$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
New Orleans, LA · On-site
$17.25 - $23/hr
This full-time position is responsible for obtaining and managing prior authorizations for interventional pain procedures, imaging, and medications, ensuring timely approval under provider direction ...
New Orleans, LA · On-site
$17.25 - $23/hr
This full-time position is responsible for obtaining and managing prior authorizations for interventional pain procedures, imaging, and medications, ensuring timely approval under provider direction ...
Houston, TX · On-site +1
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Houston, TX · On-site +1
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Louisville, KY · Remote
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Louisville, KY · Remote
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
Woodridge, IL · On-site +1
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Woodridge, IL · On-site +1
$23 - $25/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Waltham, MA · On-site +1
$23 - $28/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Waltham, MA · On-site +1
$23 - $28/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
Amherst, NY · On-site
$20 - $22/hr
The role involves managing prior authorization requests for medical services, interacting with healthcare providers and insurance companies, and ensuring compliance with payer guidelines. The ...
Amherst, NY · On-site
$20 - $22/hr
The role involves managing prior authorization requests for medical services, interacting with healthcare providers and insurance companies, and ensuring compliance with payer guidelines. The ...
$16 - $20/hr
What You'll Do Process and manage prior authorizations for medications, procedures, and services with efficiency and attention to detail Provide critical backend support to our referral and medical ...
$16 - $20/hr
What You'll Do Process and manage prior authorizations for medications, procedures, and services with efficiency and attention to detail Provide critical backend support to our referral and medical ...
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Quick apply
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Birmingham, AL · On-site
$16.75 - $22.50/hr
The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ... Track and update prior authorization requests and outcomes using internal tracking tools and ...
Birmingham, AL · On-site
$16.75 - $22.50/hr
The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ... Track and update prior authorization requests and outcomes using internal tracking tools and ...
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
San Diego, CA · On-site
$22 - $30/hr
In this role, you will handle scheduling, inventory management, and authorization processes, while collaborating on innovative tech solutions and supporting site expansions along the Prior ...
San Diego, CA · On-site
$22 - $30/hr
In this role, you will handle scheduling, inventory management, and authorization processes, while collaborating on innovative tech solutions and supporting site expansions along the Prior ...
Hollywood, FL · On-site
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Quick apply
Hollywood, FL · On-site
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Miramar, FL · On-site
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Miramar, FL · On-site
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Gainesville, GA · On-site
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Gainesville, GA · On-site
$21 - $23/hr
Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...
Phoenix, AZ · On-site
$20 - $24/hr
Manages and processes prior authorization requests submitted by clinics and Patient Care Coordinators * Accurately records and maintains detailed documentation of all findings and actions taken
Phoenix, AZ · On-site
$20 - $24/hr
Manages and processes prior authorization requests submitted by clinics and Patient Care Coordinators * Accurately records and maintains detailed documentation of all findings and actions taken
$18.75 - $25.25/hr
In this role, you will handle scheduling, inventory management, and authorization processes, while collaborating on innovative tech solutions and supporting site expansions along the Prior ...
Quick apply
$18.75 - $25.25/hr
In this role, you will handle scheduling, inventory management, and authorization processes, while collaborating on innovative tech solutions and supporting site expansions along the Prior ...
$31.5K - $42.3K
9% of jobs
$42.3K - $53K
13% of jobs
$57.3K is the 25th percentile. Wages below this are outliers.
$53K - $63.8K
7% of jobs
$63.8K - $74.6K
17% of jobs
The median wage is $76.8K / yr.
$74.6K - $85.4K
18% of jobs
$85.4K - $96.1K
7% of jobs
$99.6K is the 75th percentile. Wages above this are outliers.
$96.1K - $106.9K
11% of jobs
$106.9K - $117.7K
5% of jobs
$117.7K - $128.5K
5% of jobs
$128.5K - $139.2K
3% of jobs
$139.2K - $150K
4% of jobs
$31.5K
$83.5K
$150K
A Manager of Prior Authorization oversees the authorization process for medical treatments, ensuring that required approvals are obtained from insurance providers. They manage a team handling prior authorization requests, review policies to ensure compliance, and work to optimize efficiency in approval processes. This role involves collaboration with healthcare providers, insurance companies, and patients to minimize delays in care. Strong leadership, knowledge of insurance guidelines, and experience in healthcare administration are essential for success in this position.
A Manager Prior Authorization often encounters challenges such as managing high volumes of authorization requests, staying updated with changing insurance requirements, and ensuring quick turnaround times to avoid delays in patient care. Addressing these issues typically involves implementing efficient workflows, training staff on the latest policies, and leveraging technology to automate repetitive tasks. Collaboration with physicians, payers, and internal departments is also key to resolving complex authorization cases. Proactive communication and continuous process improvement help maintain compliance and streamline the overall prior authorization process.
To excel as a Manager Prior Authorization, you need expertise in healthcare administration, insurance processes, and prior authorization protocols, usually demonstrated by a bachelor's degree in healthcare or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMR), and insurance authorization systems is highly valuable, and certifications like Certified Prior Authorization Specialist (CPAS) can be advantageous. Outstanding leadership, attention to detail, and effective communication are pivotal for managing teams and streamlining workflows. These skills and qualities ensure compliance, reduce delays in patient care, and improve overall operational efficiency within healthcare organizations.
$23 - $25/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 25 days ago
Sourced by ZipRecruiter
Pharmaceutical and medicine manufacturing
51 - 200 Employees
New Hyde Park, NY, US
1964