Average salary: $73,171 /yearly
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- ...difference doing what you love at Children’s. Job Description Authorizes and pre-certifies services by coordinating and performing activities... ...servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all...SuggestedWork at officeMonday to FridayShift 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...SuggestedFull timePart timeWork at office2 days per week3 days per week1 day per week
AROmotion
Atlanta, GA1 day ago $17 - $22 per hour
...am-5pm Job Description: Initiate pre certification with insurance payers Collect all required documentation for a prior authorization Follow up on pre certifications that have not been responded to Investigate and correct any authorizations that were denied...SuggestedLocal areaMonday to FridayAddison Group
Albany, GA3 days ago$19.39 - $24.19 per hour
A healthcare services provider is seeking a Prior Authorization Specialist in Atlanta. This role involves managing call tasks and triage case creations while adhering to regulatory guidelines. Candidates must possess a High School Diploma, and those with customer service...SuggestedRemote jobHourly payWork at officeFlexible hours- ...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 when...SuggestedFull timeWork at officeShift work
$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...SuggestedWork at officeRemote workShift work- ...organized for easy access by the clinical team. Insurance: Collaborate with patients to verify insurance coverage including prior authorizations and pre‑determination. Assist patients in understanding their insurance benefits and financial responsibilities. Office...SuggestedFull timeWork at officeLocal areaMonday to Friday
- ...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...SuggestedWork at officeLocal area
PhyNet Dermatology LLC
Rome, GA10 hours ago - ...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...Suggested
PruittHealth
Toccoa, 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
$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- ...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
- ...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
PhyNet Health System
Cartersville, GA1 day ago $40 - $45 per hour
...location Remote clinical review RN Responsibilities · Review clinical documentation and perform utilization management reviews for prior authorizations Remote clinical review RN Requirements Registered Nurse with Active State License (IL, TX, NC, and FL preferred) Associates,...SuggestedHourly payFull timeContract workImmediate startRemote workMonday to FridayA-Line Staffing Solutions
Atlanta, GA3 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...SuggestedWork at officeImmediate startFlexible hoursNight shift
- A healthcare solutions organization in Atlanta is seeking a Review Nurse for its Prior Authorization & Utilization Management team. The ideal candidate must be a Registered Nurse with a valid Georgia nursing license and at least three years of clinical experience. Responsibilities...
$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- 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
- A healthcare management company is seeking a Clinical Pharmacy Technician Sr. to evaluate prior authorization requests for medications. Responsibilities include communicating decisions to healthcare professionals and mentoring team members. The ideal candidate will possess...Remote job
- ...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
$19.43 - $32.98 per hour
...monitor network compliance with State requirements Create and maintain multiple databases, including, contract provider network, prior authorization, third party liability, provider set ups and related corrections Oversee the provider termination process including adding...Hourly payFull timeContract workPart timeLive inWork at officeRemote workFlexible hours$76k - $85k
...for future health care costs associated with birth-related neurological injuries. Duties and Responsibilities Performs prior authorization, concurrent and retrospective reviews Use clinical documentation and clinical review criteria to make determinations regarding...For contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Atlanta, GA10 hours 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 jobWork from homeFlexible hours
- A leading healthcare company in Smyrna, GA is seeking a Prior Authorization Pharmacist to oversee specialty medication prior authorizations. The role requires processing PA requests, coordination with healthcare providers, and ensuring compliance with regulatory requirements...
- A leading specialty infusion service provider is seeking a Prior Authorization Coordinator to ensure seamless patient care for their pharmacy services. This remote role involves verifying insurance coverage, generating prior authorization reports, and providing exceptional...Remote job
$15 - $17 per hour
...cases in the system so that the Case Managers/Service Coordinators can start working on Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility....Private practiceWork at officeMonday to Friday$67.5k
Job Summary This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent...Remote jobWork at officeLocal area- A healthcare organization is seeking a Hybrid Review Nurse for its Prior Authorization and Utilization Management team in Atlanta, Georgia. This position involves conducting provider prior approval reviews and ensuring adherence to HIPAA regulations. The ideal candidate...
- ...patients) for high-quality care Extended visit times ( minutes) Minimal administrative burden no insurance billing or prior authorizations Flexible patient communication (phone, text, virtual care) Focus on preventive medicine and chronic disease management...Full timeSummer workFlexible hours
MedCare Staffing
Hiram, GA2 days ago - ...Work Shift Day (United States of America) Job Summary: The Medication Assistance Coordinator serves as the hub for prior authorizations, patient assistance programs, co-pay assistance program, foundation programs, and additional programs allowing patients to access...Full timeWork at officeShift work
