As a Pre-Auth Consultant you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Mandatory skills • ...
Quick apply
As a Pre-Auth Consultant you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Mandatory skills • ...
Rheumatology job in Salem OR
$275K - $355K/yr
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salaryup to $310,000 ...
Rheumatology job in Salem OR
$275K - $355K/yr
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salaryup to $310,000 ...
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salary up to $310,000 ...
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salary up to $310,000 ...
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salaryup to $310,000 ...
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salaryup to $310,000 ...
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salaryup to $310,000 ...
Additional support from RNs on the infusion floor and centralized business-office staff (prior auth, financial counseling, billing, coding, triage) * EMR: iKnowMed * Base salaryup to $310,000 ...
Medical Management Specialist
$16.50 - $18.50/hr
They might interact with regular case managers as well as Prior Auth & Concurrent Review nurses and even some providers occasionally * The Med Management Specialists get reports from the hospitals ...
Medical Management Specialist
$16.50 - $18.50/hr
They might interact with regular case managers as well as Prior Auth & Concurrent Review nurses and even some providers occasionally * The Med Management Specialists get reports from the hospitals ...
Medical Management Specialist
$16.50 - $18.50/hr
They might interact with regular case managers as well as Prior Auth & Concurrent Review nurses and even some providers occasionally * The Med Management Specialists get reports from the hospitals ...
Medical Management Specialist
$16.50 - $18.50/hr
They might interact with regular case managers as well as Prior Auth & Concurrent Review nurses and even some providers occasionally * The Med Management Specialists get reports from the hospitals ...
Customer Care Specialist
Roseburg, OR · On-site
$17.25 - $22.75/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Quick apply
Customer Care Specialist
Roseburg, OR · On-site
$17.25 - $22.75/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Customer Care Specialist
Roseburg, OR · On-site
$17.25 - $22.75/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Customer Care Specialist
Roseburg, OR · On-site
$17.25 - $22.75/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Customer Care Specialist
Roseburg, OR · On-site
$17.25 - $22.75/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Customer Care Specialist
Roseburg, OR · On-site
$17.25 - $22.75/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Customer Care Specialist
$16.25 - $21.50/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Customer Care Specialist
$16.25 - $21.50/hr
Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. * Verifies medical necessity with physician * Verifies eligibility and coverage with Insurance and carrier ...
Clinical Review Specialist
OR · Remote
... auth, readmissions) Familiarity with InterQual, MCG, or payer-specific criteria Prior remote clinical review experience Multi-client or vendor-side experience Knowledge of Medicare, Medicaid, and ...
Clinical Review Specialist
OR · Remote
... auth, readmissions) Familiarity with InterQual, MCG, or payer-specific criteria Prior remote clinical review experience Multi-client or vendor-side experience Knowledge of Medicare, Medicaid, and ...
$52.75 - $72.25/hr
Handle integration gnarliness: auth, schema drift, rate limits, data quality, and the messy last ... Prior experience working hand in hand with businesses to deliver measurable outcomes. * Hands-on ...
... prior authorizations, and providing price transparency for patients who are self-pay, are receiving ... This includes ongoing monthly investigation of front-end no-auth denials to identify trends and ...
... prior authorizations, and providing price transparency for patients who are self-pay, are receiving ... This includes ongoing monthly investigation of front-end no-auth denials to identify trends and ...
... prior authorizations, and providing price transparency for patients who are self-pay, are receiving ... This includes ongoing monthly investigation of front-end no-auth denials to identify trends and ...
... prior authorizations, and providing price transparency for patients who are self-pay, are receiving ... This includes ongoing monthly investigation of front-end no-auth denials to identify trends and ...
Communications Officer
Portland, OR · On-site
$6K - $9K/mo
Complete any pending tasks in Workday under "My Applications" prior to the application deadline. Check your email (including junk folder) and Workday inbox regularly for updates on your application.
Communications Officer
Portland, OR · On-site
$6K - $9K/mo
Complete any pending tasks in Workday under "My Applications" prior to the application deadline. Check your email (including junk folder) and Workday inbox regularly for updates on your application.
... prior authorizations, and providing price transparency for patients who are self-pay, are receiving ... This includes ongoing monthly investigation of front-end no-auth denials to identify trends and ...
... prior authorizations, and providing price transparency for patients who are self-pay, are receiving ... This includes ongoing monthly investigation of front-end no-auth denials to identify trends and ...
Prior Auth information
What job makes $10,000 a month without a degree?
High-paying sales roles, such as real estate brokers or insurance agents, can earn $10,000 or more monthly through commissions and performance. Skilled trades like commercial plumbing or electrical work, especially with experience and certifications, can also reach this income level without a college degree.
What is the difference between Prior Auth vs Medical Billing Specialist?
| 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.
What are popular job titles related to Prior Auth jobs in Oregon? For Prior Auth jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Prior Auth jobs in Oregon look for? The top searched job categories for Prior Auth jobs in Oregon are:
- Radiation Oncology Prior Authorization
- Medicare Billing Coordinator
- Freelance Credentialing Verification Specialist
- Remote Credentialing
- Pharmacy Prior Authorization Specialist
- Remote Behavioral Health Billing
- Insurance Verification
- Medical Prior Authorization Specialist
- Medical Insurance Verification
- Prescription Benefits Specialist
What cities in Oregon are hiring for Prior Auth jobs? Cities in Oregon with the most Prior Auth job openings:
$60 - $70/hr
Contractor
Posted 4 days ago
Job description
As a Pre-Auth Consultant you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards .
Mandatory skills
• FACETS UM/Pre-Auth Configuration • ITS/Authorization Routing Logic • SQL & Rule Traceability
Responsibilities: -
7 - 10 years in UM/Pre-Auth configuration within FACETS.
• Familiarity with UM workflows, clinical guidelines, and state mandates.
• Experience working with clinical/utilization management stakeholders
. • Deep understanding of US Healthcare payer operations.
• Ability to analyze complex rules and configurations.
• Strong documentation and communication skills.
Educational Qualifications: -
- Engineering Degree - BE/ME/BTech/MTech/BSc/MSc.
· Technical certification in multiple technologies is desirable.