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Prior Authorization Representative
DaMar Staffing - Indianapolis, Indiana, us, 46262 25 days ago
Job Description
Prior Authorization Representative Job DescriptionClient Profile- An Indiana based Independent Physician-Owned radiology pra...
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Prior Authorization Representative
A-Line Staffing Solutions - Cincinnati, Ohio, United States, 45208 13 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 Rep II
University of Utah - Salt Lake City, Utah, United States, 84193 3 days ago
DetailsOpen Date02/21/2025Requisition NumberPRN41250BJob TitlePrior Authorization Represen...
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Pharmacist - Fully Remote (Prior Authorization)
Actalent - New York, New York, United States 3 days ago
Remote Pharmacist
Clinical Review - 8am - 5pm CST
Description
Your main role will be utilizing your clinical skills to complete utilization management...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Riverside, California, United States, 92504 17 days ago
Remote Prior Authorization Pharmacist**Job Description:** We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Chula Vista, California, United States, 91911 17 days ago
Remote Prior Authorization Pharmacist**Job Description:** We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - San Francisco, California, United States, 94199 17 days ago
Remote Prior Authorization Pharmacist**Job Description:** We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Columbus, Ohio, United States, 43224 17 days ago
Remote Prior Authorization Pharmacist**Job Description:** We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Oklahoma City, Oklahoma, United States, 73116 17 days ago
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Go to next pageDaMar Staffing - Indianapolis, Indiana, us, 46262
Job Description
Prior Authorization Representative Job Description
Client Profile- An Indiana based Independent Physician-Owned radiology practices founded in 1967.
Job Summary- Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates and obtaining prior authorizations before service are rendered. Must be comfortable working with clinical professionals.
Job Duties
Verify insurance eligibility, benefits, network status and create pre-service liability estimate.
Ensure accurate ICD, CPT codes and related medical records are submitted in the authorization request.
Secure prior authorizations of inpatient and outpatient imaging.
Acts as a liaison between the payer and clinic schedulers/medical support.
Follows up on delayed or denied authorizations requests and escalates for resolution.
Create detail documentation and maintain/stores the authorization paper trail.
Requirements
Qualifications
High School Diploma, 3+years of experience in a health care financial setting or medical office setting. Must have previous prior authorization experience.
Excellent customer service skills, strong attention to details, multi-task as needed.
Must be familiar with an EMR or HER; Microsoft Office 365
Must be able to take responsibility and work under pressure. Work efficiently in a busy medical office.
Must be a positive team player.
Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.
Proficient in medical terminology, especially radiological terms and procedures.
Days/Hours: M/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus)
Starting pay $20.00 to $21.00 hourly (Based on experience)
See details and apply
Prior Authorization Representative