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Intake Prior Authorization Jobs in Washington (NOW HIRING)

The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

Intake Registered Nurse

Washington, DC · On-site

$37.60 - $56.40/hr

The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

This role manages the full intake lifecyclefrom initial inquiry through service authorization, and ... Prior experience with intake, case management and service coordination. Valid drivers license with ...

This role manages the full intake lifecycle--from initial inquiry through service authorization ... · Prior experience with intake, case management and service coordination. · Valid driver ...

Intake & PCP Specialist

Brandywine, MD · Hybrid

$17.75 - $23.75/hr

This role manages the full intake lifecycle-from initial inquiry through service authorization, and ... Prior experience with intake, case management and service coordination. Valid driver's license with ...

Intake & PCP Specialist

Brandywine, MD · On-site

$17.75 - $23.75/hr

This role manages the full intake lifecycle-from initial inquiry through service authorization, and ... • Prior experience with intake, case management and service coordination. • Valid driver ...

This role manages the full intake lifecycle-from initial inquiry through service authorization, and ... • Prior experience with intake, case management and service coordination. • Valid driver ...

Solution Architect II

Bethesda, MD · On-site

$67.25 - $88.50/hr

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access ... prior authorization. Our best-in-class patient support services enhance every step of care ...

Director, Pharmacy Operations

Bethesda, MD · On-site

$137K - $182K/yr

Oversee prescription intake, verification, dispensing coordination, and fulfillment workflows ... Prior authorization (PA) and appeals * Patient enrollment and case management * Operationalize ...

Solution Architect

Bethesda, MD · On-site

$67.25 - $88.50/hr

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access ... prior authorization. Our best-in-class patient support services enhance every step of care ...

Showing results 21-40

Intake Prior Authorization information

What are the key skills and qualifications needed to thrive as an intake prior authorization specialist?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What is an intake prior authorization specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are some common challenges faced in an intake prior authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in Washington? For Intake Prior Authorization jobs in Washington, the most frequently searched job titles are:
What cities in Washington are hiring for Intake Prior Authorization jobs? Cities in Washington with the most Intake Prior Authorization job openings:

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Responsibilities

Psych Registered Nurse (RN) Opportunity

7am-7:00pm and 7pm-7:300am Shifts Available-Full Time 

The Psychiatric Institute of Washington provides comprehensive behavioral healthcare for children, adolescents, adults, and senior adults suffering from mental health and addictive illnesses. PIW is a 130 bed, short-term, acute care hospital offering inpatient, partial and intensive outpatient hospitalization, as well as specialized treatment programs for chemical dependency. PIW has an excellent reputation as an innovative hospital with caring, dedicated staff, experienced in the delivery of behavioral healthcare. Situated in the safe, historical Tenleytown neighborhood, PIW is one mile from the Tenleytown Metro stop and within walking distance to local cafes and restaurants.

The Role: The RN - Intake, under the supervision of the Director - Admissions, provides telephonic and in-person risk assessment to assist the physician in identification of appropriate level of care for potential patients. The RN – intake serves as the initial contact with referral sources and potential patients, coordinates the referral and intake process, facilitates the admission process and maintains communication with referral sources, families, patients, and unit staff. The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted.

The Psychiatric Institute of Washington offers comprehensive benefits for the Registered Nurse (RN) position, such as:

  • Challenging and rewarding work environment
  • Competitive Compensation
  • Excellent Medical, Dental, Vision, and Prescription Drug Plan
  • Generous Paid Time Off
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its Subsidiaries

If you would like to learn more about the Intake Registered Nurse (RN) position before applying, please contact Eduardo Amay, Recruiter by phone at eduardo.adams@uhsin.com.

What do our current nurses value at UHS?

An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for leadership development as a Registered Nurse (RN) with UHS. Supportive and responsive leadership. Competitive salary and comprehensive benefits package.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

Qualifications

Job Requirements:

  • Licensure: Current license to practice professional nursing in Washington, DC.
  • New Grads encouraged to apply! Excellent mentorship program and orientation available!
  • Current BLS certification.