Prior Authorization Jobs in Decatur, GA (NOW HIRING)

Responsibilities The Medical Nurse will perform professional nursing duties, including nursing assessment documentation, physical assessments/vitals, medication review and prior authorization (PA ...

ThePAL serves as a key resource in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role ...

Gather and document prior authorization information and conduct related follow-up with insurance agents and other stakeholders. * Conduct insurance verification and follow-up activities to capture ...

Submit prior authorization requests through payer portals, fax, telephone, or electronic systems. * Obtain and document authorization numbers, approved CPT codes, effective dates, units, and ...

Obtain, track, and manage prior authorizations for scheduled diagnostic testing and physician services. * Verify patient insurance eligibility, benefits, coverage, and authorization requirements ...

Processes prior authorization requests from physician's offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Processes prior authorization requests from physiciansoffices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Processes prior authorization requests from physiciansoffices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Processes prior authorization requests from physician's offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Obtain, track, and manage prior authorizations for scheduled diagnostic testing and physician services. * Verify patient insurance eligibility, benefits, coverage, and authorization requirements ...

Review specialty medication prior authorization requests (i.e. biopharmaceuticals) according to established treatment protocols, clinical criteria and member benefits. and make coverage ...

Three hundred fifty million Americans rely on a healthcare system whose decision-making has become slow, costly, and adversarial - care delayed by prior authorization and paperwork, claims that ...

Facilitate the processing of prior authorizations, appeals, and insurance updates for prescriptions. * Serve as a Liaison: Handle a high volume of inbound and outbound calls and manage and respond to ...

Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Three hundred fifty million Americans rely on a healthcare system whose decision-making has become slow, costly, and adversarial - care delayed by prior authorization and paperwork, claims that ...

Prepares for patient visit(s) by verifying insurance coverage, confirming benefits, determining authorization requirements, initiating and obtaining pre-certification/prior authorization for ...

Prepares for patient visit(s) by verifying insurance coverage, confirming benefits, determining authorization requirements, initiating and obtaining pre-certification/prior authorization for ...

Initiate, track, and complete prior authorizations, including denials, appeals, and medical necessity documentation * Coordinate with specialty pharmacies on prescriptions, deliveries, refills, and ...

Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for manufacturer and non-profitorganizationcopayassistanceprograms. * Update job knowledge ...