Atlanta, GA · On-site
$17.25 - $23/hr
... analysis forms and provide cost estimates for patient collections prior to surgery. - Verify insurance benefits for all surgical procedures. - Document authorizations and update patient records with ...
Quick apply
Atlanta, GA · On-site
$17.25 - $23/hr
... analysis forms and provide cost estimates for patient collections prior to surgery. - Verify insurance benefits for all surgical procedures. - Document authorizations and update patient records with ...
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Tempe, AZ · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Tempe, AZ · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Tulsa, OK · On-site
$15.50 - $20.75/hr
Prior Authorization Specialist II General Description Under general supervision, the Prior ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
New
Tulsa, OK · On-site
$15.50 - $20.75/hr
Prior Authorization Specialist II General Description Under general supervision, the Prior ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
New
Oklahoma City, OK · On-site
$16.75 - $22.25/hr
Prior Authorization Specialist II Department:Pre-visit Services General Description Under general ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Oklahoma City, OK · On-site
$16.75 - $22.25/hr
Prior Authorization Specialist II Department:Pre-visit Services General Description Under general ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Analyze complex medical information to assess the clinical necessity of requested therapies and ... Monitor and analyze prior authorization data to identify trends, areas of improvement, and ...
New
Analyze complex medical information to assess the clinical necessity of requested therapies and ... Monitor and analyze prior authorization data to identify trends, areas of improvement, and ...
New
San Diego, CA · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
San Diego, CA · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Central Park, WA · On-site
$19.25 - $25.50/hr
Position Title: Prior Authorization Specialist II Department: Pre-visit Services General ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
New
Central Park, WA · On-site
$19.25 - $25.50/hr
Position Title: Prior Authorization Specialist II Department: Pre-visit Services General ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
New
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Central Park, WA · On-site
$19.25 - $25.50/hr
Position Title: Prior Authorization Specialist II Department: Pre-visit Services General ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
New
Central Park, WA · On-site
$19.25 - $25.50/hr
Position Title: Prior Authorization Specialist II Department: Pre-visit Services General ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
New
Montvale, NJ · On-site
$168 - $194/hr
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Montvale, NJ · On-site
$168 - $194/hr
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Frisco, TX · On-site
PRIOR AUTHORIZATION MANAGER Texas Institute for Neurological Disorders / US Neurology Associates ... Own denial and appeal workflows, including root-cause analysis, clinical documentation coordination ...
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Frisco, TX · On-site
PRIOR AUTHORIZATION MANAGER Texas Institute for Neurological Disorders / US Neurology Associates ... Own denial and appeal workflows, including root-cause analysis, clinical documentation coordination ...
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all ... Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and ...
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all ... Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and ...
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Quick apply
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Orlando, FL · On-site
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Quick apply
Orlando, FL · On-site
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Manhattan, NY · On-site
$60K - $75K/yr
Lead root cause analyses to identify and resolve recurring operational challenges. * Maintain ... Experience with prior authorization management platforms is preferred
Manhattan, NY · On-site
$60K - $75K/yr
Lead root cause analyses to identify and resolve recurring operational challenges. * Maintain ... Experience with prior authorization management platforms is preferred
Portland, OR · On-site +1
$19.43 - $21.86/hr
Determines the requirement for prior authorization based on the plan type, ICD-10 code, CPT/HCPC ... Analyze claims and encounters according to the limits of authorization, benefit plan and provider ...
Portland, OR · On-site +1
$19.43 - $21.86/hr
Determines the requirement for prior authorization based on the plan type, ICD-10 code, CPT/HCPC ... Analyze claims and encounters according to the limits of authorization, benefit plan and provider ...
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all ... Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and ...
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all ... Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and ...
$31K - $40K
11% of jobs
$40K - $49K
9% of jobs
$52.1K is the 25th percentile. Wages below this are outliers.
$49K - $58K
15% of jobs
$58K - $67K
15% of jobs
The median wage is $67.3K / yr.
$67K - $76K
18% of jobs
$82.5K is the 75th percentile. Wages above this are outliers.
$76K - $85K
11% of jobs
$85K - $94K
7% of jobs
$94K - $103K
5% of jobs
$103K - $112K
4% of jobs
$112K - $121K
2% of jobs
$121K - $130K
3% of jobs
$31K
$73.3K
$130K
Cities with the most Executive Prior Authorization Analyst job openings:
The most popular types of Prior Authorization Analyst jobs are:
States with the most job openings for Executive Prior Authorization Analyst jobs include:
Atlanta, GA • On-site
$17.25 - $23/hr
Full-time
Re-posted 7 days ago
Job Title: Surgery Prior Authorization Specialist
Location: Atlanta/Sandy Springs, GA
Job Type: Full-Time
About Us:
We are a leading Pediatric Ears, Nose, & Throat practice in Atlanta dedicated to providing exceptional care to our patients. We are currently seeking a skilled and detail-oriented individual to join our team as a Surgery Prior Authorization Specialist.
Job Summary:
The Surgery Prior Authorization Specialist is responsible for managing the prior authorization process for upcoming surgical cases. This role involves ensuring that all authorizations are obtained accurately and in a timely manner, while coordinating closely with physicians, surgical centers, and insurance companies. The ideal candidate will have a strong background in prior authorizations and insurance verification, with a focus on surgery, and will be capable of working in a fast-paced, pediatric ENT setting.
Minimum Qualifications:
- Minimum one year of experience in prior authorization and insurance verification.
- Prior experience in Ears, Nose & Throat (ENT) is highly preferred.
- Familiarity with EMR systems: EPIC and/or ModMed, is highly preferred.
- Familiarity with insurance processes and authorizations.
Essential Functions:
- Monitor and manage authorizations for upcoming surgical cases, ensuring timely and accurate approval.
- Verify patient demographic information and insurance eligibility, including coordination of benefits.
- Complete surgical cost analysis forms and provide cost estimates for patient collections prior to surgery.
- Verify insurance benefits for all surgical procedures.
- Document authorizations and update patient records with authorization progress.
- Enter authorization information into the case management system.
- Communicate effectively with physicians, patients, coworkers, hospitals, and surgical centers.
- Provide ongoing training to staff on new processes to ensure timely surgical case confirmations.
- Assist surgery schedulers with urgent (STAT) authorizations.
- Maintain confidentiality of health records and patient information in compliance with HIPAA guidelines.
- Identify workflow improvement opportunities and work with the department manager to resolve any complaints professionally and promptly.
- Attend department meetings as required.
Skills and Abilities:
- Strong communication and interpersonal skills.
- Detail-oriented with excellent organizational abilities.
- Ability to work both independently and collaboratively.
- Proficiency with case management software and insurance verification tools.
- Familiarity with HIPAA compliance and confidentiality standards.
