US Tech Solutions, Inc. | Prior Authorization Specialist GA | atlanta, ga
1 month ago
Duration: 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 complete, timely and accurate documentation of all requests, and transfers all clinical questions and judgement calls to the nurse or pharmacist. The Intake I (IQA) Associate will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team.
Responsibilities:
- Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
- Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
- Communication with other internal groups regarding determination status and results (nurses, pharmacists, etc).
Experience:
- 0-3 years in a customer service or call center environment managing 75 calls/day.
- Six months of PBM/pharmaceutical related work strongly desired
- At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
Skills:
- Prior Authorization
- Medicare and Medicaid
- Call handling experience.
Education:
- High School Diploma or GED required.
- Associates degree in Business, Accounting or equivalent work experience preferred.
-
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...
-
US Tech Solutions, Inc. | Intake Coordinator
1 month 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...
-
US Tech Solutions, Inc. | Intake Coordinator
4 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...
-
Atlanta, United States US Tech Solutions, Inc. Full timeDuration: 4 months contract Training will be done onsite at 7034 Alamo Downs Parkway, San Antonio, TX 78238. Once training is completed, position will be remote, but workers may be expected to come onsite for meetings, equipment pickup, etc. Job Description: This position is responsible for screening orders, research, accurately and efficiently reading,...
-
atlanta, United States US Tech Solutions, Inc. Full timeDuration: 4 months contract Training will be done onsite at 7034 Alamo Downs Parkway, San Antonio, TX 78238. Once training is completed, position will be remote, but workers may be expected to come onsite for meetings, equipment pickup, etc. Job Description: This position is responsible for screening orders, research, accurately and efficiently...
-
atlanta, United States US Tech Solutions, Inc. Full timeDuration: 4 months contract Training will be done onsite at 7034 Alamo Downs Parkway, San Antonio, TX 78238. Once training is completed, position will be remote, but workers may be expected to come onsite for meetings, equipment pickup, etc. Job Description: This position is responsible for screening orders, research, accurately and efficiently...
-
Prior Authorization Specialist GA
1 month 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...
-
Atlanta, GA, United States US Tech Solutions, Inc. Full timeDuration: 4 months contract Training will be done onsite at 7034 Alamo Downs Parkway, San Antonio, TX 78238. Once training is completed, position will be remote, but workers may be expected to come onsite for meetings, equipment pickup, etc. Job Description: This position is responsible for screening orders, research, accurately and efficiently...
-
Diagnostic Imaging Specialist
2 weeks ago
Atlanta, Georgia, United States Ardor Health Solutions Full timeJob OverviewArdor Health Solutions is seeking a skilled Diagnostic Imaging Specialist for a travel assignment in Atlanta, Georgia.Salary and BenefitsOur compensation package includes a tax-free stipend amount to be determined, paid biweekly. Additional benefits include:Weekly payHoliday PayPet insuranceReferral bonusEmployee assistance programsMedical...
-
Home Care Professional in Atlanta, GA
4 weeks ago
Atlanta, Georgia, United States Right at Home Greater Atlanta, GA Full timeAbout Right at Home Greater Atlanta, GAWe are a leading provider of in-home care and assistance services. Our mission is to enable individuals to maintain their independence and dignity in the comfort of their own homes.
-
Diagnostic Imaging Specialist
4 weeks ago
Atlanta, Georgia, United States Focus Staff Full timeImaging Technologist Role in AtlantaWe are seeking a skilled Diagnostic Imaging Specialist to join our team in Atlanta, GA.This contract position requires 1 year of experience in CT Tech/X-Ray Tech settings. A valid GA license and BLS certification are also necessary.The successful candidate will work 40 hours per week, with shifts ranging from 8 hours to...
-
Clinical Caregiver
4 weeks ago
Atlanta, Georgia, United States Right at Home Greater Atlanta, GA Full timeRight at Home Greater Atlanta, GA is a leading provider of in-home care and assistance services. We are seeking to hire compassionate and dedicated Certified Nursing Assistants (CNAs) to join our dynamic care team.Job SummaryWe are looking for skilled CNAs who can provide clinical expertise in the comfort of patients' homes. As a member of our team, you will...
-
Atlanta, Georgia, United States Interim HealthCare - Atlanta, GA Full timeJob SummaryWe are seeking an experienced Occupational Therapist to join our team at Interim HealthCare in Atlanta, GA.The ideal candidate will have a passion for delivering personalized therapy to patients in their homes and helping them regain their independence.About the RoleThis is a full-time opportunity with a flexible schedule, allowing you to maintain...
-
Prior Authorization Specialist GA
1 month 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...
-
Home Care Providers in Atlanta GA
7 days ago
Atlanta, Georgia, United States Right at Home Greater Atlanta, GA Full timeJoin Our Team as a Personal Care AssistantAt Right at Home Greater Atlanta, GA, we value compassion, empathy, and kindness. As a Personal Care Assistant, you will play a vital role in supporting our clients' independence and quality of life.Your responsibilities will include:Providing personal care services, such as bathing, dressing, and grooming.Assisting...
-
atlanta, United States US Tech Solutions Full timeDuration: 12-month contract with ExtensionHYBRID - 3 days onsite and 2 days remote after trainings and ramp up timeJob Description:Plans and coordinates project scheduling, budgeting, and administrative tasks. Supports the project staff by facilitating project logistics such as meetings, conference rooms, conference calls, etc. Takes meeting minutes and...
-
atlanta, United States US Tech Solutions Full timeDuration: 12-month contract with ExtensionHYBRID - 3 days onsite and 2 days remote after trainings and ramp up timeJob Description:Plans and coordinates project scheduling, budgeting, and administrative tasks. Supports the project staff by facilitating project logistics such as meetings, conference rooms, conference calls, etc. Takes meeting minutes and...
-
atlanta, United States US Tech Solutions Full timeDuration: 12-month contract with ExtensionThis role will be HYBRID - Onsite 3 days per week and remote 2 days per weekJob Description:· Designs and develops learning interventions, including instructor led, on-the-job training and e-learning courses, using Instructional Systems Design methodology.· Uses analysis tools to identify knowledge and skill...
-
Home Health RN
6 days ago
Atlanta, Georgia, United States Interim HealthCare - Atlanta, GA Full timeAbout the RoleWe are seeking a compassionate and experienced Registered Nurse to join our team as a Home Health Weekend RN. This is a full-time position based in Atlanta, GA, offering a flexible schedule with a healthy work-life balance.The successful candidate will have a minimum of 2 years of nursing experience in home healthcare, with excellent clinical...
-
Atlanta, Georgia, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeOpportunity Overview:Doctors Choice Placement Services, Inc. is pleased to offer a dermatology specialist opportunity in Atlanta, GA. This is a part-time position with the potential for growth and flexibility.About the Practice:This existing dermatology practice is fully staffed, providing a stress-free environment for the successful candidate. The current...