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Prior Authorization Representative
Quadax - Middleburg Heights, Ohio, United States 1 days ago
Key Responsibilities:
Review case and insurance coverage information to customize the content of the call to the insurance company or physician's offi...
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Prior Authorization Representative
A-Line Staffing Solutions - Cincinnati, Ohio, United States, 45208 9 days ago
Job Opening: Prior Authorization Specialist (Onsite)Location: Mason, OH
Pay: $18/hour
Schedule: Full-time, Monday-FridayStart Date...
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Prior Authorization Representative(Remote)
Three Point Solutions - New London, Connecticut, us, 06320 6 hours ago
Job Title :Prior Authorization Representative/Customer Service Rep IIClient : Medical Device Manufacturing CompanyDurati...
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Prior Authorization Specialist
Blink Health - Pittsburgh, PA, United States 4 days ago
Company Overview:Blink Health is the fastest growing healthcare technology company that builds products to make prescriptio...
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Prior Authorization Specialist
Insight Global - Charlottesville, Virginia, United States 1 days ago
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ weekInsight Global is seeking a Prior Authorization Specialist for one of the Top ra...
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Prior Authorization Specialist
Insight Global - Charlottesville, Virginia, United States, 22904 1 days ago
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ weekInsight Global is seeking a Prior Authorization Specialist for one of the Top ra...
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Prior Authorization Specialist
Medavie Health Services - New York, New York, us, 10261 13 hours ago
PURPOSE OF POSITION:The Prior Authorization Specialist ensures patients receive services and medications that requires pre-authorization fro...
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Prior Authorization Specialist
Infusion4Health, Inc. - Brea, California, United States, 92631 5 hours ago
Job descriptionInfusion for Health is a referral-based infusion center that services all providers in multiple locations in California, Ariz...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Jersey City, New Jersey, United States, 07390 15 hours ago
Remote Prior Authorization Pharmacist**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focu...
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Go to next pageQuadax - Middleburg Heights, Ohio, United States
Key Responsibilities:
Review case and insurance coverage information to customize the content of the call to the insurance company or physician's office.
Provide insurance company representatives with an overview of the services in which coverage is being requested in the attempt to obtain prior authorization.
Answer questions regarding the reimbursement process and direct testing specific and treatment questions.
Complete SMN (statement of medical necessity) form based on client or insurance requirements and fax to the ordering physician's office for completion.
Follow up contact may be needed with the insurance company or physician's office based on pending documentation or approval.
Meet benefit investigation process standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the task.
Participate in team meetings by sharing the details of cases worked.
Other duties as assigned.
Education/Experience:
High School diploma or GED
Minimum of two years customer service experience
Knowledge of the health insurance terminology and billing process or equivalent
Proficient and attentive to details
Possess superior customer service skills
Possess excellent writing and verbal communication skills
Ability to maintain confidentiality
Proficient in using Microsoft Excel and Word
Ability to multitask, establish priorities, and work independently
See details and apply
Prior Authorization Representative