Prior authorization [h1.location_city]
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Prior authorization • usa
[last_updated.last_updated_1_hour]
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis.
We value new ideas, creativity, and productivity.We like ...[show_more][last_updated.last_updated_30]
Review case and insurance coverage information to customize the prior authorization request to the insurance company or physicians office.
Navigate through payer portals to initiate / obtain prior aut...[show_more][last_updated.last_updated_variable_hours]
Prior Authorization Lead – Summary.Monday–Friday, 8am–5pm.Complete prior authorizations for imaging, medications, referrals, clinic visits, surgeries, and interventional procedure...[show_more][last_updated.last_updated_variable_days]
DeCoach Recovery Centre, a local leader in addiction recovery, is seeking an experienced prior authorization specialist to work at our corporate headquaters in Sharonville, OH.This role is critical...[show_more][last_updated.last_updated_variable_days]
A-Line Staffing is hiring a Remote Prior Authorization Nurse (LPN / RN) in Oregon with a Major Healthcare Company! Pay Rate : $35–$42 / hr - Based on licensure and experience! Schedule : Monday–Friday, 8...[show_more][last_updated.last_updated_variable_days]
Prior Authorization Specialist.Performs various access-related duties to include but not limited to,.Provide strong and exceptional customer service skills and ability to follow policies regarding ...[show_more][last_updated.last_updated_variable_days]
Prior Authorization Technician.Reports To : Revenue Integrity Supervisor.Preference : TERO Ordinance 2017-01, P.The Prior Authorization Technician supports the Health Systems Departments by completin...[show_more][last_updated.last_updated_30]
Utilizing billing, clinical resources, and customer service skills to effectively and efficiently triage for prior authorization requirements as needed for coverage.
Performs day to day Insurance Ve...[show_more][last_updated.last_updated_30]
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.
The clinical pharmacist will app...[show_more][last_updated.last_updated_variable_days]
Prior Authorization Specialist.Quality childcare located on siteHMC Wellness Center membership401(k) plan with employer match.
Infants (6 weeks to 15 months) - $133 weekly, $27 dailyToddlers (15 mon...[show_more][last_updated.last_updated_1_hour]
Prior Authorization Coordinator.We are seeking an organized and detail-oriented Prior Authorization Coordinator.In this critical administrative role, you will help ensure patients receive timely ac...[show_more][last_updated.last_updated_1_hour]
Job Opportunity : Insurance Prior Authorization Coordinator - Home Health Agency.Competitive & Based on Experience.We are a new, rapidly growing home health agency dedicated to providing excepti...[show_more][last_updated.last_updated_30]
A medical prior authorization specialist.Key responsibilities include gathering patient and insurance information, submitting requests, tracking their status, and communicating with patients and pr...[show_more][last_updated.last_updated_variable_days]
Review case and insurance coverage information to customize the prior authorization request to the insurance company or physician's office.
Navigate through payer portals to initiate / obtain prior au...[show_more][last_updated.last_updated_1_day]
Prior Authorization Specialist.Are you detail-oriented, organized, and passionate about helping people access the medications they need? Do you thrive in a fast-paced environment where teamwork and...[show_more][last_updated.last_updated_variable_days]
Prior Authorization Representative.MFM Health is looking for a diligent and detail-oriented Prior Authorization Representative to join our team.
This in office full-time role is dedicated to managin...[show_more][last_updated.last_updated_30]
The core values of Community Health Center of Southeast Kansas, Inc.CHC / SEK) are dignity and stewardship.Each staff member is expected to perform their job duties in a way that preserves dignity fo...[show_more][last_updated.last_updated_variable_days]
Join IVX Health as a Prior Authorization Coordinator!.Join a team that's redefining infusion care and creating exceptional patient experiences.
