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Internship Prior Authorization Rn Jobs in Georgia

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Serves as the Medical Review and Prior Authorization liaison between internal and external ... If RN, active RN licensure in state hired. We Prefer That You Have The Following: * Preferred Work ...

Licensed Vocational Nurse

Atlanta, GA · Remote

$25 - $27/hr

You will provide processing and communication of specialty medication prior authorization (PA ... Provide on-call after hours nurse availability for urgent PA requests. * Provide internal nurse ...

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Internship Prior Authorization Rn information

What is the difference between Internship Prior Authorization Rn vs Medical Billing Specialist?

AspectInternship Prior Authorization RnMedical Billing Specialist
CredentialsRN license, internship experienceCertification in medical billing or coding
Work EnvironmentHospitals, clinics, healthcare facilitiesMedical offices, billing companies, healthcare providers
Employer & Industry UsageHealthcare providers requiring authorization for patient careHealthcare billing and insurance reimbursement

The Internship Prior Authorization RN focuses on obtaining approval for patient treatments, requiring nursing credentials and clinical experience. In contrast, a Medical Billing Specialist handles billing processes, insurance claims, and coding. Both roles are essential in healthcare but serve different functions—one ensures proper authorization for care, the other manages financial reimbursement.

What are the most commonly searched types of Prior Authorization Rn jobs in Georgia? The most popular types of Prior Authorization Rn jobs in Georgia are:
What cities in Georgia are hiring for Internship Prior Authorization Rn jobs? Cities in Georgia with the most Internship Prior Authorization Rn job openings:
Prior Authorization Specialist

Prior Authorization Specialist

Curant Health

Smyrna, GA

$18 - $24/hr

Full-time

Medical, PTO

Posted 13 days ago


Job description

JOIN A LEADING HEALTHCARE COMPANY

At Curant Health, our vision is Personalize healthcare driven by choice and defined by value. As a Curant Health employee, your role is to deliver on that vision every day by delivering excellent Customer Service, Personalize Care, Accountability, Innovation, and Integrity. You take initiative, set goals, and solve problems while collaborating with friends and colleagues. Together we make a meaningful impact on our patients lives.

In return, Curant Health is committed to providing you competitive pay, excellent benefits, and an opportunity to make a difference each day as we strive to reach our vision to be the preferred health care partner by excelling in quality, service, and affordability.

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA. We are committed to improving patient health outcomes by offering a pharmacist-managed medication care program, comprehensive therapeutic monitoring and dependable home delivery of prescription drugs.

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers, PBM, etc. providing phone assistance to all callers through the prior authorization process.

Responsibilities
  • Maintaining complete, timely and accurate documentation of all approvals and denials, and transferring all clinical questions and judgment calls to the pharmacist.
  • Assist physician groups in initiating prior authorization, follow up with PBM, and initiate appeals if applicable.
  • Assist with other duties such as outbound calls, monitoring/responding to inquiries and other duties as assigned by the Patient Services manager.
  • Manages work volume from inception to delivery utilizes appropriate courteous and professional behavior based upon established standards
  • Complies with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
  • Manage written or formal documentation to patients and provider on prior authorization status.
  • Communicates with Patient Care Coordinators and other internal teams for timely resolution of appeals/exceptions.
  • General administrative support as assigned by manager.
  • Provide backup support to team members as needed.
Qualifications
  • Requires a high school diploma or equivalent
  • 1 year experience
  • Registered Pharmacy Technician

Why Work for Us?
We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.

Our Core Values consist of ICARE; Integrity, Communication, Accountability, Relationships and Excellence, and we take pride in you embodying those traits. Curant Health is an equal opportunity employer.