Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
New
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
New
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
New
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
New
Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
New
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 ...
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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 ...
Huntsville, AL · 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 ...
Huntsville, AL · 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 ...
Huntsville, AL · 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 ...
Huntsville, AL · 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 ...
Fayetteville, TN · On-site
$15 - $19.75/hr
KEY RESPONSIBILITIES: • Schedule and manage patient appointments • Inform patients of any visit ... Obtain prior authorization per guidance, before releasing medical information • Assist in ...
Fayetteville, TN · On-site
$15 - $19.75/hr
KEY RESPONSIBILITIES: • Schedule and manage patient appointments • Inform patients of any visit ... Obtain prior authorization per guidance, before releasing medical information • Assist in ...
Certified Case Manager (CCM) Certification or is in process of completing certification when ... Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and ...
Certified Case Manager (CCM) Certification or is in process of completing certification when ... Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and ...
Support prior-authorization and appeals processes when needed. * Educate patients and caregivers on regimens and disease-state management. * Document case activities and outcomes in compliance with ...
New
Support prior-authorization and appeals processes when needed. * Educate patients and caregivers on regimens and disease-state management. * Document case activities and outcomes in compliance with ...
New
Madison, AL · On-site
$14 - $18.50/hr
Any other duties as assigned by the Office Manager/ Clinical Director. RECEPTIONIST DUTIES ... If patient is workman's comp, then prior authorization for frequency and duration must be done ...
Madison, AL · On-site
$14 - $18.50/hr
Any other duties as assigned by the Office Manager/ Clinical Director. RECEPTIONIST DUTIES ... If patient is workman's comp, then prior authorization for frequency and duration must be done ...
Madison, AL · On-site
Any other duties as assigned by the Office Manager/ Clinical Director. RECEPTIONIST DUTIES ... If patient is workman's comp, then prior authorization for frequency and duration must be done ...
Madison, AL · On-site
Any other duties as assigned by the Office Manager/ Clinical Director. RECEPTIONIST DUTIES ... If patient is workman's comp, then prior authorization for frequency and duration must be done ...
Huntsville, AL · On-site
$16.25 - $19.75/hr
Description Dermatology Solutions Group, LLC ("DSG") provides professional management services to ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$16.25 - $19.75/hr
Description Dermatology Solutions Group, LLC ("DSG") provides professional management services to ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$16.25 - $19.75/hr
Notes patient arrival in Practice Management System (eClinical Works). * Identifies patients by ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$16.25 - $19.75/hr
Notes patient arrival in Practice Management System (eClinical Works). * Identifies patients by ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$16.25 - $19.75/hr
Dermatology Solutions Group, LLC ("DSG") provides professional management services to Southeastern ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
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Huntsville, AL · On-site
$16.25 - $19.75/hr
Dermatology Solutions Group, LLC ("DSG") provides professional management services to Southeastern ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$15.75 - $19/hr
Notes patient arrival in Practice Management System (eClinical Works). * Identifies patients by ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$15.75 - $19/hr
Notes patient arrival in Practice Management System (eClinical Works). * Identifies patients by ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...
Huntsville, AL · On-site
$109K - $147K/yr
Prepare and submit classified and unclassified RMF authorization packages to support Authority to ... Prior experience leading or mentoring ISSO, ISSM, or security engineering teams * Experience with ...
Huntsville, AL · On-site
$109K - $147K/yr
Prepare and submit classified and unclassified RMF authorization packages to support Authority to ... Prior experience leading or mentoring ISSO, ISSM, or security engineering teams * Experience with ...
Huntsville, AL · Hybrid
$109K - $147K/yr
Prepare and submit classified and unclassified RMF authorization packages to support Authority to ... Prior experience leading or mentoring ISSO, ISSM, or security engineering teams * Experience with ...
Huntsville, AL · Hybrid
$109K - $147K/yr
Prepare and submit classified and unclassified RMF authorization packages to support Authority to ... Prior experience leading or mentoring ISSO, ISSM, or security engineering teams * Experience with ...
Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...
Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...
Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...
Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...
Huntsville, AL · On-site
$116K - $210K/yr
Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...
Huntsville, AL · On-site
$116K - $210K/yr
Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...
$28.2K - $37.9K
9% of jobs
$37.9K - $47.5K
13% of jobs
$51.3K is the 25th percentile. Wages below this are outliers.
$47.5K - $57.2K
7% of jobs
$57.2K - $66.8K
17% of jobs
The median wage is $68.8K / yr.
$66.8K - $76.5K
18% of jobs
$76.5K - $86.1K
7% of jobs
$89.3K is the 75th percentile. Wages above this are outliers.
$86.1K - $95.8K
11% of jobs
$95.8K - $105.4K
5% of jobs
$105.4K - $115.1K
5% of jobs
$115.1K - $124.7K
3% of jobs
$124.7K - $134.4K
4% of jobs
$28.2K
$74.8K
$134.4K
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 Madison, AL are:
The top searched job categories for Manager Prior Authorization jobs in Madison, AL are:
Cities near Madison, AL with the most Manager Prior Authorization job openings:

7.9
Based on 18 frontline employees who took The Breakroom Quiz
Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job DescriptionJob purpose: Oversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies, ensuring timely access to necessary medications and therapies while adhering to clinical guidelines and payer requirements, by managing a team of prior authorization specialist and coordinating with healthcare providers and insurance companies to navigate complex authorization processes.
Duties Include:Team Leadership:
Clinical Review and Decision Making
Payer Management
Patient Advocacy
Data Analysis and Reporting
Compliance and Quality Assurance
Education/Experience
Working conditions:
This position works as part the business office of a busy outpatient oncology/hematology clinic overseeing the day-to-day operations of the prior authorization department.
Physical requirements:
This position requires that the employee be able to sit at a desk and work on a computer for up to eight hours a day
Direct reports: All Prior Authorization Specialist that are a part of the business office including float prior authorization specialist
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Health care and social assistance
1,001 - 5,000 Employees
Nashville, TN, US
2018