Are you experienced in navigating the complexities...[show_more][last_updated.last_updated_variable_days]
We are seeking a detail oriented and patient focused individual to work as a.Prior Authorization Specialist.Edina, MN business office (3 days in office / 2 days work from home).If you have a passio...[show_more][last_updated.last_updated_30]
Prior Authorization Specialist
AmeriPharmaLaguna Hills, CA, US[job_card.full_time]
- [new]
Prior Authorization Representative
Quadax Careers & CultureMiddleburg Heights, Ohio, USA[job_card.full_time]
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Trinity Employment SpecialistsOklahoma City, OK, US[job_card.temporary]
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DeCoach Rehabilition CenterCincinnati, OH, US[job_card.full_time]
- [promoted]
Prior Authorization Nurse
A-Line Staffing Solutions LLCPortland, Oregon, United States[job_card.full_time] +1
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Advanced Urology CenterSnellville, GA, US[job_card.full_time]
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Kenaitze Indian TribeKenai, AK, US[job_card.full_time]
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Midwest Vision PartnersStow, OH, US[job_card.full_time]
- [promoted]
Pharmacist - Prior Authorization
US Tech SolutionsWoonsocket, RI, United States[job_card.temporary]
- [promoted]
- [new]
Prior Authorization Specialist
Hopedale Medical ComplexHopedale, IL, US[job_card.full_time]
- [promoted]
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Prior Authorization Coordinator
Minnesota StaffingMinnetonka, MN, US[job_card.full_time]
- [promoted]
Prior Authorization Coordinator
Old Glory Home Health Care & Assistive CareRichmond, VA, US[job_card.full_time] +1
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Advocare LLCMarlton, NJ, US[job_card.full_time]
Prior Authorization Representative
QuadaxCleveland, OH, United States[job_card.full_time]
Prior Authorization Specialist
Hawai'i Island Community Health CenterHilo, HI, US[job_card.full_time]
- [promoted]
Prior Authorization Representative
MFM HealthMiddleton, MA, US[job_card.full_time]
Prior Authorization Specialist
Community Health Center of Southeast KansasFort Scott, KS, United States[job_card.full_time]
- [promoted]
Prior Authorization Coordinator
IVX HealthBrentwood, TN, US[job_card.full_time] +1
Prior Authorization Representative
Retina Consultants of MinnesotaMinneapolis, MN, United States[job_card.full_time]
Prior Authorization Specialist
AmeriPharmaLaguna Hills, CA, US[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Location : On-Site (Training in Orange, CA; position based in Laguna Hills, CA post-training) Hours : Monday to Friday, 8 : 30 AM 5 : 00 PM Ensure timely, accurate submission, follow-up, and approval of prior authorizations for medications and medical services Review requests and documentation for completeness and accuracy; ensure all supporting materials are submitted Communicate with healthcare providers, insurance companies, patients, and internal teams to clarify and resolve authorization issues Assist in gathering and submitting documentation to support medical necessity appeals Proactively manage and track authorization requests, expirations, and renewals Document all interactions with stakeholders in the system clearly and consistently Log all prior authorization details (e.g., approval dates, billing units, procedure codes, authorization numbers) into the patient profile Collaborate with clinical, billing, and intake departments to coordinate and resolve outstanding authorization or billing issues Stay current on payer-specific guidelines and regulatory requirements regarding authorizations and appeals Maintain compliance with company policies, procedures, and applicable laws and standards Complete required daily, weekly, and monthly reports as assigned by leadership Perform other duties as assigned Minimum of 2 years of experience in prior authorization, preferably in infusion services, specialty pharmacy, or a medical office Strong understanding of Medicare, Medicaid, and Managed Care reimbursement and prior authorization requirements Familiarity with medical terminology, insurance processes, and prescription medications Demonstrated ability to work in a fast-paced, high-volume environment and manage multiple priorities Strong analytical, critical thinking, and problem-solving skills Excellent verbal and written communication skills Intermediate-level proficiency in Microsoft Excel, Word, and experience with electronic health systems or pharmacy software High level of attention to detail and accuracy in documentation Ability to work independently and as part of a collaborative team Experience with appeals and insurance claim processing Prior experience working in a paperless workflow environment Experience with EMR, CPR+, or prior authorization platforms
Job Description
Job Description
Salary : $22-$28 Hourly / DOE
About AmeriPharma
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.
AmeriPharmas Benefits
- Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
- Great pay and general compensation structures
- Employee assistance program to assist with mental health, legal questions, financial counseling etc.
- Comprehensive PTO and sick leave options
- 401k program
- Plenty of opportunities for growth and advancement
- Company sponsored outings and team-building events
- Casual Fridays
Job Summary
We are seeking a highly organized and detail-oriented Prior Authorization Coordinator to join our dynamic pharmacy team. This individual will play a key role in ensuring timely and accurate submission, follow-up, and approval of prior authorizations and appeals for medical and prescription services. This role supports patient care by minimizing delays in treatment and works closely with healthcare providers, insurance carriers, and internal teams.
Schedule Details
Duties and Responsibilities
Experience and Skills Requirements
Preferred Qualifications
AmeriPharmas Mission Statement
Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!
Physical Requirements
The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations
EEO Statement
The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be anexhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and otherduties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP / EEO employer.All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.