Prior Authorization Representative Jobs in USA

Build the Future with Us EquipmentShare is Hiring a Territory Account ManagerAt EquipmentShare were not just filling a role were assembling the best team on the planet to build something thats never been built before. Were on a mission to transform an industry thats been stuck in the past by empow...

Title:Program Director EPCKBR Sustainable Technology Solutions (STS) provides holistic and value-added solutions across the entire asset life cycle. These include world-class licensed process technologies differentiated advisory services deep technical domain expertise energy transition solutions hi...

Job Title: Authorization Specialist I Work Location: Morristown New Jersey Duration: 3 months (extensions) Rate: $26 / Hourly / W-2 Hours Per Week:37.50 Shift:8:00 AM - 4:00 PM EST Duties: Complete full financial clearance of upcoming scheduled visits (insurance verification pre-registration and a...

Job Summary: As a Field Service Representative youll be on the front lines providing operations and maintenance expertise on water treatment systems for one of our customers from one of a variety of industries. This mission critical role involves working on a variety of technologies including media...

Clinical Review Nurse - Prior Authorization Various NV All On-site Share on Job Description Location: Fully Remote Prefer Candidates reside in NV but cal reside elsewhere if they have a have NV RN License. SHIFT: Training schedule is 3 weeks M-Fri 8AM-5PM PSt time ON CAMERA - NO TIME OFF Work Sch...

Department:10495 Enterprise Revenue Cycle - Sherman IL Offsite ArrivalStatus: Part timeBenefits Eligible:NoHours Per Week:0Schedule Details/Additional Information:As needed including holidays evenings weekends.Pay Range$20.80 - $31.20Major Responsibilities: Responsible for performing all job duties...

We are seeking a motivated and detail-oriented Account Representative to join our growing team in Lawrence MA. This role is ideal for individuals who are passionate about client interaction relationship management and professional growth within a fast-paced business environment. The Account Represen...

DescriptionThe Credentialing Representative plays a pivotal role in the credentialing and privileging of healthcare providers within our expansive organization. This entry-level administrative position involves processing credentialing and recredentialing applications including provider privileging...

OverviewPursue your passion and fulfill your purpose at KidsCare! KidsCare Home Health is a multi-award-winning organization who was most recently recognized as a2021 U.S. Top Workplace. As an award-winning organization we are looking for dedicated professionals who will embrace the KidsCare core va...

At Elara Caring we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals providing the Right Care at the Right Tim...

Position Highlights:Position: Prior AuthorizationSchedule: Monday FridayLocation: Grand Valley Primary CareResponsibilities:Gather Patient Information: Collect and review patient medical records diagnosis codes and procedure details to support the pre-authorization request.Verify Insurance Coverage...

Apply for a JobApply for a Job for JAWS UsersCreate a ProfileCreate a Profile for JAWS UsersSystem RequirementsPLEASE NOTE WE DO NOT REVIEW APPLICATIONS SUBMITTED THROUGH MASSCAREERS. PLEASE APPLY VIA THE LINK BELOW: QUALIFICATIONS:Bachelors degree required1-3 years relevant work experience in admis...

JOB RESPONSIBILITIESProcess authorizations electronically utilizing PA and payer portals fax or telephone working with payers to secure authorizations.Process fax queues emails answer incoming calls and adhere to all thresholds for authorization management.Contact patients insurance company to verif...

Site: The General Hospital CorporationMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service strivi...

Job Summary:Responsible for obtaining Prior Authorizations primarily for Pain Management Procedures. Liaison between Patients Clinical staff Insurance carriers and OSG Prior Authorization Team to facilitate authorizations for patient procedures.Educational Requirements:High school diploma required.C...

Our CompanyAmeritaOverviewThis role will be responsible for activities relating to the proper initiation clinical review submission and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.Schedule:Monday - Friday 9:30am - 6:30p...

We are looking for a detail-oriented and analytical Member Services Representative to join our team. As a Member Services Representative you will be responsible for meticulously reviewing and auditing various types of documents ensuring accuracy compliance and adherence to established standards and...

Job DescriptionThe UW Medical Center-Montlake Pharmacy Departmenthas an outstanding opportunity for aPharmacy Technician 2 - Prior Authorization Center.WORK SCHEDULE Per Diem Day ShiftsPOSITION HIGHLIGHTS Perform specialized technical pharmacy tasks related to the management of prior authorization f...

Required Education: High School Diploma or GED AND:18 months experience in Medical Billing Medical Collections and Medical Billing Systems (IDX or other billing system).Skills:Knowledge of medical terminology and billingStrong analytical and problem-solving skillsExcellent organizational skillsEffec...

Anticipated End Date:Position Title:Referral Specialist I/Patient Access (Pre & Prior Authorizations Appeals Insurance) - Paragon Infusion (Hybrid)Job Description:Referral Specialist I/Patient Access (Pre & Prior Authorizations Appeals Insurance) - Paragon InfusionLocation: 3033 W President George B...