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Non Union Optum Prior Authorization Jobs (NOW HIRING)

MedImpact

Prior Authorization Coordinator I

San Diego, CA

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

United States of America (Non-Exempt) $17.69 - $22.55 - $27.41 "Pay scale information is not ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

United States of America (Non-Exempt) $17.69 - $22.55 - $27.41 "Pay scale information is not ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site +1

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

United States of America (Non-Exempt) $17.69 - $22.55 - $27.41 "Pay scale information is not ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site +1

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

United States of America (Non-Exempt) $17.69 - $22.55 - $27.41 "Pay scale information is not ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

United States of America (Non-Exempt) $17.69 - $22.55 - $27.41 "Pay scale information is not ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

United States of America (Non-Exempt) $17.69 - $22.55 - $27.41 "Pay scale information is not ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site

$19.75 - $24.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Specialist Works as a member of the Prior Authorization Operations team ... Document all related information regarding the PA approval or non-approval. Respond to requests by ...

Varite

Prior Authorization Technician

Philadelphia, PA · On-site

$17.75 - $21.50/hr

Interprets and applies clinical criteria during the prior authorization review process and approves ... Strong knowledge of specialty and non-specialty pharmaceuticals * Performs other job-related duties ...

New

WomanCare Centers

Prior Authorization Nurse

Norfolk, VA · On-site

$25 - $31/hr

  • PTO

We're seeking an experienced Medication Prior Authorization Nurse to join our dynamic team in an in-person, non-remote position. The primary focus of this role is the timely and accurate management ...

New

Pacer Group

Prior Authorization Technician

Philadelphia, PA · On-site

$17.75 - $21.50/hr

Prior Authorization Technician I Location: Remote Schedule: 8:30am-5:00pm EST, 9:00am-5:30pm EST ... Apply knowledge of specialty and non-specialty pharmaceuticals in daily activities. * Attend ...

New

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Showing results 21-40

All JobsNon Union Optum Prior Authorization Jobs

Non Union Optum Prior Authorization information

What is the difference between Non Union Optum Prior Authorization vs Medical Billing Specialist?

AspectNon Union Optum Prior AuthorizationMedical Billing Specialist
CredentialsTypically requires insurance, healthcare, or medical administration certificationsRequires medical billing and coding certifications or training
Work EnvironmentHealthcare insurance companies, healthcare providers, or third-party administratorsMedical offices, hospitals, or billing companies
Employer & Industry UsageCommon in health insurance and managed care industriesPrevalent in healthcare facilities and billing services

Non Union Optum Prior Authorization specialists focus on obtaining approval for medical services within insurance plans, often working directly with healthcare providers and insurers. Medical Billing Specialists handle coding, billing, and claims processing. While both roles require healthcare knowledge, they differ in responsibilities and certifications. Understanding these differences helps job seekers find the right career path in healthcare administration.

What cities are hiring for Non Union Optum Prior Authorization jobs?

Cities with the most Non Union Optum Prior Authorization job openings:

What are the most commonly searched types of Optum Prior Authorization jobs?

The most popular types of Optum Prior Authorization jobs are:

What states have the most Non Union Optum Prior Authorization jobs?

States with the most job openings for Non Union Optum Prior Authorization jobs include:

Non Union Optum Prior Authorization jobs near you

Prior Authorization Specialist

Orthopaedic and Fracture Clinic

Mankato, MN • On-site

$19 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description

The Prior Authorization Specialist secures insurance approval for medical services, treatments, physical therapy, imaging, EMGs, injections or other related procedures by verifying patient eligibility, collecting clinical info, submitting requests, and tracking approvals or denials with providers and payers to ensure coverage and timely patient care, acting as a key liaison between healthcare teams and insurers.
Essential Responsibilities (Non-Occupational Exposure):
• Confirming patient insurance, benefits, and coverage for specific procedures and processing authorizations.
• Submission: Preparing and sending authorization requests to insurance companies. Follow up on all requests.
• Communication: Liaising with patients, physicians, and payers via phone and system updates.
• Documentation: Accurately documenting all communication and case status in databases.
• Follow-up: Tracking requests, managing denials, and handling appeals.
• Work in collaboration with the Business Office by researching information for denied claims, as needed.
• Ensuring adherence to insurance and regulatory guidelines.
• Coordinate peer-to-peers with the insurance company and the physician.
• Contact patients, as needed, to inform them of the authorization status.
• Ensure timely response and initiation of prior authorization requests, consulting patient records and other resources.
• Serve as a prior authorization resource to other staff.
• Responsible for a variety of administrative functions such as data entry, processing, reporting, and filing.
• Special Projects and other duties as assigned.
Location & Commitments:
• Onsite position at OFC, 1431 Premier Drive | Mankato, MN 56001
• Full-time position M-F 8:00 a.m. - 5:00 p.m. with flexibility.
• Reliably commute or plan to relocate before starting work.
Basic Requirements:
• High school diploma or equivalent, or a minimum of two years of experience in a healthcare, clinical, or hospital.
• Experience in medical records, claims, or billing.
• Proficiency in Microsoft Office Word, Excel, and Outlook.
Preferred Requirements:
• Knowledge of medical terminology, medical insurance filing and insurance appeals.
• Experience with insurance authorizations and eligibility.
• Knowledgeable in programs such as Availity and insurance websites.
Benefits:
Full-time employees are eligible for comprehensive benefits, including health, dental, vision, disability, and life insurance. They earn Paid Time Off, Extended Illness Time, and Holiday Pay. They are allowed to participate in our 401(k)/profit-sharing plan.
Additionally, OFC believes in creating a fun work environment. We host an annual holiday party, a summer employee event, volunteer opportunities, a Super Bowl auction, various potlucks, and ice cream treats before Memorial and Labor Day weekends.
Equal Opportunity Employer:
This notification confirms the Orthopaedic & Fracture Clinic's commitment to providing equal employment opportunities to all employees and job applicants, in accordance with all applicable federal, state, and local laws, directives, and regulations. The Orthopaedic & Fracture Clinic will consider all applicants for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, or disability status. Upon request, the Orthopaedic & Fracture Clinic will provide entities with a copy of our current Equal Employment Opportunity policy. If you want to receive a copy of our policy or need an accommodation, please email humanresources@ofc-clinic.com or call (507) 386-6785.

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