior Authorization tasks, including outbound calls and inbound case creations in adherence to regulatory standards (e.g., NCQA, CMS). You will play...SuggestedWork at officeRemote workHighmark Health
Atlanta, GA20 hours 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, GA2 days ago - ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband...SuggestedPart timeLocal area
PhyNet Dermatology
Loganville, GA1 day ago - ...Job Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...Suggested
Hire Talent
Athens, GA1 day ago $147.55k - $193.66k
...collaboration, and relationship-building skills. Experience developing measurement of clinical intervention ROI. Knowledge of prior authorization optimization and automation. Familiarity with pharmacy economics. Background in value-based care analytics. Experience...SuggestedFull timeContract workWork at officeRemote work$88.5k - $144.9k
...underwrite and analyze existing accounts and seek new Surety business utilizing The Zurich Way of Underwriting Framework within delegated authority levels on assignments of higher technical complexity ensuring a high-level service to customers. Our Underwriters are Client...SuggestedFull timeContract workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Atlanta, GA20 hours ago- ...management. Job Responsibilities: Triage patient calls to identify urgency and identify the next steps to patient care. Obtain prior authorizations. Intake with patients Converse with patients and providers in a friendly and courteous manner Assist Physicians with...Suggested
- ...practical nurse to assist physicians with patient care and procedures. Responsibilities include triaging patient calls, obtaining prior authorizations, and performing administrative duties. Candidates should have a current nursing license and a minimum of three years of OB/...
- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote job
- 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...Remote jobWork from homeFlexible hours
$26.41 - $61.79 per hour
A leading healthcare provider is seeking a Remote Registered Nurse (RN) to support clinical member services. The position requires a compact license and at least 2 years of experience in hospital acute care, including responsibilities in service assessment and compliance...Remote jobHourly pay- 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 jobWork from homeFlexible hours
- ...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...Work at office
- A health services organization is seeking a Prior Authorization RN to join their Wisconsin Medicaid Market team. This role involves reviewing clinical appropriateness of prior authorization requests in accordance with Medicare/Medicaid guidelines. Applicants should have...Remote jobMonday to Friday
- ...processes refill requests; answers telephone and serves as liaison with customer healthcare centers. Assists with processing of prior authorizations and third party payor medication rejections. Essential Job Functions, Duties, and Responsibilities Enters orders...
PruittHealth
Norcross, GA2 days 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, GA4 days ago $75.8k - $164.1k
...utilizing The Zurich Way of Underwriting Framework within delegated authority levels on a variety of accounts. We focus strongly on our... ...process, managing a qualified list of opportunities 90 to 120 days prior to effective date. Developing strong broker and client...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursZurich Insurance Company Ltd.
Atlanta, GA20 hours ago- ...injections as instructed by providers. Provide patients with educational materials and post-procedure instructions. Manage prior authorizations, medication refills, and follow-up tasks efficiently. Maintain a clean, organized, and safe clinical environment....
cleavermedicalgroup.com
Dawsonville, GA20 hours ago - ...functional connector between RT clinical teams, the intake team, authorization, billing, and customer service, this role identifies and... ...verification and benefit coverage for HME services. Submit prior authorizations, manage renewals, and support appeal documentation...Temporary workPart timeWork at officeLocal area
Barnes Healthcare Services
Waycross, GA4 hours agonew $18 - $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...Hourly payFull timeTemporary workWork at officeRemote workForesight Mental Health
Smyrna, GA20 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
Watkinsville, GA3 days ago - ...Laser treatments NBUVB Phototherapy CoolSculpting Chemical peels Handle administrative tasks such as initiating prior authorizations, notifying clients of treatment approvals and financial responsibilities, and scheduling appointments. Ensure consistent...Work at office
PhyNet Dermatology LLC
Cartersville, GA3 days ago
