Prior Authorization Representative Jobs in USA

This position is responsible for obtaining and managing ongoing precertification/authorization for complex oncological hospital services. Responsible to coordinate peer to peer review and appeals of denials due to no authorization. Responsible to confirm the financial/insurance information obtained...

This position is also available for employment in these areas:Remote - Washington DCJob Description:The Senior Federal Account Executive for the Department of Defense is responsible for driving significant revenue growth and executive level relationships across a defined portfolio of Department of W...

Are you looking for a new sales position with unlimited earning potential and that is in a flourishing industry Or maybe you have been thinking about switching career paths and moving into sales Looking for an opportunity where you can earn uncapped commissions while still having a base salaryYear 1...

Germain Volvo Cars Land Rover North HillsService Appointment CoordinatorWexford PAFull-Time Monday through Friday 8:30am to 5:30pm$17 per hour to startAt Germain our mission is to attract develop and retain exceptional people to deliver an outstanding experience that creates loyalty beyond reason on...

Qualifications for this Career Opportunity:Minimum Qualifications (Education and Experience):Bachelors degree in psychology sociology human services special education or other human service degree.Two years of providing services to individuals with developmental disability.One year of Incident Manag...

At Veritext we focus on the details so legal teams can focus on the case.About the role:Our clients count on us to make the legal process seamless and efficient from scheduling court reporters and legal videographers to ensuring transcripts are delivered on time and flawlessly accurate. As a Client...

Are you an internal caregiver student or contingent worker/agency worker at UMass Memorial Health CLICK HERE to apply through your Workday account.Exemption Status:ExemptHiring Range:$59051.20 - $106308.80Please note that the final offer may vary within this range based on a candidates experience sk...

The Patient Access Rep I arranges for the efficient and orderly admission of all inpatients and outpatients. Ensures that accurate patient information is collected and that patients are aware of hospital policy and procedures.Our Values:Patients FirstEmpowering the Independent ProviderBe InnovativeO...

Duties and ResponsibilitiesApply in-depth knowledge of Chapter 90 and 540 CMR regulations and RMV standards.Conduct administrative hearings on disputes claims and/or other matters involving the agency by interviewing witnesses determining the admissibility of evidence and testimony and rendering dec...

Responsible for all functions related to patient access in all Ambulatory Care areas including but not limited to patient check-in/check-out registration related activities insurance verification referral determinations active account verification patient demographic entry and verification schedulin...

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services activities programs and employment opportunities in accordance with the Americans wi...

Anticipated End Date:Position Title:Authorization Representative IIJob Description:Authorization Representative IILocation: This role requires associates to be in-office 1 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance...

About the CompanyLaunched in 2018 OI Infusion aims to improve the patient and provider experience while simultaneously lowering costs for both providers and company operates both an infusion management service organization (MSO) and a network of multi-site ambulatory specialty infusion centers call...

DescriptionSchedule: Full Time DaysJob Location Type: In-personYour experience mattersAt Lifepoint Health we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and communities. As a member of the...

1.0 FTE (40 hrs/wk); Monday - Friday business hours. This position requires initial on-site training and then will transition to a fully remote role once training is completed. On-site training will be located at the 455 Phalen location in St. Paul. This is a remote opportunity;however the selected...

Reporting to the General Counsel VP of Legal EHS and Security the Senior Manager is a leadership role responsible for the development and implementation of physical security programs to help the company keep all Zoox personnel and property safe and secure. This leader will serve as the primary point...

Job Title: Clinical Review Nurse Prior Authorization Assignment Duration: 3 months (Possible Extension or conversion) Work Location: Fully Remote Schedule may vary: Training will be 8am-5pm Monday through Friday. Once training is completed the scheduled will either be Tuesday- Saturday- 10a-7p...

The Prior Authorization Specialist is responsible for efficiently working accounts receivable for the organization while maintaining customer position will focus on obtaining prior authorization for procedures.This is a full-time role Monday - Friday 8:00 AM - 4:30 PM flexible based upon business n...

Prior Authorization SpecialistReal-world impact. Life-changing outcomes. CommQuest seeks a Full-time Prior Authorization Specialist. The Prior Authorization Specialist is responsible for securing prior authorizations for behavioral health services ensuring that all necessary approvals are obtained f...

Anticipated End Date:Position Title:Manager Pharmacy Clinical Operations (Prior Authorization)Job Description:Manager Pharmacy Clinical OperationsHybrid: This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providing flexibility to support prod...