Prior Authorization Representative

PRIOR AUTHORIZATION NURSE JOB Summary:Provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department.Work with physician office staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status.Oversee fax...

Job DescriptionJob DescriptionSoutheastern Rheumatology Alliance is seeking a dedicated and customer-oriented Prior Authorization Specialist to join our healthcare team in Atlanta, GA. The Prior Authorization Specialist is responsible for managing and processing requests for prior authorization from healthcare providers to ensure that medical services,...

Job DescriptionJob DescriptionJob Title: Surgery Prior Authorization SpecialistLocation: Atlanta/Sandy Springs, GAJob Type: Full-TimeAbout Us:We are a leading Pediatric Ears, Nose, & Throat practice in Atlanta dedicated to providing exceptional care to our patients. We are currently seeking a skilled and detail-oriented individual to join our team as a...

DescriptionPosition Summary: Biologic Prior Authorization Specialist is an individual who manages a patient's journey from prescription to drug acquisition. This role navigates the complexities of patient access on behalf of those prescribed biologics. Responsible for communicating with office staff, providers, insurance providers, completing enrollment...

Job DescriptionJob Description"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".Job Title: Customer Service Representative (Prior Authorization Expertise)Location: Atlanta, GA 30301Duration: 12 months Pay rate: $ 17.50 on W2. Prefer candidates from...

Duration: 06 Months Summary: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and...

Overview Critical Illness Recovery Hospital Payor Relations Specialist (Precert Nurse) At Select Specialty/Regency Hospitals, a division of Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Select Medical employs over 48,000 people across the country and provides quality care to...

Onsite Prior Authorization Specialist Job Overview Position requires utilization of clinical knowledge and excellent customer service skills to schedule appropriate procedures/surgeries per provider???s orders in the hospital, ambulatory surgery center or in office places of service. Location: Smyrna, GA Hours: Normal Business Hours   3 month contract to...

Position OverviewSoutheastern Rheumatology Alliance is in search of a committed and service-oriented Prior Authorization Specialist to enhance our healthcare operations. This role is pivotal in overseeing and facilitating requests for prior authorization from medical professionals, ensuring that necessary treatments, services, and medications receive...

Position OverviewThe Southeastern Rheumatology Alliance is in search of a committed and service-oriented Prior Authorization Specialist to enhance our healthcare operations. This role is pivotal in managing and facilitating requests for prior authorization from medical professionals, ensuring that treatments, services, and medications are adequately covered...

Position OverviewSoutheastern Rheumatology Alliance is in search of a committed and detail-oriented Prior Authorization Specialist to enhance our healthcare operations. This role is pivotal in managing and processing prior authorization requests from healthcare professionals, ensuring that medical services, treatments, and medications are adequately covered...

Job SummaryWe are seeking a highly skilled and experienced Prior Authorization Specialist to join our Medical Practice team. As a Prior Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary coverage for their chemotherapy treatments.ResponsibilitiesObtain insurance authorization and pre-certification for...

Job SummaryWe are seeking a highly skilled and experienced Prior Authorization Specialist to join our Medical Practice team. As a Prior Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary coverage for their chemotherapy treatments.ResponsibilitiesObtain insurance authorization and pre-certification for...

JOB SUMMARY FOR SPECIALTY MEDICATION AUTHORIZATION NURSE: Facilitate the processing and communication of prior authorization (PA) requests for specialty medications as managed by the Specialty Medical Prior Authorization team.Collaborate with healthcare provider office personnel and various departments including customer service, admissions, and pharmacy...

Description We're looking for a Remote Customer Service Representative , working in Insurance industry in Atlanta, Georgia, United States . Collect structured clinical data for prior authorization and non-formulary exception requests following the guidance provided in our online prior authorization tools and/or corresponding forms. Screen requests based on...

Busy, Complex Oncology Practice Seeking Prior Authorization Specialist! Pharmacy Technician Assistant/Certified Medical Assistant (if has Prior Hematology/Oncology Experience) Encouraged to Apply! _ Opportunity for a hybrid schedule after demonstrated proficiency and performance! _Seeking a committed individual with prior Oncology experience to work with our...

OverviewCritical Illness Recovery HospitalAuthorization CoordinatorAt Select Specialty Hospitals, a part of Select Medical, we specialize in the care of patients who are chronically and critically ill or those recovering from intensive care. Our organization employs over 48,000 professionals nationwide, delivering quality healthcare to approximately 70,000...

Position OverviewAlliant Health Solutions, Inc. is a collective of organizations dedicated to enhancing the administration of healthcare programs and initiatives aimed at improving health outcomes. Our mission is to provide governmental entities with essential services, expertise, and information systems that elevate the quality, accessibility, and value of...

Job DescriptionJob DescriptionDescription:The Insurance Verification Specialist contacts insurance companies to determine pre-certification, prior authorization and/or medical necessity requirements for outpatient Radiology Procedures. Submits all appropriate clinical information to acquire authorization. Works closely with physicians and physician office...

Job Title: Clinical Services Authorization Specialist Location: Fully remote Duration: 10 months contract Job Overview: The Clinical Services Authorization Specialist will play a vital role in supporting various operational tasks, including but not limited to: making outbound calls, reviewing and processing authorization requests received through...