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- ...part of the Utilization Management team, primarily responsible for inpatient medical necessity reviews, concurrent reviews, and prior authorization activities. The role ensures members receive the right care at the right time in the most appropriate setting, while...SuggestedLive inWork at officeRemote work
Careers Integrated Resources Inc
Atlanta, GA2 days 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
Atlanta, GA2 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 - ...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
...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
Atlanta, GA21 hours ago$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, GA21 hours 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...SuggestedMonday to FridayDay shift
Savannah Vascular Institute LLC
Savannah, GA2 days 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$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- ...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, GA1 day ago - 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
- ...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 - ...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
$89k - $121.4k
...Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc. Ensure data integrity in program...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hoursHumana
Atlanta, GA16 hours agonew- 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
$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$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- ...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
$19 - $21 per hour
...are 7:30-4:00 Duties include the following for the position: Answer phone calls/messages, clean exam rooms/work areas Prior authorizations/referrals CMA Certified Preferred, MA Diploma, and able to maintain certification Able to give injections and document...Hourly payWork at officeAvery Partners
Sandy Springs, GA23 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 - ...medications and injections as directed by providers Provide patient education and post-procedure instructions Manage prior authorizations, medication refills, and follow-up tasks as needed Maintain a clean, organized, and safe clinical environment Collaborate...Work at office
$16 - $18 per hour
...key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care...Full time- ...patient wait times. Confirms insurance coverage and obtains authorizations if applicable. Explains regulatory financial requirements... ...also include ensuring that referring physicians have obtained prior insurance authorization as needed and rescheduling appointments...ReliefWork at officeFlexible hours
