Prior Authorization Representative GA
2 weeks ago
***** 06 Months Job ***** • Training and working virtually • Utilizing multiple software systems to complete Medicare appeals case reviews • Meeting or exceeding government mandated timelines • Complying with turnaround time, productivity and quality standards • Conveying resolution to beneficiary or provider via direct communication and professional correspondence • Acquiring and maintaining basic knowledge of relevant and changing Med D guidance • Working independently but be self-aware enough to know when to ask for help • Be technically capable to understand trouble-shooting steps and be able to communicate the results to leaders or IT • Ability to effectively communicate verbally with members and prescribers while managing multiple software systems • Accountable and results driven • Critical thinker/problem solver • Receptive to constructive feedback and flexible in adapting to change • Ability to effectively plan, prioritize, and organize time and workload • At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service • Six months of working in a virtual role where the supervisor is not physically in the same space • Six months of PBM/pharmaceutical related work strongly desired High School Diploma or GED required Bachelor’s degree in related field or equivalent work experience preferred Call center, Prior authorization
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Prior Authorization Representative GA
2 weeks ago
atlanta, United States US Tech Solutions, Inc. Full timeDuration: 06 Months Job Summary: • Training and working virtually • Utilizing multiple software systems to complete Medicare appeals case reviews • Meeting or exceeding government mandated timelines • Complying with turnaround time, productivity and quality standards • Conveying resolution to beneficiary or provider via direct communication...
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Prior Authorization Representative GA
2 weeks ago
atlanta, United States US Tech Solutions, Inc. Full timeDuration: 06 Months Job Summary: • Training and working virtually • Utilizing multiple software systems to complete Medicare appeals case reviews • Meeting or exceeding government mandated timelines • Complying with turnaround time, productivity and quality standards • Conveying resolution to beneficiary or provider via direct communication...
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Prior Authorization Specialist GA
2 weeks ago
Atlanta, United States US Tech Solutions Full timeDuration: 6 months contract Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply. Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc...
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Prior Authorization Specialist GA
2 weeks ago
atlanta, United States US Tech Solutions, Inc. Full timeDuration: 6 months contract Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains...
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Prior Authorization Specialist GA
1 week ago
Atlanta, United States US Tech Solutions, Inc. Full timeDuration: 6 months contract Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply. Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing...
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Dental Prior Authorization Specialist
2 days ago
Atlanta, Georgia, United States TEKsystems Full timeJob TitleUtilization Management RepresentativeAbout the RoleWe are seeking a skilled Utilization Management Representative to join our team. In this role, you will be responsible for reviewing dental prior authorizations and referrals, ensuring that members' histories do not contain conflicting information, and verifying that proper attachments (x-rays of...
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Prior Authorization Representative
2 weeks ago
Atlanta, United States US Tech Solutions Full timeDuration: 06 Months Job Summary: Training and working virtually Utilizing multiple software systems to complete Medicare appeals case reviews Meeting or exceeding government mandated timelines Complying with turnaround time, productivity and quality standards Conveying resolution to beneficiary or provider via direct communication and professional...
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Prior Authorization Call Center
2 weeks ago
Atlanta, United States A-Line Staffing Solutions Full timeA-Line Staffing is now hiring Prior Authorizations Inbound Call Center Representatives. The Inbound Call Center Representatives would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this Inbound Call Center Representatives position, please apply to this posting!...
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Prior Authorization Specialist GA
2 weeks ago
Atlanta, GA, United States US Tech Solutions, Inc. Full timeDuration: 6 months contract Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains...
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Intake Coordinator
2 weeks ago
atlanta, United States US Tech Solutions, Inc. Full timeContract Duration: 6 Months with possibility for extensions Job Location: Hybrid role (Remote for Massachusetts only) Employment Type: W-2 Job Description: The Intake Coordinator supports the Medical Clinical Management Team by assisting with workflow coordination across Utilization Review, Case Management, Disease Management, and Quality...
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Intake Coordinator
1 week ago
Atlanta, United States US Tech Solutions, Inc. Full timeContract Duration: 6 Months with possibility for extensions Like the look of this opportunity Make sure to apply fast, as a high volume of applications is expected Scroll down to read the complete job description. Job Location: Hybrid role (Remote for Massachusetts only) Employment Type: W-2 Job Description: The Intake Coordinator supports the...
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atlanta, United States US Tech Solutions, Inc. Full timeDuration: 06 Months Job Summary: • Training and working virtually • Utilizing multiple software systems to complete Medicare appeals case reviews • Meeting or exceeding government mandated timelines • Complying with turnaround time, productivity and quality standards • Conveying resolution to beneficiary or provider via direct communication...
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Atlanta, United States US Tech Solutions Full timeDuration: 6 months contract Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains...
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atlanta, United States US Tech Solutions, Inc. Full timeDuration: 6 months contract Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains...
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atlanta, United States US Tech Solutions, Inc. Full timeDuration: 6 months contract Shift: *Training schedule is Monday-Friday 8-4:30pm. Regular shift to be determined after training. Job Description: The Intake I (IQA) Associate takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains...
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Intake Coordinator
2 weeks ago
Atlanta, GA, United States US Tech Solutions, Inc. Full timeContract Duration: 6 Months with possibility for extensions Job Location: Hybrid role (Remote for Massachusetts only) Employment Type: W-2 Job Description: The Intake Coordinator supports the Medical Clinical Management Team by assisting with workflow coordination across Utilization Review, Case Management, Disease Management, and Quality...
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Prior Auth
3 weeks ago
atlanta, United States Prestige Staffing Full timeJobID: 47409Onsite Prior Authorization SpecialistJob OverviewPosition requires utilization of clinical knowledge and excellent customer service skills to schedule appropriate procedures/surgeries per provider’s orders in the hospital, ambulatorysurgery center or in office places of service.Location: Smyrna, GAHours: Normal Business Hours3 month contract to...
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Prior Auth
2 months ago
Atlanta, United States Prestige Staffing Full timeJobID: 47409Onsite Prior Authorization SpecialistJob OverviewPosition requires utilization of clinical knowledge and excellent customer service skills to schedule appropriate procedures/surgeries per provider’s orders in the hospital, ambulatorysurgery center or in office places of service.Location: Smyrna, GAHours: Normal Business Hours3 month contract to...
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Authorization Specialist
3 months ago
Atlanta, United States PT Solutions Physical Therapy Full timeJob Overview & Responsibilities: The purpose of the Authorization Specialist position is to be responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of authorization (both private clinic and hospital clinics)....
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Atlanta, GA, United States US Tech Solutions, Inc. Full timeDuration: 06 Months Job Summary: • Training and working virtually • Utilizing multiple software systems to complete Medicare appeals case reviews • Meeting or exceeding government mandated timelines • Complying with turnaround time, productivity and quality standards • Conveying resolution to beneficiary or provider via direct communication...
