Prior Authorization Specialist
Washington, DC ยท On-site
$20.50 - $27.25/hr
Reviews and processes all assigned prior authorization requests to completion. Diligently reviews ... management of all scheduling processes.
Washington, DC ยท On-site
$20.50 - $27.25/hr
Reviews and processes all assigned prior authorization requests to completion. Diligently reviews ... management of all scheduling processes.
Washington, DC ยท On-site
$20.50 - $27.25/hr
Reviews and processes all assigned prior authorization requests to completion. Diligently reviews ... management of all scheduling processes.
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
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$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
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Phoenix, AZ ยท On-site
$20 - $25/hr
The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals ... Manage the daily inbox, ensuring documents are processed promptly. * Review medical records to ...
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Phoenix, AZ ยท On-site
$20 - $25/hr
The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals ... Manage the daily inbox, ensuring documents are processed promptly. * Review medical records to ...
San Francisco, CA ยท On-site
$100K - $120K/yr
Role Overview The client is seeking a Prior Authorizations Lead to design, manage, and scale their prior authorization function. This role is ideal for an operator who excels at bringing structure to ...
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San Francisco, CA ยท On-site
$100K - $120K/yr
Role Overview The client is seeking a Prior Authorizations Lead to design, manage, and scale their prior authorization function. This role is ideal for an operator who excels at bringing structure to ...
Palo Alto, CA ยท On-site
$35.81 - $38.96/hr
As a key member of the administrative team, you will manage the end-to-end prior authorization process for medications, ensuring timely submissions, tracking, and documentation. Your meticulous ...
Palo Alto, CA ยท On-site
$35.81 - $38.96/hr
As a key member of the administrative team, you will manage the end-to-end prior authorization process for medications, ensuring timely submissions, tracking, and documentation. Your meticulous ...
Atlanta, GA ยท On-site +1
$19 - $21/hr
Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... You'll manage the entire authorization process for interventional pain management procedures ...
Atlanta, GA ยท On-site +1
$19 - $21/hr
Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... You'll manage the entire authorization process for interventional pain management procedures ...
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Quick apply
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Quick apply
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Appleton, WI ยท On-site
$20 - $24/hr
We are adding to our Prior Authorization team. Neuroscience Group has an immediate opening for a ... Daily use of Faxfinder cloud faxing system for managing incoming and outgoing faxes. * Maintains ...
Appleton, WI ยท On-site
$20 - $24/hr
We are adding to our Prior Authorization team. Neuroscience Group has an immediate opening for a ... Daily use of Faxfinder cloud faxing system for managing incoming and outgoing faxes. * Maintains ...
Smyrna, GA ยท On-site
$18 - $24/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...
Smyrna, GA ยท On-site
$18 - $24/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...
Columbus, OH ยท On-site
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Columbus, OH ยท On-site
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Chicago, IL ยท On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
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Chicago, IL ยท On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Naples, FL ยท On-site
$17.50 - $23.25/hr
Description: The Prior Authorization Specialist is a key member of the Revenue Cycle team ... Excellent organizational skills with the ability to manage high volumes and deadlines * Strong ...
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Naples, FL ยท On-site
$17.50 - $23.25/hr
Description: The Prior Authorization Specialist is a key member of the Revenue Cycle team ... Excellent organizational skills with the ability to manage high volumes and deadlines * Strong ...
Chicago, IL ยท On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
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Chicago, IL ยท On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Auburn, NY ยท On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Manage referrals and coordinate with external providers and pharmacies. * Respond to insurance ...
Auburn, NY ยท On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Manage referrals and coordinate with external providers and pharmacies. * Respond to insurance ...
Hamden, CT ยท On-site
$48K - $62K/yr
The Role This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate coordination ...
Hamden, CT ยท On-site
$48K - $62K/yr
The Role This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate coordination ...
Cincinnati, OH ยท Hybrid
$18 - $22/hr
Prior Authorization Specialist Location: Norwood Office Department : Billing Schedule: Monday ... Pain Management experience is a plus * Experience with an Electronic Medical Record (EMR) and ...
Cincinnati, OH ยท Hybrid
$18 - $22/hr
Prior Authorization Specialist Location: Norwood Office Department : Billing Schedule: Monday ... Pain Management experience is a plus * Experience with an Electronic Medical Record (EMR) and ...
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Quick apply
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Nelsonville, OH ยท On-site
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Quick apply
Nelsonville, OH ยท On-site
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
Quick apply
$19 - $22.26/hr
We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for ... Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and ...
$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.
$20.50 - $27.25/hr
Full-time
Posted 6 days ago
SUMMARY
Determines which patient services have third party payor requirements and is responsible for verifying eligibility, obtaining insurance benefits and ensuring prior authorization requirements are met prior to the delivery of tests, treatments, and medications
DUTIES/RESPONSIBILITIES (include but are not limited to the following)
EDUCATION AND/OR EXPERIENCE
SKILLS AND ABILITIES