![Cam Bay Health Care](https://media.trabajo.org/img/noimg.jpg)
Prior Authorization Nurse, Urgent Need
3 weeks ago
Overview:
We are seeking a detail-oriented and organized individual to join our team as a Prior Authorization Specialist. As a Prior Authorization Specialist, you will play a crucial role in ensuring that insurance claims are processed accurately and efficiently. This position requires knowledge of medical coding, insurance verification, and adherence to HIPAA regulations.
**Responsibilities**:
- Review and process prior authorization requests for medical procedures, medications, and treatments
- Verify insurance coverage and eligibility for patients
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status and requirements
- Obtain necessary documentation and medical records to support the prior authorization request
- Ensure compliance with ICD-9 and ICD-10 coding guidelines
- Maintain accurate records of prior authorization requests and follow-up activities
- Collaborate with the billing department to resolve any issues related to prior authorizations
Qualifications:
- Previous experience working in a dental or medical office setting preferred
- Strong knowledge of medical coding systems, including ICD-9 and ICD-10
- Familiarity with insurance verification processes and requirements
- Understanding of HIPAA regulations and ability to maintain patient confidentiality
- Excellent attention to detail and organizational skills
**Job Type**: Contract
Pay: $20.47 - $40.00 per hour
Expected hours: No less than 36 per week
**Benefits**:
- Flexible schedule
Weekly day range:
- Monday to Friday
**Experience**:
- Insurance verification: 1 year (preferred)
- Medical billing: 1 year (preferred)
License/Certification:
- RN License of Texas State (preferred)
Ability to Commute:
- Austin, TX (required)
Work Location: In person
-
Prior Authorization/concurrent Review Nurse
2 weeks ago
Austin, United States Central Health Full timeOverview: Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization...
-
Prior Authorization/Concurrent Review Nurse
2 weeks ago
Austin, Texas, United States Central Health Full timeOverview:Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization...
-
Prior Authorization Representative
4 weeks ago
Austin, United States RPO Inc Full timeTitle**:Program Coordinator (Referral/Authorizations/Member Outreach)** Location**:REMOTE - McAllen, Austin, San Antonio, TX** Duration**:3 months contract with possible extension or conversion to FTE** Target Start Date (based on successful onboarding completion)**:06/17/2024** Shift**:8:00 AM - 5:00 PM - 40 HRS/weekly** - Remote. Employee must reside...
-
Austin, United States CVS Full timeAvailable shift: 8:00 AM - 5:00 PM Central Standard Time (CST), Monday through Friday. The Senior Analyst will act as the Prior Authorization system Subject Matter Expert to provide support for the Medical Prior Authorization/ Appeals Operational tea Senior Analyst, Authorization, Medical, Analyst, Client Support, Leadership, Technology, Retail
-
Licensed Practical Nurse
4 weeks ago
Austin, United States Urgent Team Management Full timeBaptist Health Urgent Care is looking for a dedicated and compassionate LPN to join our dynamic healthcare team in Jacksonville, AR. Twelve hour shifts and rotating weekends are required for full-time position. In return, Urgent Team offers a comprehensive benefits package and competitive hourly wages to all full-time team members. ABOUT BAPTIST HEALTH...
-
Pharmacy Technician
1 week ago
Austin, United States CVS Health Full timeBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...
-
Prior Authorization Representative
4 weeks ago
Austin, United States CVS Health Full timeBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...
-
Pre Authorization Specialist
4 weeks ago
Austin, United States Advanced Pain Care Full timeJob DescriptionJob DescriptionDescription: The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services. The...
-
Pre Authorization Specialist
4 weeks ago
Austin, United States Advanced Pain Care Full timeJob Type Full-time Description The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services. The Pre-Authorization...
-
Pre Authorization Specialist
2 weeks ago
Austin, Texas, United States Advanced Pain Care Full timeJob Type Full-time Description The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services. The Pre-Authorization...
