Prior Authorization
$16.75 - $22.50/hr
Physical Demands The physical demands described here are representative of those that must be met ... prior authorization requests. * HS Diploma or GED required.
$16.75 - $22.50/hr
Physical Demands The physical demands described here are representative of those that must be met ... prior authorization requests. * HS Diploma or GED required.
$16.75 - $22.50/hr
Physical Demands The physical demands described here are representative of those that must be met ... prior authorization requests. * HS Diploma or GED required.
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
Lead Scheduling and Prior Authorization Representative POSITION DESCRIPTION: The Scheduling and Prior Authorization Team Lead supports the integrated scheduling department by collaborating with the ...
Lead Scheduling and Prior Authorization Representative POSITION DESCRIPTION: The Scheduling and Prior Authorization Team Lead supports the integrated scheduling department by collaborating with the ...
Miami, FL · On-site
$19 - $20/hr
Communicate effectively with healthcare providers, patients, and insurance representatives to ... DFWP Opportunities posted here do not create any implied or express employment contract between you ...
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Miami, FL · On-site
$19 - $20/hr
Communicate effectively with healthcare providers, patients, and insurance representatives to ... DFWP Opportunities posted here do not create any implied or express employment contract between you ...
Lead Scheduling and Prior Authorization Representative POSITION DESCRIPTION: The Scheduling and Prior Authorization Team Lead supports the integrated scheduling department by collaborating with the ...
Lead Scheduling and Prior Authorization Representative POSITION DESCRIPTION: The Scheduling and Prior Authorization Team Lead supports the integrated scheduling department by collaborating with the ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
Lake Mary, FL · On-site
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Lake Mary, FL · On-site
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · On-site
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · On-site
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
As a Pharmacy Operations Lead Representative you will be responsible for the distribution of ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
Lake Mary, FL · On-site
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Lake Mary, FL · On-site
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · Hybrid
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · Hybrid
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Lake Mary, FL · Hybrid
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Lake Mary, FL · Hybrid
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · Hybrid
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · Hybrid
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · On-site
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Saint Louis, MO · On-site
$38K - $53K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior Authorization (PA) department. * Analyze clinical PAs using the provided clinical protocols, and ...
Quick apply
Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior Authorization (PA) department. * Analyze clinical PAs using the provided clinical protocols, and ...
Indianapolis, IN · Hybrid
$38K - $52K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Indianapolis, IN · Hybrid
$38K - $52K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Lake Mary, FL · Hybrid
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Lake Mary, FL · Hybrid
$35K - $48K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Indianapolis, IN · Hybrid
$38K - $52K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Indianapolis, IN · Hybrid
$38K - $52K/yr
Authorization Representative II Authorization Representative II Location: Hybrid1: This role ... Reviews accuracy and completeness of prior authorization information requested and ensures ...
Whitestown, IN · On-site
$18.75 - $23/hr
Take your career to the next level with Express Scripts Pharmacy, a division of Evernorth Health ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
Whitestown, IN · On-site
$18.75 - $23/hr
Take your career to the next level with Express Scripts Pharmacy, a division of Evernorth Health ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
$10.82 - $12.11
1% of jobs
$12.11 - $13.40
4% of jobs
$13.40 - $14.69
9% of jobs
$15.79 is the 25th percentile. Wages below this are outliers.
$14.69 - $15.97
13% of jobs
$15.97 - $17.26
22% of jobs
The median wage is $17.36 / hr.
$17.26 - $18.55
22% of jobs
$19.02 is the 75th percentile. Wages above this are outliers.
$18.55 - $19.84
14% of jobs
$19.84 - $21.13
8% of jobs
$21.13 - $22.42
4% of jobs
$22.42 - $23.71
3% of jobs
$23.71 - $25
1% of jobs
$10
$17
$25

$16.75 - $22.50/hr
Other
Posted 12 days ago
General Summary
The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.
Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
Sourced by ZipRecruiter
Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940