Prior Authorization Representative Jobs in USA

DescriptionWho We Are:People are our passion and purpose.Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern state-of-the-art 295-bed acute care facility offering an advanced neurosurgery program with Spine Center accreditation...

Love medicine is who we are its what we do its why people want to work here. If youre looking for a job to love apply today.Scheduled Weekly Hours:40Emplify Health by Gundersen is looking to add a Prior Authorization Specialist to our team! In this role you will work with hospital departments and i...

DescriptionWork Schedule:100% FTE Monday-Friday 8:00am-4:30 You will work at UW Health 9th St. Clinic 209 9th St.Additional components of compensation may include:Evening night and weekend shift differentialOvertimeOn-call payAt UW Health in northern Illinois you will have: Competitive pay and comp...

OverviewBlue Ridge Health is currently seeking a Lead Prior Authorization Specialist to be part of our Medical team in Hendersonville NC.What We Offer You:A competitive benefits plan including Medical Dental and VisionCompany sponsored life insurance and short and long-term disability coverage403(b)...

Locations: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from...

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from/to pharmacies...

About Optima Medical:Optima Medical is an Arizona-based medical group consisting of30locations and over130medical providers who care for more than200000patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities Live Better Live Longer through personal...

The University of Southern California (USC) founded in 1880 is located in the heart of downtown L.A. and is the largest private employer in the City of Los Angeles. As an employee of USC you will be a part of a world-class research university and a member of the Trojan Family which is comprised of t...

Fair Haven Community Health CareFor over 54 years FHCHC has been an innovative and vibrant community health center catering to multiple generations with over 165000 office visits across 21 locations. Guided by a Board of Directors most of whom are patients themselves we take pride in being a healthc...

Company :Allegheny Health NetworkJob Description :JOB SUMMARY*This position is eligible for a $5000 sign on bonus for a 1-year commitment* This role requires a strong understanding of pharmacy benefits insurance processes and patient access procedures. Responsibilities include the coordination and a...

ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. I...

About Our CompanyWere a physician-led patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary multispecialty and urgent care providers serve millions of patients in traditional practices patients homes and virtually through VillageMD and ou...

Full-timeDescriptionPosition Summary:The Surgery Prior Authorization and Support Specialist is responsible for obtaining and managing prior authorizations for Mohs surgical procedures to ensure timely approval and reimbursement. This role supports clinical and administrative operations by coordinati...

Since 1983 Johns Hopkins Care at Home has provided safe high-quality and cost-effective care in the home and community. Our team links care across multiple sites for patients families and colleagues in an effort to restore maintain and promote health and reduce the effects of disease and part of Jo...

Love medicine is who we are its what we do its why people want to work here. If youre looking for a job to love apply today.Scheduled Weekly Hours:40Gundersen Health System is seeking a Lead Prior Authorization Specialist! In this role youll help guide daily operations support staff and ensure pati...

1.0 FTE (40 hrs/wk); Monday Friday business hours. This position requires initial on-site training at the 455 location in St. Paul and then will transition to a remote working role. However the selected candidate must reside in Minnesota or Wisconsin and have the ability to work onsite in St. Paul...

Full-timeDescriptionWant to use your insurance and referral expertise to make a real impact in your community At Konza Prairie Community Health Center your work helps ensure patients receive timely specialty care and critical diagnostic services.We are seeking a detail-oriented Prior Authorization S...

Anticipated End Date:Position Title:Process Expert II (Prior Authorization)Job Description:Process Expert II (Prior Authorization)Location: Candidates that live in Ohio Nevada and Virginia are strongly preferred.Hybrid: This role requires associates to be in-office 1 - 2 days per week fostering coll...

DescriptionHealthPartners is hiring an RN Supervisor Utilization Management Prior Authorization Program. This position exists to provide supervision to and performance management of clinical review staff in alignment with HealthPartners leadership characteristics.POSITION PURPOSE:Provide supervision...

DescriptionHealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist.POSITION PURPOSE:Accurate application of HealthPartners evidence-based coverage criteria in alignment with member benefit planAppropriate management of HealthPartners fiduciary responsibilities in alignment wi...