Prior Authorization Clerk
$16.25 - $21.75/hr
Strong administrative skills a must, such as typing, filing, organization and time management * Ability to adapt to changing work environment including scheduling flexibility * Ability to type at ...
$16.25 - $21.75/hr
Strong administrative skills a must, such as typing, filing, organization and time management * Ability to adapt to changing work environment including scheduling flexibility * Ability to type at ...
$16.25 - $21.75/hr
Strong administrative skills a must, such as typing, filing, organization and time management * Ability to adapt to changing work environment including scheduling flexibility * Ability to type at ...
$55 - $58/hr
Communicate PA/appeal requirements to healthcare providers as requested. * Assist the PA managers and supervisors in the daily operations of the PA department including the planning and ...
$55 - $58/hr
Communicate PA/appeal requirements to healthcare providers as requested. * Assist the PA managers and supervisors in the daily operations of the PA department including the planning and ...
Las Vegas, NV · On-site
$17.25 - $23/hr
Two years of direct experience managing prior authorizations in an outpatient ambulatory care setting or medical billing environment. * Experience floating or working across multiple specialties is ...
Las Vegas, NV · On-site
$17.25 - $23/hr
Two years of direct experience managing prior authorizations in an outpatient ambulatory care setting or medical billing environment. * Experience floating or working across multiple specialties is ...
Two years of direct experience managing prior authorizations in an outpatient ambulatory care setting or medical billing environment. * Experience floating or working across multiple specialties is ...
Two years of direct experience managing prior authorizations in an outpatient ambulatory care setting or medical billing environment. * Experience floating or working across multiple specialties is ...
Las Vegas, NV · On-site
$17.25 - $23/hr
Question patients regarding prior exams and history and notify them of protocols for scheduled ... Ability to manage time efficiently. * Ability to handle multiple projects and prioritizes ...
Las Vegas, NV · On-site
$17.25 - $23/hr
Question patients regarding prior exams and history and notify them of protocols for scheduled ... Ability to manage time efficiently. * Ability to handle multiple projects and prioritizes ...
... Manager plays a vital role in ensuring patients have timely access to care by managing both ... Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral ...
... Manager plays a vital role in ensuring patients have timely access to care by managing both ... Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral ...
Reno, NV · On-site
Preferred experience in Pain Management. * Prior authorization experience preferred. * High level of computer literacy with keyboard skills. * Requires experience with Electronic Medical Record ...
Quick apply
Reno, NV · On-site
Preferred experience in Pain Management. * Prior authorization experience preferred. * High level of computer literacy with keyboard skills. * Requires experience with Electronic Medical Record ...
Las Vegas, NV · On-site
$17.25 - $23/hr
Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated ... Lead, Manager or Director of Revenue Cycle Salary Range: $45,000.00 to $55,000.00/year Location:
Las Vegas, NV · On-site
$17.25 - $23/hr
Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated ... Lead, Manager or Director of Revenue Cycle Salary Range: $45,000.00 to $55,000.00/year Location:
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 ...
Las Vegas, NV · On-site
$56 - $67.25/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 ...
Las Vegas, NV · On-site
$56 - $67.25/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 ...
North Las Vegas, NV · On-site
$55.50 - $66.75/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 ...
North Las Vegas, NV · On-site
$55.50 - $66.75/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 ...
Understanding of reimbursement processes including prior authorization, appeals, and denied claims management * Knowledge of HIPAA guidelines and FDA regulatory requirements * Familiarity with ...
Understanding of reimbursement processes including prior authorization, appeals, and denied claims management * Knowledge of HIPAA guidelines and FDA regulatory requirements * Familiarity with ...
Understanding of reimbursement processes including prior authorization, appeals, and denied claims management * Knowledge of HIPAA guidelines and FDA regulatory requirements * Familiarity with ...
Understanding of reimbursement processes including prior authorization, appeals, and denied claims management * Knowledge of HIPAA guidelines and FDA regulatory requirements * Familiarity with ...
$19 - $23/hr
A minimum of 1-year previous experience for both Prior Authorization and Referrals preferred * Knowledge of E Clinical Works * Knowledge of managed care and medical insurance plans Environmental Job ...
Quick apply
$19 - $23/hr
A minimum of 1-year previous experience for both Prior Authorization and Referrals preferred * Knowledge of E Clinical Works * Knowledge of managed care and medical insurance plans Environmental Job ...
$19 - $23/hr
A minimum of 1-year previous experience for both Prior Authorization and Referrals preferred * Knowledge of E Clinical Works * Knowledge of managed care and medical insurance plans * This position is ...
$19 - $23/hr
A minimum of 1-year previous experience for both Prior Authorization and Referrals preferred * Knowledge of E Clinical Works * Knowledge of managed care and medical insurance plans * This position is ...
Las Vegas, NV · On-site
$57.31/hr
Knowledgeable and proficient in the entire pharmacy prior authorization and appeals process for prescriptions medications * Navigate calls to pharmacy benefit manager to determine and obtain patient ...
Las Vegas, NV · On-site
$57.31/hr
Knowledgeable and proficient in the entire pharmacy prior authorization and appeals process for prescriptions medications * Navigate calls to pharmacy benefit manager to determine and obtain patient ...
Las Vegas, NV · On-site
$110 - $150/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Las Vegas, NV · On-site
$110 - $150/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
North Las Vegas, NV · On-site
$110 - $160/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
North Las Vegas, NV · On-site
$110 - $160/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated ... Lead, Manager or Director of Revenue Cycle Salary Range: $45,000.00 to $55,000.00/year Location:
Quick apply
Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated ... Lead, Manager or Director of Revenue Cycle Salary Range: $45,000.00 to $55,000.00/year Location:
North Las Vegas, NV · On-site
$55.50 - $66.75/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
North Las Vegas, NV · On-site
$55.50 - $66.75/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
$32.1K - $43K
9% of jobs
$43K - $54K
13% of jobs
$58.3K is the 25th percentile. Wages below this are outliers.
$54K - $65K
7% of jobs
$65K - $76K
17% of jobs
The median wage is $78.2K / yr.
$76K - $86.9K
18% of jobs
$86.9K - $97.9K
7% of jobs
$101.5K is the 75th percentile. Wages above this are outliers.
$97.9K - $108.9K
11% of jobs
$108.9K - $119.8K
5% of jobs
$119.8K - $130.8K
5% of jobs
$130.8K - $141.8K
3% of jobs
$141.8K - $152.7K
4% of jobs
$32.1K
$85K
$152.7K
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 Nevada are:
For Manager Prior Authorization jobs in Nevada, the most frequently searched job titles are:
The top searched job categories for Manager Prior Authorization jobs in Nevada are:
Cities in Nevada with the most Manager Prior Authorization job openings:

$16.25 - $21.75/hr
Contractor
Re-posted 3 days ago
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Shift:Â Â M-Sun: 8 hr shift between 4am-8pm
this is an immediate 4-6 month contract (perm potential)
Pay range: $13.50
Requirements: High School Diploma or GED. Experience as a front desk receptionist or admin in healthcare role.
Please click apply of call Stephanie Zymowski at 407-636-7030 ext.220 if you are interested. If you are not looking, but know someone who is interested and we place that person in this position, I will gladly pay a referral bonus!
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003