-
Licensed Practical Nurse
4 weeks ago
Austin, Arkansas, 72007, Lonoke County, AR, United States Urgent Team Management Full timeBaptist Health Urgent Care is looking for a dedicated and compassionate LPN to join our dynamic healthcare team in Jacksonville, AR. Twelve hour shifts and rotating weekends are required for full-time position. In return, Urgent Team offers a comprehensive benefits package and competitive hourly wages to all full-time team members. ABOUT BAPTIST HEALTH...
-
Surgical Authorization Specialist
4 weeks ago
Austin, United States Advanced Pain Care Full timeJob DescriptionJob DescriptionDescription:*** This position will be remote once training is complete***Surgical Authorization Specialist Job Purpose: The Surgical Authorization Specialist is a member of the Surgical Auth Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and...
-
Urgent Care Advanced Practice Provider
2 weeks ago
Austin, United States HCA - Urgent Care Division Full timeDescription Specialization:Urgent Care Family MedicineUrgent CareJob Summary:CareNow Urgent Care is seeking a full time board certified physician assistants or nurse practitioners to float among our Northwest Austin, TX clinics: Lakeway, Cedar Park, Anderson Mill, Avery Ranch, Georgetown, and Arboretum clinics.Qualified Candidates:Comfortable seeing ages...
-
Urgent Care Advanced Practice Provider
4 weeks ago
Austin, United States HCA - Urgent Care Division Full timeDescription Specialization:Urgent Care Family MedicineJob Summary:CareNow Urgent Care is seeking a full time board certified physician assistants or nurse practitioners to float among our Northwest Austin, TX clinics: Lakeway, Cedar Park, Anderson Mill, Avery Ranch, Georgetown, and Arboretum clinics.Qualified Candidates:Comfortable seeing ages three months...
-
PRN Urgent Care Advanced Practice Provider
4 weeks ago
Austin, United States HCA - Urgent Care Division Full timeDescription Specialization:Urgent Care Family MedicineJob Summary:CareNow Urgent Care is seeking a PRN board certified physician assistants or nurse practitioners to join our Austin, TX market. The position is open to all of our 25 clinic locations with the ability/flexibility to float among neighboring clinics close to the candidates home.Qualified...
-
Urgent Care Advanced Practice Provider
6 days ago
Northeast Austin, United States HCA - Urgent Care Division Full timeDescription Specialization:Urgent CareJob Summary:CareNow Urgent Care is seeking board certified physician assistant or nurse practitioner to work within our Arboretum clinic in Austin, TX.Qualified Candidates:Comfortable seeing ages three months and upBoard certifiedHas a Texas state medical licensure and DEAAbility to perform first reads on x-raysSkills...
-
Austin, United States CareNow Urgent Care - North Austin Full timeDescription Specialization: Urgent Care Job Summary: CareNow Urgent Care is seeking a part-time board certified physician assistant or nurse practitioner to work among our North Austin clinics. This position is for 30 hrs per week, including some weekend coverage. Qualified Candidates: Comfortable seeing ages three months and up Board certified Has a...
-
Interim Remote Pre- Authorization Rep
2 weeks ago
Austin, United States Nearterm Corporation Full time**************** Proven Remote Pre-Authorizations Rep *******************The Patient Access Authorization Specialist performs insurance authorization. Functions are primarily completed via website and/or phone and include insurance verification, authorization, payor notification and ensuring that the correct date of service, facility, diagnosis and...
-
Part-Time Urgent Care Advanced Practice Provider
4 weeks ago
North Austin, United States HCA - Urgent Care Division Full timeDescription Specialization:Urgent CareJob Summary:CareNow Urgent Care is seeking a part-time board certified physician assistant or nurse practitioner to work among our North Austin clinics. This position is for 30 hrs per week, including some weekend coverage. Qualified Candidates:Comfortable seeing ages three months and upBoard certifiedHas a Texas state...
-
Texas Children's Urgent Care Pediatric
4 weeks ago
Austin, United States Korn Ferry Full timeTexas Children s Urgent Care is seeking talented, patient-oriented physicians and advanced practice providers who excel in a fast-paced environment for full-time and part-time employment to meet the needs of children and young adults through the age of 18. As part of our Urgent Care team, physicians and advanced practice providers enjoy the following:Support...