Register
Recruit Create CV

Prior Authorization Coordinator Jobs

Authorization Appeals Coordinator Jobs
By Fred Hutch At Seattle, WA, United States
Present denial information to Revenue Cycle Management.
Working knowledge of ICD-10, CPT and HCPS coding
Ability to apply knowledge of commercial payor and regulatory guidelines
Ability to organize and prioritize concurrent responsibilities.
Ability to troubleshoot and offer solutions for process improvement.
Initiates appeals for denied authorization requests.
Authorization Coordinator Jobs
By Sentara Healthcare At , Charlottesville, 22911
High School Grad or Equivalent
Health Insurance Authorizations 2 years
Health Insurance Verification 2 years
Talroo - Allied Health, coordinator, insurance verification, registration, billing
Coordinator Infusion Authorization Jobs
By Ensemble Health Partners At , Richmond, 23226
Root cause denial management experience and/or project manage experience
Other Preferred Knowledge, Skills and Abilities
Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.
Ability to navigate insurance benefits and third party administrator sites
2 years’ experience and/or clinical background in the oncology or drug infusion center
Education Level Preferred Area of Study
Coordinator Infusion Authorization Jobs
By HonorHealth At , Phoenix, 85027

Overview: Full-Time, Days Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. ...

Prior Authorization Coordinator Jobs
By Retina Utah MSO LLC At , Murray, 84107
Obtains authorizations from insurance companies and records notes accurately in the practice management system in a fast and efficient manner.
Provides immediate verification of benefits as needed for same or next day added-on patient appointments.
Must have knowledge of current insurance companies and electronic portals
Knowledge of billing procedures and collection techniques
Experience using medical billing software
Excellent verbal and written communication skills
Credit For Prior Learning Coordinator
By Northern Virginia Community College At , $83,087 - $93,000 a year
Experience using computer systems and applications, including knowledge of the Microsoft Office Suite
Does this position have a bilingual or multilingual skill requirement or preference?
Chair the CPL Committee; assure that CPL policies comply with NOVA, VCCS, Code of Virginia and SACSCOC requirements.
Manage questions about the interpretation of CPL policies.
Excellent written and oral communication skills.
Able to manage multiple tasks in a timely manner.
Prior Authorization Coordinator Jobs
By Banner Health At , Sun City, 85351
Banner Sun Health Research Institute Sun City
new grads may be considered. Monday through Friday 8:30 am - 5:00 pm Day Shift.
Our organization supports a drug-free work environment.
Prior Authorization Coordinator I
By MedImpact Healthcare Systems At , Remote
Understanding of managed pharmacy benefit concepts including formularies, prior authorizations, edits, and claim adjudication
Conforms to defined roles & responsibilities and rules of engagement between prior authorization processing and clinical decision making
Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations
Collaborates with MCO and Self-Insured client teams to understand PBM clients’ prior authorization processing requirements and expectations
One (1) to two (2) years of healthcare organization, retail, or mail order pharmacy, or PBM experience preferred
Working knowledge of customer service in a retail/outpatient pharmacy environment
Manager, Prior Authorization Patient Support
By ABBVIE At , , Il

Experience working in market access, trade, and/or pharmacy channels strongly preferred.

Must have the ability to effectively collaborate with, motivate and influence various levels/grades cross-functionally within and outside the organization.

