Functional SME in referrals + prior auth * Strong collaboration with operations, access teams, and revenue cycle stakeholders * Experience working in new build or optimization environments
Quick apply
Functional SME in referrals + prior auth * Strong collaboration with operations, access teams, and revenue cycle stakeholders * Experience working in new build or optimization environments
Quick apply
Functional SME in referrals + prior auth * Strong collaboration with operations, access teams, and revenue cycle stakeholders * Experience working in new build or optimization environments
$192.31 - $206.73/hr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
$192.31 - $206.73/hr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Delray Beach, FL · On-site
$430K/yr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Delray Beach, FL · On-site
$430K/yr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Delray Beach, FL · On-site
$430K/yr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Delray Beach, FL · On-site
$430K/yr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Delray Beach, FL · On-site
$430K/yr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Delray Beach, FL · On-site
$430K/yr
Top notch support staff - Pathology, prior auth, biologics, etc * $400-430k base + collections model with tiers (starts at 2.5x) * Increase in salary year 2 * Year 3 and beyond 45% * 100% medical ...
Miami, FL · On-site
$130K/yr
Run in-services and office visits; solve prior-auth and scheduling friction alongside our intake team * Track referral pipeline and activity; report weekly to ownership What We're Looking For
Quick apply
Miami, FL · On-site
$130K/yr
Run in-services and office visits; solve prior-auth and scheduling friction alongside our intake team * Track referral pipeline and activity; report weekly to ownership What We're Looking For
South Miami, FL · On-site
$130K/yr
Run in-services and office visits; solve prior-auth and scheduling friction alongside our intake team * Track referral pipeline and activity; report weekly to ownership What We're Looking For
Quick apply
South Miami, FL · On-site
$130K/yr
Run in-services and office visits; solve prior-auth and scheduling friction alongside our intake team * Track referral pipeline and activity; report weekly to ownership What We're Looking For
South Miami, FL · On-site
$130K/yr
Run in-services and office visits; solve prior-auth and scheduling friction alongside our intake team * Track referral pipeline and activity; report weekly to ownership What We're Looking For
Quick apply
South Miami, FL · On-site
$130K/yr
Run in-services and office visits; solve prior-auth and scheduling friction alongside our intake team * Track referral pipeline and activity; report weekly to ownership What We're Looking For
$13 - $14.50/hr
PBM or prior auth experience preferred BUT not required Additional Information Hours for this Position: * Monday - Friday, must be flexible to work one rotational Saturday shift * Shifts vary between ...
$13 - $14.50/hr
PBM or prior auth experience preferred BUT not required Additional Information Hours for this Position: * Monday - Friday, must be flexible to work one rotational Saturday shift * Shifts vary between ...
Must be an LPC, LCSW, LMFT, or Psychologist Minimum of 3 years' experience in Behavioral Health Minimum 2 years of UM experience (Concurrent Review/Prior Auth) Interqual or Milliman preferred Working ...
Must be an LPC, LCSW, LMFT, or Psychologist Minimum of 3 years' experience in Behavioral Health Minimum 2 years of UM experience (Concurrent Review/Prior Auth) Interqual or Milliman preferred Working ...
$13 - $14.50/hr
... prior auth experience preferred BUT not required Additional Information If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm ...
$13 - $14.50/hr
... prior auth experience preferred BUT not required Additional Information If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm ...
Fort Lauderdale, FL · On-site
$65K - $75K/yr
... prior auth, patient services, and shipping teams. Performance Management \tMonitor program performance using key metrics: time to therapy, turnaround time, adherence, persistency, refill rates, and ...
Fort Lauderdale, FL · On-site
$65K - $75K/yr
... prior auth, patient services, and shipping teams. Performance Management \tMonitor program performance using key metrics: time to therapy, turnaround time, adherence, persistency, refill rates, and ...
Design, document, and oversee program-specific workflows for pharmacy, nursing, prior auth, patient services, and shipping teams. Performance Management * Monitor program performance using key ...
Design, document, and oversee program-specific workflows for pharmacy, nursing, prior auth, patient services, and shipping teams. Performance Management * Monitor program performance using key ...
Fort Lauderdale, FL · On-site +1
$65K - $75K/yr
Design, document, and oversee program-specific workflows for pharmacy, nursing, prior auth, patient services, and shipping teams. Performance Management * Monitor program performance using key ...
Fort Lauderdale, FL · On-site +1
$65K - $75K/yr
Design, document, and oversee program-specific workflows for pharmacy, nursing, prior auth, patient services, and shipping teams. Performance Management * Monitor program performance using key ...
We have an exciting opportunity to join our team as a Billing Representative II (Auth) - Boynton ... be administered prior to onboarding. Personal Characteristics: Strong verbal and written ...
We have an exciting opportunity to join our team as a Billing Representative II (Auth) - Boynton ... be administered prior to onboarding. Personal Characteristics: Strong verbal and written ...
Boynton Beach, FL · On-site
$16.25 - $20.75/hr
We have an exciting opportunity to join our team as a Billing Representative II (Auth) - Boynton ... be administered prior to onboarding. Personal Characteristics: Strong verbal and written ...
Boynton Beach, FL · On-site
$16.25 - $20.75/hr
We have an exciting opportunity to join our team as a Billing Representative II (Auth) - Boynton ... be administered prior to onboarding. Personal Characteristics: Strong verbal and written ...
... include auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills Technical Knowledge, Skills, and Abilities * Understanding of precertification, prior ...
... include auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills Technical Knowledge, Skills, and Abilities * Understanding of precertification, prior ...
Tampa, FL · On-site
$17 - $22.75/hr
... auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills Technical Knowledge, Skills, and Abilities * Understanding of pre-certification, prior ...
Tampa, FL · On-site
$17 - $22.75/hr
... auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills Technical Knowledge, Skills, and Abilities * Understanding of pre-certification, prior ...
Tampa, FL · On-site
$17 - $22.75/hr
... auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills Technical Knowledge, Skills, and Abilities * Understanding of pre-certification, prior ...
Tampa, FL · On-site
$17 - $22.75/hr
... auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills Technical Knowledge, Skills, and Abilities * Understanding of pre-certification, prior ...
| Aspect | Prior Auth | Medical Billing Specialist |
|---|---|---|
| Required Credentials | Knowledge of insurance policies, certifications vary | Certification often preferred, knowledge of billing codes |
| Work Environment | Healthcare offices, insurance companies | Medical offices, billing companies |
| Employer & Industry Usage | Used in healthcare to authorize procedures | Used to process and submit medical claims |
| Common Search & Comparison | Yes | Yes |
Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

$81K - $107K/yr
Other
Posted 5 days ago
Overview:
Looking for a senior Epic analyst with strong experience in referrals and prior authorization workflows, with supporting knowledge of Cadence scheduling and patient access operations.
Key Requirements:
Nice to Have:
Ideal Candidate:
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51 - 200 Employees
Eden Prairie, MN, US
1998