Source Job

US

  • Responsible to secure outpatient accounts by performing insurance verification and obtaining benefit information.
  • Calculates patient estimates and obtains prior authorization before services are rendered.
  • Works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process.

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7 jobs similar to Prior Authorization Representative I

Jobs ranked by similarity.

US

  • Verify patient insurance coverage, eligibility, and benefits prior to services.
  • Obtain required prior authorizations from payers for services, procedures, or medications.
  • Monitor and track pending authorizations; follow up to prevent delays.

Prompt is revolutionizing healthcare with modern software for rehab therapy businesses. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology with a team of exceptionally talented individuals.

US

  • Responsible for financial clearance activities for patients before their appointments.
  • Confirms patient registration, verifies insurance eligibility, and obtains necessary authorizations.
  • Communicates patient financial responsibility with clarity and transparency.

VCU Health is dedicated to providing excellent care and improving the quality of life through discovery. They have a comprehensive system of care and pioneer health with over 800 physicians in 200 specialties.

  • Manage insurance verification, authorization processes, and referral coordination to ensure patients receive timely access to covered medical services.
  • Work closely with insurance providers, clinical documentation, and internal systems to ensure accuracy and compliance across all steps.
  • Verify active insurance coverage and review patient benefits in detail.

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against core role requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

Global

  • Execute the full BV and PA lifecycle for Spravato, TMS, and other interventional treatments.
  • Conduct phone- and portal-based verification and end-to-end PA submission and follow-up.
  • Provide clear written communication to the practice, ensuring patients can be scheduled with confidence.

Osmind is a technology, services, and data company focused exclusively on psychiatry. They serve a network of 1,000+ independent psychiatry practices across the country, helping them provide high-quality care, scale as businesses, and contribute to research with their purpose-built EHR, software solutions, clinician community, and managed services.

US

  • Oversee prior authorization technicians and administrative PA functions.
  • Analyze data and provide staffing, workflow, and system enhancement recommendations.
  • Investigate/resolve escalated issues from clients and providers.

Judi Health is an enterprise health technology company providing a suite of solutions for employers and health plans. They have a comprehensive Enterprise Health Platform that consolidates all claim administration-related workflows in one scalable, secure platform.

US

  • Enters data and validates patient information.
  • Monitors and verifies insurance information for patient visits.
  • Communicates with patients about co-pays, benefits, coverage, and care authorization.

Aviary is an organization in the healthcare sector. We value employees who are rigorous analytical thinkers and problem solvers with a strong work ethic.

US

  • You will be responsible for receiving phone calls and fax requests to schedule patients for outpatient tests.
  • You will complete pre-registration of scheduled patients.
  • You will ensure a valid provider order is obtained.

CommonSpirit Health has over 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities and advocating for those who are poor and vulnerable.