Prior Authorization Specialist Jobs
By Tarrytown Expocare LLC At , Austin, 78757, Tx
Server as a source of knowledge over the prior authorization procedures in multiple states.
Excellent verbal and written communication skills.
Ability to solve problems and manage multiple tasks simultaneously.
Professional telephone etiquette and communication skills
Knowledge of Cover My Meds Helpful, but not required.
Responsible to call both other providers and insurance companies to coordinate the processing of the prior authorization.
Prior Authorization Coordinator - Work From Home
By Moda Health At United States
Interprets contracts (evidence of coverage, handbooks, summary of benefits etc.) and determines actions required.
Minimum one year working experience in a prior authorization or technician role in a pharmacy or health plan.
Demonstrated critical decision making, ability to interpret benefit contracts, clinical criteria and Moda Health administrative policies.
Sound analytical problem solving, decision making, memory retention, and organizational skills.
Excellent verbal, written, and interpersonal communication skills including active listening, teamwork, working respectfully with co-workers and members.
Medical, Dental, Vision, Pharmacy, Life, & Disability
Prior Authorization Specialist (Temp)
By Boulder Care At United States
Advise management of identified trends with payers in an effort to mitigate problems
Communicate authorization and benefit coverage with patients and providers promptly and professionally
Able to organize workload and manage time effectively
Able to read and interpret medical benefits for verification requests
Exceptional written and verbal communication skills
Demonstrated experience working in prior authorizations (required)
Appeal/Prior Authorization Representative
By LanceSoft, Inc. At United States
∙ Bachelor’s degree in related field or equivalent work experience preferred
Medicare Part D CMS Regulations.
Proficient in navigation of multiple computer applications
∙ Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors
∙ Ability to type more than 30 WPM
∙ Six months of PBM/pharmaceutical related work strongly desired
Prior Authorization Scheduler Jobs
By Infinx At United States
Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.
Knowledge of Medical Terminology and ability to interpret clinical documentation
Excellent interpersonal and communication skills both written and orally.
At least 2 years of experience in a doctor’s office as a medical assistant.
At least 1+ years of experience in medical scheduling, preferably with Orthopedics, Cardiology, Imaging procedures.
Answers the telephone promptly in a courteous and professional manner.
Prior Authorization And Pre-Registration Manager
By IVX Health At Nashville Metropolitan Area, United States
Bachelors Degree in Healthcare Management or related field
Oversees intake and prior authorization team and process effectively with a focus on improving the centralized patient onboarding experience.
Manages department-related ad-hoc projects as needed.
Excellent communication and interpersonal skills
Extensive experience with patient intake, prior authorization and financial counseling preferred
Manager, Prior Authorization & Preregistration
Prior Authorization Pharmacy Technician
By LanceSoft, Inc. At United States
4. Effectively manage work volume by handling inbound calls/fax requests utilizing appropriate courteous and professional behavior based upon established standards.
Physical Requirements [ex. Sit, stand, stoop, bend and walk]
- Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.
- Must possess excellent written, verbal, grammar, and listening communication skills.
Example: Lifts, scans and bags purchased items
1. Regular and predictable attendance
Prior Authorization Specialist Jobs
By SGS Consulting At United States
∙ Acquiring and maintaining basic knowledge of relevant and changing Med D guidance.
∙ Bachelor’s degree in related field or equivalent work experience preferred.
Successfully worked independently in a data entry, productivity driven role is preferred.
In this role, you will be responsible for
∙ Utilizing multiple software systems to complete Medicare Prior Authorization case reviews.
∙ Meeting or exceeding government mandated timelines
Authorization Coordinator Jobs
By Fallon Health At Worcester, MA, United States
Experience in a managed care or call center setting or physician’s office; knowledge of managed care and/or utilization management strategies advisable
Special projects/other duties as assigned by Management. 
1-3 years professional experience in related position, preferably in health care.
Excellent writing skills with familiarity and comfort with medical terminology.
Ability to work independently and make appropriate decisions within the realm of set business and benefit guidelines
Excellent interpersonal communication and problem-solving skills.
Prior Authorization Specialist Jobs
By Sheridan Memorial Hospital At , Sheridan, 82801, Wy
Must possess excellent time management and organization skills with attention to detail.
Education / Experience / License and Certifications
Obtains pre-authorizations/pre-certification per payer requirements for services rendered and ensures authorization information is documented in the appropriately in the system.
Remains current with insurance requirements for pre-authorization and provides education within the departments and clinics on changes.
Knowledge of CPT, HCPCS, and ICD-10 codes preferred.
Verifies physician orders are accurate, determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization.
Authorization Coordinator Ii Jobs
By Sutter Health At , Berkeley, 94705, Ca $26.36 - $32.94 an hour
HS Diploma or equivalent education/experience
Equivalent experience will be accepted in lieu of the required degree or diploma.
1 year recent relevant experience.
Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
Knowledge of Microsoft Office programs including Excel, Word or similar programs.
Active listening skills; including interpersonal skills and telephone communication.

Are you looking for a challenging and rewarding career in healthcare? We are looking for an experienced Prior Authorization Coordinator to join our team! As a Prior Authorization Coordinator, you will be responsible for ensuring that all prior authorizations are completed in a timely and accurate manner. You will also be responsible for communicating with insurance companies, providers, and patients to ensure that all prior authorization requirements are met. If you are a detail-oriented individual with excellent communication skills, this could be the perfect job for you!

Overview A Prior Authorization Coordinator is responsible for obtaining authorization from insurance companies for medical services and procedures. They must be knowledgeable about insurance policies and regulations and be able to effectively communicate with insurance companies and medical providers. They must also be able to accurately document and track authorization requests. Detailed Job Description The Prior Authorization Coordinator is responsible for obtaining authorization from insurance companies for medical services and procedures. This includes verifying insurance coverage, obtaining authorization from the insurance company, and documenting and tracking authorization requests. The Prior Authorization Coordinator must be knowledgeable about insurance policies and regulations and be able to effectively communicate with insurance companies and medical providers. They must also be able to accurately document and track authorization requests. Job Skills Required
• Knowledge of insurance policies and regulations
• Excellent communication and customer service skills
• Ability to accurately document and track authorization requests
• Knowledge of medical terminology
• Ability to work independently and as part of a team
• Proficiency in computer software applications
Job Qualifications
• High school diploma or equivalent
• Previous experience in a medical office setting
• Knowledge of insurance policies and regulations
• Ability to accurately document and track authorization requests
• Excellent communication and customer service skills
Job Knowledge
• Knowledge of insurance policies and regulations
• Knowledge of medical terminology
• Knowledge of computer software applications
Job Experience
• Previous experience in a medical office setting
• Previous experience in a customer service role
Job Responsibilities
• Verify insurance coverage for medical services and procedures
• Obtain authorization from insurance companies for medical services and procedures
• Document and track authorization requests
• Communicate with insurance companies and medical providers
• Maintain accurate records and files
• Follow up on authorization requests
• Assist with other administrative tasks as needed