Top 130 Pharmacy prior authorization Jobs in Atlanta Ga

Prior Authorization Coordinator
Soleo Health Inc —Atlanta, GA
- $20 - $23 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
Referral & Authorization Care Coordinator
Oshi Health —Atlanta, GA
- $47,000 - $52,000 a year
- Email
- Remote
- Nursing
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Mail Clerk Customer Service Representative (CSR)
OncoHealth —Atlanta, GA
- Weekends as needed
- Hybrid work
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
Quick Apply
Payroll Clerk
Costco Wholesale Corporation —College Park, GA
- Office
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Pharmacy Technician - Janus RX - Norcross, GA
Mims Management Group —Norcross, GA
- $18 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- English
Quick Apply
9d
Specialty Pharmacy Technician
CVS Health —Atlanta, GA
- $17.00 - $28.46 an hour
- Full-time
- High school diploma or GED
- Data entry
- Fair chance
- Paid holidays
- Health insurance
Medication Access Coordinator
Grady Health System —Atlanta, GA
- Full-time
- Microsoft Excel
- Writing skills
- Research
- Paid holidays
- Disability insurance
Order Picker
Costco Wholesale Corporation —Morrow, GA
- Customer service
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Bilingual (English/Spanish) Clinical Medical Assistant
Thrive Ortho and Spine —Decatur, GA
- $18 - $22 an hour
- Part-time
- Spanish
- CPR Certification
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
2d
Remote Medical Director
TotalMed Medfi —Georgia
- $125 an hour
- Part-time
- Remote
- Senior level
Quick Apply
1d
Receiving Clerk
Costco Wholesale Corporation —College Park, GA
- Driving
- US work authorization
- Warehouse
- AD&D insurance
- Employee stock purchase plan
Specialty Billing Technician
Walgreens —Atlanta, GA
- $20.25 - $26.00 an hour
- Full-time
- Writing skills
- Mid-level
- High school diploma or GED
11d
Medical Billing and Coding Specialist
Positive Impact Health Centers INC —Decatur, GA
- Basic math
- Research
- Mid-level
- Free parking
- Profit sharing
Non-Licensed Optician
Costco Wholesale Corporation —Atlanta, GA
- Merchandising
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Pharmacy Patient Care Coordinator
Positive Impact Health Centers INC —Decatur, GA
- Full-time
- Spanish
- Customer service
- Word processing
- Free parking
- Profit sharing
1d
Clinical Pharmacy Technician - North Float
Piedmont Cancer Institute —Atlanta, GA
- From $25 an hour
- Full-time
- Float pool
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Epic Certified Willow Inpatient Analyst 5340180
Accenture —Atlanta, GA
- $52 - $56 an hour
- Full-time
- Remote
- System design
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Medical Science Liaison, Respiratory - Georgia (GA, AL, MS, TN)
GlaxoSmithKline —Atlanta, GA
- Full-time
- Medicine
- Computer literacy
- Mid-level
Front Office Receptionist/ Scheduler/Administrative Assistant
Apex Family Healthcare Services LLC —Stockbridge, GA
- $15 - $18 an hour
- Full-time
- Vital signs
- Adults
- Mid-level
- Paid training
- Health insurance
Quick Apply
9d
Pharmacy Technician - Janus RX - Norcross, GA
Janus Pharmacy —Norcross, GA
- $18 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- English
9d

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pharmacy prior authorization jobs near atlanta ga

Prior Authorization Coordinator

Soleo Health Inc -
Atlanta, GA

Quick Apply

Job Details

Full-time
$20 - $23 an hour

Benefits

Paid parental leave
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Parental leave
Vision insurance
401(k) matching
Life insurance
Referral program

Qualifications

Microsoft Word
Appeals
Contract documentation review
Contract review
Spreadsheets
Word embeddings
High school diploma or GED
HCPCS
Pre-authorization review for utilization management
Medical insurance appeals management

Full Job Description

Description:

Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!

Specialty infusion prior authorization experience required. Hours are Monday-Friday 9:00am - 5:30pm Eastern Standard time.

Soleo Health Perks:

Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program

The Position:

The Prior Authorization Coordinator ensures seamless patient care by maintaining prior authorizations, copay assistance, and verifying existing insurance coverage for ongoing services. Responsibilities include:

Must have a solid working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits
Verify insurance benefit information monthly via multiple methods such as online tools, calling payors or processing test claims
Generates a prior authorization expiration report weekly, bi-weekly, or monthly
Review clinical documents for prior authorization/pre-determination submission purposes
Secures prior authorization, pre-determination, or medical review
Contact prescriber’s office to obtain information that is required to complete ongoing re-authorization and verification of benefits
Places outbound calls to patients or prescriber’s offices to notify of any delays due to more information needed to process or due to a prior authorization
Document insurance coverage of medications, administration supplies, and related infusion services including prior authorization requirements and coordination of benefits
Provides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
Ensures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be provided
Generates patient forms
Maintains up to date prior authorization report

Schedule:

Monday-Friday 9:00am-5:30pm Eastern Standard Time

Requirements:

High school diploma or equivalent required.
At least 2 years of healthcare intake/admissions and/or reimbursement experience
Previous medical and pharmacy benefit experience is required
Initiating and securing prior authorizations, pre-determination, and appeals
Ability to interpret payor contract fee schedules based on NDC and HCPCS units
Ability to effectively handle multiple priorities within a changing environment
Basic level skill in Microsoft Excel
Basic level skill in Microsoft Word

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!

Soleo’s Core Values:

Improve patients’ lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.

Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

Quick Apply

Refine Your Search

pharmacy prior authorization jobs in atlanta ga

Prior Authorization Coordinator

Referral & Authorization Care Coordinator

Mail Clerk Customer Service Representative (CSR)

Payroll Clerk

Pharmacy Technician - Janus RX - Norcross, GA

Specialty Pharmacy Technician

Medication Access Coordinator

Order Picker

Bilingual (English/Spanish) Clinical Medical Assistant

Remote Medical Director

Receiving Clerk

Specialty Billing Technician

Medical Billing and Coding Specialist

Non-Licensed Optician

Pharmacy Patient Care Coordinator

Clinical Pharmacy Technician - North Float

Epic Certified Willow Inpatient Analyst 5340180

Medical Science Liaison, Respiratory - Georgia (GA, AL, MS, TN)

Front Office Receptionist/ Scheduler/Administrative Assistant

Pharmacy Technician - Janus RX - Norcross, GA

I want to receive the latest job alert for pharmacy prior authorization in atlanta ga

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