Prior Authorization
$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 ...
$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 ...
$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 ...
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 ...
Homewood, AL · On-site
$18 - $24/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 ...
Homewood, AL · On-site
$18 - $24/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 ...
Huntsville, AL · On-site
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
Huntsville, AL · On-site
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
Huntsville, AL · On-site
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
Huntsville, AL · On-site
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
Birmingham, AL · On-site
$54.50 - $65.50/hr
Remote Prior Authorization Pharmacist Transition your clinical skills into a fully remote Prior ... Direct impact on patient access while building managed-care expertise. * Competitive salary ...
New
Birmingham, AL · On-site
$54.50 - $65.50/hr
Remote Prior Authorization Pharmacist Transition your clinical skills into a fully remote Prior ... Direct impact on patient access while building managed-care expertise. * Competitive salary ...
New
$54.25 - $63.75/hr
This includes referral intake, data entry, claims adjudication support, prior authorization ... Directly lead and manage a team of pharmacy technicians responsible for the end-to-end prior auth ...
Quick apply
$54.25 - $63.75/hr
This includes referral intake, data entry, claims adjudication support, prior authorization ... Directly lead and manage a team of pharmacy technicians responsible for the end-to-end prior auth ...
Birmingham, AL · On-site
$16 - $19.75/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Quick apply
Birmingham, AL · On-site
$16 - $19.75/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Vestavia Hills, AL · On-site
$17 - $21/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Vestavia Hills, AL · On-site
$17 - $21/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Birmingham, AL · On-site
$16 - $19.75/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Quick apply
Birmingham, AL · On-site
$16 - $19.75/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Birmingham, AL · On-site
$16 - $19.75/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Quick apply
Birmingham, AL · On-site
$16 - $19.75/hr
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in ... and management team. * Promotes company culture by adhering to all policies and procedures.
Huntsville, AL · On-site
$17.25 - $23/hr
Key Responsibilities Pre-Certification & Authorization Management Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, imaging, medications, specialty ...
Huntsville, AL · On-site
$17.25 - $23/hr
Key Responsibilities Pre-Certification & Authorization Management Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, imaging, medications, specialty ...
Huntsville, AL · On-site
$15 - $20/hr
Key Responsibilities Pre-Certification & Authorization Management * Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, imaging, medications, specialty ...
Quick apply
Huntsville, AL · On-site
$15 - $20/hr
Key Responsibilities Pre-Certification & Authorization Management * Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, imaging, medications, specialty ...
Manage prior authorization renewals across a regional patient population so no one hits a gap in therapy * Steward IVIG/SCIG patients through pharmacy and clinic coordination via the Lux Infusion ...
Manage prior authorization renewals across a regional patient population so no one hits a gap in therapy * Steward IVIG/SCIG patients through pharmacy and clinic coordination via the Lux Infusion ...
Birmingham, AL · On-site
$17.50 - $23/hr
Manage prior authorization renewals across a regional patient population so no one hits a gap in therapy * Steward IVIG/SCIG patients through pharmacy and clinic coordination via the Lux Infusion ...
Birmingham, AL · On-site
$17.50 - $23/hr
Manage prior authorization renewals across a regional patient population so no one hits a gap in therapy * Steward IVIG/SCIG patients through pharmacy and clinic coordination via the Lux Infusion ...
Birmingham, AL · On-site
$17.50 - $23/hr
Manage prior authorization renewals across a regional patient population so no one hits a gap in therapy * Steward IVIG/SCIG patients through pharmacy and clinic coordination via the Lux Infusion ...
Birmingham, AL · On-site
$17.50 - $23/hr
Manage prior authorization renewals across a regional patient population so no one hits a gap in therapy * Steward IVIG/SCIG patients through pharmacy and clinic coordination via the Lux Infusion ...
Birmingham, AL · On-site
$54.50 - $65.50/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
New
Birmingham, AL · On-site
$54.50 - $65.50/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
New
Manage inbound and outbound inquiries related to eligibility, benefits, claims, and prior authorizations, resolving moderately complex issues and determining appropriate next steps * Escalate ...
Manage inbound and outbound inquiries related to eligibility, benefits, claims, and prior authorizations, resolving moderately complex issues and determining appropriate next steps * Escalate ...
Center Point, AL · On-site
$53.75 - $64.50/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
Center Point, AL · On-site
$53.75 - $64.50/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
$28.6K - $38.3K
9% of jobs
$38.3K - $48.1K
13% of jobs
$51.9K is the 25th percentile. Wages below this are outliers.
$48.1K - $57.8K
7% of jobs
$57.8K - $67.6K
17% of jobs
The median wage is $69.6K / yr.
$67.6K - $77.4K
18% of jobs
$77.4K - $87.1K
7% of jobs
$90.3K is the 75th percentile. Wages above this are outliers.
$87.1K - $96.9K
11% of jobs
$96.9K - $106.7K
5% of jobs
$106.7K - $116.4K
5% of jobs
$116.4K - $126.2K
3% of jobs
$126.2K - $136K
4% of jobs
$28.6K
$75.7K
$136K
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.
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.
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.
The most popular types of Prior Authorization jobs in Alabama are:
For Manager Prior Authorization jobs in Alabama, the most frequently searched job titles are:
The top searched job categories for Manager Prior Authorization jobs in Alabama are:
Cities in Alabama with the most Manager Prior Authorization job openings:

$16.75 - $22.50/hr
Full-time
Re-posted 7 days ago
General Summary
The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.
Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
Sourced by ZipRecruiter
Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940