Shreveport, LA · On-site
$17.25 - $23/hr
... Pharmacy Director and act as a liaison between patients, healthcare providers, and insurance ... The Prior Authorization Specialist will review medication orders to determine if medications ...
Shreveport, LA · On-site
$17.25 - $23/hr
... Pharmacy Director and act as a liaison between patients, healthcare providers, and insurance ... The Prior Authorization Specialist will review medication orders to determine if medications ...
Louisville, KY · On-site
$15.25 - $15.50/hr
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Quick apply
Louisville, KY · On-site
$15.25 - $15.50/hr
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Rock Hill, SC · On-site
$16 - $20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic ... Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a ...
Rock Hill, SC · On-site
$16 - $20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic ... Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$7.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Director of Pharmacy on weekly basis Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being ...
Louisville, KY · On-site
$7.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Director of Pharmacy on weekly basis Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being ...
Providence, RI · On-site
$18.25 - $24.25/hr
Conveying resolution to beneficiary or provider via direct communication and professional ... Prior Authorization * Medicare and Medicaid * Call handling experience. Education: * High School ...
Providence, RI · On-site
$18.25 - $24.25/hr
Conveying resolution to beneficiary or provider via direct communication and professional ... Prior Authorization * Medicare and Medicaid * Call handling experience. Education: * High School ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Quick apply
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Louisville, KY · On-site
$16.50 - $22/hr
Medical
Dental
Vision
Life
Retirement
PTO
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of ... prior authorization is being followed up on * Assists Billing Department with resolving unbilled ...
Rock Hill, SC · On-site
$16 - $20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Why This Role Matters As a Prior Authorization Specialist, you'll be the problem-solver who turns ... Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a ...
Rock Hill, SC · On-site
$16 - $20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Why This Role Matters As a Prior Authorization Specialist, you'll be the problem-solver who turns ... Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a ...
Rock Hill, SC · On-site
$16 - $20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Why This Role Matters As a Prior Authorization Specialist, you'll be the problem-solver who turns ... Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a ...
Rock Hill, SC · On-site
$16 - $20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Why This Role Matters As a Prior Authorization Specialist, you'll be the problem-solver who turns ... Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a ...
Providence, RI · On-site
$17 - $19/hr
Conveying resolution to beneficiary or provider via direct communication and professional ... Prior Authorization * Medicare and Medicaid * Call handling experience. Education: * High School ...
Providence, RI · On-site
$17 - $19/hr
Conveying resolution to beneficiary or provider via direct communication and professional ... Prior Authorization * Medicare and Medicaid * Call handling experience. Education: * High School ...
El Paso, TX · On-site
$16.25 - $21.75/hr
Prior Authorization Specialist Org Level 1: Texas Tech Unv Hlth Sci Ctr El Paso Position ... Collaborate with revenue cycle team via weekly, biweekly, and/or monthly meetings (as directed) to ...
El Paso, TX · On-site
$16.25 - $21.75/hr
Prior Authorization Specialist Org Level 1: Texas Tech Unv Hlth Sci Ctr El Paso Position ... Collaborate with revenue cycle team via weekly, biweekly, and/or monthly meetings (as directed) to ...
Boston, MA · On-site
$19.50 - $26/hr
Job Title Specialized Services Coordinator Responsible for screening prior-authorization and ... Direct supervision weekly.
Boston, MA · On-site
$19.50 - $26/hr
Job Title Specialized Services Coordinator Responsible for screening prior-authorization and ... Direct supervision weekly.
Chandler, AZ · On-site
$19 - $21/hr
Medical
Dental
Vision
Retirement
High-volume prior authorization experience and patient care coordination. * Manage front desk ... providing direct patient care, accessing medical and confidential records, accessing and ...
Chandler, AZ · On-site
$19 - $21/hr
Medical
Dental
Vision
Retirement
High-volume prior authorization experience and patient care coordination. * Manage front desk ... providing direct patient care, accessing medical and confidential records, accessing and ...
Torrance, CA · On-site
$248.50 - $373/hr
Retirement
Prior authorization, utilization management and claims review cases for patients * Provide ... Work with medical director teams focusing on inpatient care management, clinical coverage review ...
Torrance, CA · On-site
$248.50 - $373/hr
Retirement
Prior authorization, utilization management and claims review cases for patients * Provide ... Work with medical director teams focusing on inpatient care management, clinical coverage review ...
Pepper Pike, OH · On-site
$26/hr
Description Do you have experience with healthcare prior authorizations, insurance verification ... Experience with payer portals, authorizations, claims-tracking systems, Direct Data Entry ("DDE ...
New
Pepper Pike, OH · On-site
$26/hr
Description Do you have experience with healthcare prior authorizations, insurance verification ... Experience with payer portals, authorizations, claims-tracking systems, Direct Data Entry ("DDE ...
New
Frisco, TX · On-site
$35K - $40K/yr
Medical
Dental
Vision
Retirement
PTO
The ideal candidate brings direct, dedicated prior authorization experience in neurology, infusion, or another complex specialty care setting. This is not an entry-level or adjacent front-desk ...
Quick apply
Frisco, TX · On-site
$35K - $40K/yr
Medical
Dental
Vision
Retirement
PTO
The ideal candidate brings direct, dedicated prior authorization experience in neurology, infusion, or another complex specialty care setting. This is not an entry-level or adjacent front-desk ...
| Aspect | Director Prior Authorization | Medical Claims Supervisor |
|---|---|---|
| Required Credentials | Bachelor's degree, industry certifications often preferred | Bachelor's degree, relevant certifications beneficial |
| Work Environment | Healthcare organizations, insurance companies | Healthcare providers, insurance companies |
| Employer & Industry Usage | Used in health insurance and healthcare management | Common in healthcare administration and insurance claims processing |
| Primary Focus | Reviewing and approving prior authorization requests | Overseeing claims processing and ensuring accuracy |
The main difference is that the Director Prior Authorization focuses on managing the approval process for medical procedures before they occur, while the Medical Claims Supervisor oversees the processing and accuracy of claims after services are provided. Both roles require healthcare knowledge, but their responsibilities and workflows differ significantly.
$17.25 - $23/hr
Full-time
Posted 14 days ago
The Willis Knighton Department of Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our team. This individual will work directly with our Outpatient Infusion Units under the supervision of the Pharmacy Director and act as a liaison between patients, healthcare providers, and insurance companies to ensure timely patient care and compliance with payer requirements.
A high school diploma is required, and a basic knowledge of medical terminology, medical billing, and familiarity with computers and Microsoft Office products is preferred. The Prior Authorization Specialist will review medication orders to determine if medications require prior authorization, verify insurance coverage, and work closely with healthcare providers to collect necessary clinical information. Great attention to detail is a necessary quality. The shift hours will be 8-hour days.
If you are interested, please apply for this position.
