Prior Authorization Specialist
$16.75 - $22.50/hr
Hiring Manager Notes: * M-F 11a-8p * $16-$19 * At least 1-2 years of insurance verification * FULL ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
$16.75 - $22.50/hr
Hiring Manager Notes: * M-F 11a-8p * $16-$19 * At least 1-2 years of insurance verification * FULL ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
$16.75 - $22.50/hr
Hiring Manager Notes: * M-F 11a-8p * $16-$19 * At least 1-2 years of insurance verification * FULL ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Altamonte Springs, FL · On-site
$16.75 - $22.50/hr
Hiring Manager Notes: * M-F 11a-8p * $16-$19 * At least 1-2 years of insurance verification * FULL ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Altamonte Springs, FL · On-site
$16.75 - $22.50/hr
Hiring Manager Notes: * M-F 11a-8p * $16-$19 * At least 1-2 years of insurance verification * FULL ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...
Ocala, FL · On-site
$17.25 - $21.50/hr
Biologics/Prior Authorization Coordinator Summary: This is a full-time position. This position is ... Managing a patient's journey from prescription to drug acquisition * Navigates the complexities of ...
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Ocala, FL · On-site
$17.25 - $21.50/hr
Biologics/Prior Authorization Coordinator Summary: This is a full-time position. This position is ... Managing a patient's journey from prescription to drug acquisition * Navigates the complexities of ...
Miramar, FL · On-site
$17 - $21/hr
RCM Prior Authorization Coordinator position located in Miramar, Florida. Must be able to work on ... Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and ...
Miramar, FL · On-site
$17 - $21/hr
RCM Prior Authorization Coordinator position located in Miramar, Florida. Must be able to work on ... Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and ...
RCM Prior Authorization Coordinator position located in Miramar, Florida. Must be able to work on ... Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and ...
RCM Prior Authorization Coordinator position located in Miramar, Florida. Must be able to work on ... Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and ...
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Lakeland, FL · On-site
$16.75 - $22.25/hr
Strong knowledge of managed care processes, insurance verification, and prior authorization ... procedures. * Familiarity with medical terminology, medical records management, and medical coding ...
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Lakeland, FL · On-site
$16.75 - $22.25/hr
Strong knowledge of managed care processes, insurance verification, and prior authorization ... procedures. * Familiarity with medical terminology, medical records management, and medical coding ...
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Lakeland, FL · On-site
$16.75 - $22.25/hr
Strong knowledge of managed care processes, insurance verification, and prior authorization ... procedures. * Familiarity with medical terminology, medical records management, and medical coding ...
Quick apply
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Lakeland, FL · On-site
$16.75 - $22.25/hr
Strong knowledge of managed care processes, insurance verification, and prior authorization ... procedures. * Familiarity with medical terminology, medical records management, and medical coding ...
Will be requesting prior authorization of durable medical equipment for members. 100% Telephonic ... Managed Care preferred not required Look for people who come from any type of DME facility ...
Will be requesting prior authorization of durable medical equipment for members. 100% Telephonic ... Managed Care preferred not required Look for people who come from any type of DME facility ...
$20.37 - $24.44/hr
Technicians will manage work queues Monday through Friday, to ensure prior authorizations are submitted within the company policy and timeline. * Submission of prior authorization will involve ...
$20.37 - $24.44/hr
Technicians will manage work queues Monday through Friday, to ensure prior authorizations are submitted within the company policy and timeline. * Submission of prior authorization will involve ...
Miami, FL · On-site
Authorization Department Manager (Referrals & Prior Authorizations) Reports to: Chief Development Officer FLSA Status: Exempt Join Our Team at GastroMed At GastroMed, we are committed to delivering ...
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Miami, FL · On-site
Authorization Department Manager (Referrals & Prior Authorizations) Reports to: Chief Development Officer FLSA Status: Exempt Join Our Team at GastroMed At GastroMed, we are committed to delivering ...
Miami, FL · On-site
Authorization Department Manager (Referrals & Prior Authorizations) Reports to: Chief Development Officer FLSA Status: Exempt Join Our Team at GastroMed At GastroMed, we are committed to delivering ...
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Miami, FL · On-site
Authorization Department Manager (Referrals & Prior Authorizations) Reports to: Chief Development Officer FLSA Status: Exempt Join Our Team at GastroMed At GastroMed, we are committed to delivering ...
Miami, FL · Remote
$47K - $52K/yr
You will use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals ...
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Miami, FL · Remote
$47K - $52K/yr
You will use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals ...
Prior Authorization or concurrent review and case management experience for a health plan/managed ... care company (at least 3 years) Knowledge of Windows and Microsoft Office applications. Current and ...
Prior Authorization or concurrent review and case management experience for a health plan/managed ... care company (at least 3 years) Knowledge of Windows and Microsoft Office applications. Current and ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
Tampa, FL · On-site
$17 - $22.75/hr
Understanding of pre-certification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast ...
Tampa, FL · On-site
$17 - $22.75/hr
Understanding of pre-certification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast ...
Tampa, FL · On-site
$16.25 - $21.50/hr
Understanding of precertification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a ...
Tampa, FL · On-site
$16.25 - $21.50/hr
Understanding of precertification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a ...
$16.25 - $21.50/hr
Understanding of precertification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a ...
$16.25 - $21.50/hr
Understanding of precertification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a ...
$16.25 - $21.50/hr
Understanding of precertification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a ...
$16.25 - $21.50/hr
Understanding of precertification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a ...
Tampa, FL · On-site
$17 - $22.75/hr
Understanding of pre-certification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast ...
Tampa, FL · On-site
$17 - $22.75/hr
Understanding of pre-certification, prior authorization, and referral requirements across various ... Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast ...
$23.5K - $31.6K
9% of jobs
$31.6K - $39.6K
13% of jobs
$42.8K is the 25th percentile. Wages below this are outliers.
$39.6K - $47.7K
7% of jobs
$47.7K - $55.7K
17% of jobs
The median wage is $57.4K / yr.
$55.7K - $63.8K
18% of jobs
$63.8K - $71.8K
7% of jobs
$74.5K is the 75th percentile. Wages above this are outliers.
$71.8K - $79.9K
11% of jobs
$79.9K - $87.9K
5% of jobs
$87.9K - $96K
5% of jobs
$96K - $104K
3% of jobs
$104K - $112.1K
4% of jobs
$23.5K
$62.4K
$112.1K
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.

$16.75 - $22.50/hr
Full-time
Re-posted 3 days ago
Here at CiNQ Recruitment, we believe in finding the right fit, for you and our clients. Whether you seek long-term employment solutions for your business or your next career move, we understand the importance of individual and business needs. With over 30 years of successful staffing and recruiting experience, we excel at providing passive candidates with the right skills and cultural fit for specialized positions. Here is the opportunity to work with an exciting pharmaceutical company.
Hiring Manager Notes:
Position Summary:
Perform duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided through the specialty pharmacy, working within the limits of standard or accepted practice.
Essential Functions:
All your information will be kept confidential according to EEO guidelines.