Atlanta, GA · On-site
$17.25 - $23/hr
A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers. These individuals ...
Atlanta, GA · On-site
$17.25 - $23/hr
A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers. These individuals ...
Atlanta, GA · On-site
$17.25 - $23/hr
Responsibilities A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers.
Atlanta, GA · On-site
$17.25 - $23/hr
Responsibilities A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers.
Canton, GA · On-site
... prior authorizations on meds, phone triage, clinical message taking, charting in EMR, and Medical ... BLS card from the American Heart Association, prior to hire date. Required ACLS/PALS may be ...
Canton, GA · On-site
... prior authorizations on meds, phone triage, clinical message taking, charting in EMR, and Medical ... BLS card from the American Heart Association, prior to hire date. Required ACLS/PALS may be ...
Calhoun, GA · On-site
The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the ... Support transitions of care, assist with prior authorization requests, and help members access ...
Calhoun, GA · On-site
The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the ... Support transitions of care, assist with prior authorization requests, and help members access ...
Augusta, GA · On-site
The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the ... Support transitions of care, assist with prior authorization requests, and help members access ...
Augusta, GA · On-site
The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the ... Support transitions of care, assist with prior authorization requests, and help members access ...
Augusta, GA · On-site
The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the ... Support transitions of care, assist with prior authorization requests, and help members access ...
Augusta, GA · On-site
The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the ... Support transitions of care, assist with prior authorization requests, and help members access ...
$16.50 - $22/hr
KEY RESPONSIBILITIES: 1. Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2. Secures prior authorization from insurance companies and ...
$16.50 - $22/hr
KEY RESPONSIBILITIES: 1. Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2. Secures prior authorization from insurance companies and ...
Atlanta, GA · Remote
$47K - $52K/yr
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to ... Remote-first -- work from home anywhere within our approved states * Growth: Tailored professional ...
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Atlanta, GA · Remote
$47K - $52K/yr
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to ... Remote-first -- work from home anywhere within our approved states * Growth: Tailored professional ...
The ideal candidate has prior home healthcare experience , strong clinical judgment, excellent ... from home options available.
Quick apply
The ideal candidate has prior home healthcare experience , strong clinical judgment, excellent ... from home options available.
Norcross, GA · On-site
$17 - $22.50/hr
Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2.Secures prior authorization from insurance companies and documents approval details ...
Norcross, GA · On-site
$17 - $22.50/hr
Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2.Secures prior authorization from insurance companies and documents approval details ...
$17 - $22.50/hr
KEY RESPONSIBILITIES: 1. Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2. Secures prior authorization from insurance companies and ...
$17 - $22.50/hr
KEY RESPONSIBILITIES: 1. Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2. Secures prior authorization from insurance companies and ...
Ensures that Prior Authorizations are issued by the Region to allow for billing * Reviewing that ... Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN) * Complies ...
Ensures that Prior Authorizations are issued by the Region to allow for billing * Reviewing that ... Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN) * Complies ...
Athens, GA · On-site +1
Ensures that Prior Authorizations are issued by the Region to allow for billing * Reviewing that ... Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN) * Complies ...
Athens, GA · On-site +1
Ensures that Prior Authorizations are issued by the Region to allow for billing * Reviewing that ... Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN) * Complies ...
Dublin, GA · On-site
One (1) full and unrestricted license from any US State or territory Work Schedule: A variety of ... Not Authorized
Dublin, GA · On-site
One (1) full and unrestricted license from any US State or territory Work Schedule: A variety of ... Not Authorized
Decatur, GA · On-site
One (1) full and unrestricted license from any US State or territory Work Schedule: A variety of ... Not Authorized
Decatur, GA · On-site
One (1) full and unrestricted license from any US State or territory Work Schedule: A variety of ... Not Authorized
... from home. * Ensure clinic and patient supply inventory and usage is appropriate for patient ... CPR certification required prior to patient care assignment. * Confirmation of ability to ...
... from home. * Ensure clinic and patient supply inventory and usage is appropriate for patient ... CPR certification required prior to patient care assignment. * Confirmation of ability to ...
... from home. * Ensure clinic and patient supply inventory and usage is appropriate for patient ... CPR certification required prior to patient care assignment. * Confirmation of ability to ...
... from home. * Ensure clinic and patient supply inventory and usage is appropriate for patient ... CPR certification required prior to patient care assignment. * Confirmation of ability to ...
Johns Creek, GA · On-site
$45 - $50/hr
Registered Nurse (RN) - Home Health Care Pay: $45.00 - $50.00 per hour Job Types: Part-time, PRN ... When you receive services from Divine Home Nursing, you will see firsthand that our caregivers are ...
Quick apply
Johns Creek, GA · On-site
$45 - $50/hr
Registered Nurse (RN) - Home Health Care Pay: $45.00 - $50.00 per hour Job Types: Part-time, PRN ... When you receive services from Divine Home Nursing, you will see firsthand that our caregivers are ...
Atlanta, GA · On-site
$60K - $129K/yr
... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ... Excellent computer skills with ability to read, interpret and analyze data from various computer ...
Atlanta, GA · On-site
$60K - $129K/yr
... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ... Excellent computer skills with ability to read, interpret and analyze data from various computer ...
At Crescent Home Health, our employees enjoy: * Creating lasting connections with individuals and ... Experiencing genuine appreciation and gratitude from those we serve. * Having the confidence of ...
At Crescent Home Health, our employees enjoy: * Creating lasting connections with individuals and ... Experiencing genuine appreciation and gratitude from those we serve. * Having the confidence of ...
| Aspect | From Home Prior Authorization Rn | From Home Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications like CCM | Medical coding certification (CPC, CCS) |
| Work Environment | Home-based, clinical setting | Home-based, administrative setting |
| Industry Usage | Healthcare, insurance, patient care | Healthcare, billing, insurance claims |
While both roles are remote healthcare positions, From Home Prior Authorization Rn focuses on reviewing medical necessity for insurance approvals, requiring nursing credentials. In contrast, From Home Medical Coder handles medical billing and coding, requiring coding certifications. Both roles support healthcare operations but differ in responsibilities and required qualifications.
Atlanta, GA • On-site
$17.25 - $23/hr
Full-time
Posted 10 days ago
7.3
Based on 440 frontline employees who took The Breakroom Quiz
302nd of 886 rated healthcare providers
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers. These individuals receive prescriptions, address and rectify rejected claims and conduct necessary third party authorization requests.
REQUIRED: 1. High School Graduate or General Education Degree (GED). 2. CMA, or RMA or three (3) to seven (7) years related experience. 3. Understanding and experience with electronic medical records 4. Great communicator, with exceptional writing and verbal skills 5. Ability to project a professional image. 6. Strong knowledge of regulatory standards and compliance requirements, working knowledge of medical business office procedures and basic accounting. 7. Detailed understanding of ICD-9 and CPT. 8. Possess insight into reimbursement and claims procedures. PREFERRED: 1. Proficient in EMR 2. Two (2) to Four (4) years equivalent experience
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* 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group
Hospitals
10,000+ Employees
Atlanta, GA, US
1970
