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Director Insurance Prior Authorization Jobs (NOW HIRING)

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Job duties will consist of insurance eligibility and getting authorizations for office visits/surgeries. Must have a good understanding of AHCCCS, commercial insurance, and working with primary and ...

Prior Authorization

Eugene, OR

$18 - $24/hr

* Submits, tracks, and manages prior authorization requests for medical and ancillary procedures ... Interacts with insurance payers, physicians, providers, and Slocum departments to clarify coverage ...

Prior Authorization

Birmingham, AL · On-site

$16.75 - $22.50/hr

General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...

Prior Authorization

Savannah, GA

$16.75 - $22.25/hr

Prior Authorization (Full Time) Department: Cardiology Location: 1326 Eisenhower Drive, Savannah ... insurance policies (i.e. critical illness, short term disability, life, identity theft). PTO ...

Position Summary: The role of the Director, Prior Authorization is to oversee the prior ... Vision insurance * Zero co-payments for employed physician office visits * Flexible Spending ...

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Director Insurance Prior Authorization information

What are the key skills and qualifications needed to thrive as a Director of Insurance Prior Authorization, and why are they important?

To thrive as a Director of Insurance Prior Authorization, you need expertise in healthcare administration, insurance processes, and regulatory compliance, typically supported by a bachelor's or master's degree in healthcare or business administration. Familiarity with prior authorization software, electronic health records (EHRs), and payer systems is crucial for overseeing efficient authorization workflows. Strong leadership, problem-solving, and communication skills help drive team performance and manage complex stakeholder relationships. These skills ensure timely approvals, reduce claim denials, and maintain regulatory compliance, which directly impact patient access and organizational revenue.

What are some common challenges faced by a Director of Insurance Prior Authorization, and how can they be effectively managed?

A Director of Insurance Prior Authorization often encounters challenges such as navigating constantly changing insurance requirements, ensuring timely approvals for patient care, and managing high volumes of authorization requests. Effective management involves staying updated on payer policies, implementing robust tracking systems, and fostering strong communication between clinical, administrative, and payer teams. Building a knowledgeable team and utilizing technology to streamline workflows can also help reduce denials and improve turnaround times.

What does a Director of Insurance Prior Authorization do?

A Director of Insurance Prior Authorization oversees the processes required to obtain insurance approvals for medical procedures, prescriptions, or treatments. They manage teams responsible for submitting prior authorization requests and ensure compliance with insurance guidelines and regulations. Their role includes improving workflow efficiency, reducing denials, and collaborating with healthcare providers and insurance companies. Additionally, they analyze trends to optimize the authorization process and provide training to staff on policy changes.

What is the difference between Director Insurance Prior Authorization vs Insurance Authorization Specialist?

AspectDirector Insurance Prior AuthorizationInsurance Authorization Specialist
CredentialsBachelor's degree, industry certifications often preferredHigh school diploma or equivalent, relevant certifications beneficial
Work EnvironmentManagement level, overseeing teams and processesOperational role, performing authorization tasks
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsMedical offices, insurance companies, healthcare providers
Primary ResponsibilitiesOverseeing authorization processes, policy compliance, team managementProcessing authorization requests, verifying coverage, documentation

The main difference is that the Director Insurance Prior Authorization manages teams and oversees authorization policies, while the Insurance Authorization Specialist handles the day-to-day processing of authorization requests. Both roles require knowledge of insurance policies, but the director position involves leadership and strategic oversight.

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What cities are hiring for Director Insurance Prior Authorization jobs? Cities with the most Director Insurance Prior Authorization job openings:
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Medical Insurance Prior Authorization Coordinator

Medical Insurance Prior Authorization Coordinator

TTF

Phoenix, AZ • On-site

$22 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

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Job description

TTF is recruiting for an Authorizations Coordinator to work for a well-respected specialty practice in Phoenix, AZ. This is a contract to possible hire, Monday-Friday 8:00am - 5:00pm position.
Qualified candidates will have at least 2+ years' experience working in authorizations/verifications and be able to professionally communicate with internal as well as external callers. Job duties will consist of insurance eligibility and getting authorizations for office visits/surgeries. Must have a good understanding of AHCCCS, commercial insurance, and working with primary and secondary insurance plans.
Qualified candidates MUST be able to successfully pass a background check and have a track record of stability and success.
Please send your resume to Tannia Jimenez at tjimenez@TTFrecruit.com for consideration.
TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.
We place candidates in the PFS field with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections Representative, Medical Collector, Medical Reimbursement Specialist, Patient Account Rep, Patient Financial Representative, Reimbursement Representative, Reimbursement Specialist, Coding, and Claims Processing.

Company Description

TTF is a recruiting firm that partners with companies nationwide to find the talent they need for success.

TTF Search and Staffing logo

About TTF Search and Staffing

Sourced by ZipRecruiter

We match Top Talent with great companies, delivering maximum ROI! Hiring and retaining top talent is the key to success for any business. At TTF, we combine relationship building, a passion for working with people, and a proprietary database of more than 800,000 candidates/contacts nationwide to deliver Top Talent. Our goal is simple, we want to partner with the best possible talent and to help healthcare companies grow and prosper. The TTF team has filled over 17,000 positions throughout their career by staying CONFIDENTIAL, COMMITTED, and CONNECTED with candidates and clients.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Phoenix, AZ, US

Year founded

2011