Top 24 Case insurance authorization coordinator Jobs in Duluth, Ga

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
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Medication Access Coordinator
Grady Health System —Atlanta, GA
- Full-time
- Microsoft Excel
- Writing skills
- Research
- Paid holidays
- Disability insurance
Complex Case Insurance Authorization Coordinator
Summit Spine and Joint Centers —Lawrenceville, GA
- Full-time
- Bilingual
- Mid-level
- Outpatient experience
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Case Manager
Georgia Behavior Associates —Sandy Springs, GA
- Full-time
- Hybrid work
- Mid-level
- Children
- Pediatrics
- Paid holidays
- Health insurance
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Heart Center Referral Coordinator
Children's Healthcare of Atlanta —Atlanta, GA
- Full-time
- Customer service
- 5 years
- Inpatient
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Durable Medical Equipment Coordinator
Shepherd Center, Inc. —Atlanta, GA
- Full-time
- Hospital
- Customer service
- Computer literacy
Quick Apply
7d
Bilingual Lead Medical Coordinator _JOR
NATIONAL YOUTH ADVOCATE PROGRAM —Lawrenceville, GA
- Full-time
- Spanish
- Nursing
- RN License
- Continuing education credits
- Mileage reimbursement
Quick Apply
Complex Case Scheduler (Surgery Scheduler)
Summit Spine and Joint Centers —Lawrenceville, GA
- Spanish
- Microsoft Outlook
- Surgery
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Direct Hire Public Notice - Data Scientist
US Nuclear Regulatory Commission —Atlanta, GA
- $74,678 - $197,200 a year
- Part-time
- Background check
- Management
- Computer Science
- Commuter assistance
- Paid holidays
Worker’s Compensation Coordinator
Summit Spine and Joint Centers —Lawrenceville, GA
- Full-time
- Bilingual
- Writing skills
- Mid-level
Quick Apply
Lead Registration Associate
Children's Healthcare of Atlanta —Atlanta, GA
- Full-time
- Microsoft Word
- Basic math
- Mid-level
- On-the-job training
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6d
Workers Compensation Coordinator Bilingual
Ortho Sport and Spine Physicians —Atlanta, GA
- Bilingual
- Mid-level
- High school diploma or GED
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3d
Care Coordination Lead KHC
3110 Kennestone Hospital, Inc. —Marietta, GA
- Full-time
- Master of Social Work
- Nursing
- RN License
14d
Clinical Assistant
Otto Bock Patient Care, LLC —Atlanta, GA
- Full-time
- Microsoft Outlook
- OSHA
- Customer service
- Health savings account
- Paid holidays
Director, Division of Reactor Projects
US Nuclear Regulatory Commission —Atlanta, GA
- $184,900 - $209,600 a year
- Part-time
- Background check
- Bachelor of Science
- Engineering
- Commuter assistance
- Paid holidays
Post Acute Care Coordinator
PBACO Holding LLC —Atlanta, GA
- Nursing
- Skilled nursing facility
- RN License
- Travel reimbursement
Quick Apply
2d
Direct Hire Public Notice - General Engineering/Physical Scientist
US Nuclear Regulatory Commission —Atlanta, GA
- $86,844 - $197,200 a year
- Part-time
- Background check
- Bachelor of Science
- Pass drug screening
- Commuter assistance
- Paid holidays
Goodman Dermatology - Scheduler - Woodstock
AQUA Dermatology —Woodstock, GA
- Full-time
- Mid-level
- High school diploma or GED
- Radiology
- Disability insurance
- Health insurance
Quick Apply
8d
Assistant Manager, Tissue Recovery
LifeLink Foundation, Inc. —Norcross, GA
- Extended hours
- Clean driving record
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply

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case insurance authorization coordinator jobs near duluth, ga

Referral & Authorization Care Coordinator

Oshi Health -
Atlanta, GA

Quick Apply

Job Details

Full-time
$47,000 - $52,000 a year

Benefits

Paid holidays
Health insurance
Unlimited paid time off
Dental insurance
Vision insurance

Qualifications

Electronic health records (EHR) management
Bachelor's degree
Video conferencing software
Collaborative technology platforms
Medical terminology

Full Job Description

Referral and Authorization Coordinator

Reports To: Manager, Care Operations
Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Louisiana, Missouri, New Hampshire, North Carolina, South Carolina, Tennessee, Texas, Vermont, Virginia ONLY. Must currently reside and plan on residing in the entire employment.
Schedule: Monday- Friday 12-8pm EST and Monday- Friday 9-5pm EST
Employment Type: Full-Time

Role Overview

As our Care Coordinator specializing in Prior Authorizations & Referrals, you will manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team. You will use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met.

What You'll Do: Key Responsibilities

Collaborate with a multidisciplinary team of care providers (including NPs, RDs, Behavioral Health Providers) to provide a whole-person approach to member care.
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to promote team awareness and patient safety.
Provide complete and accurate registration of referrals and authorizations, including patient demographics, insurance information, and clinical documentation to external providers and specialty pharmacies.
Offer proficient knowledge of referrals, insurance requirements, and the prior authorization process to internal and external resources, eliminating barriers to care and following up on progress toward key goals.
Apply knowledge of CPT and ICD-10 codes to obtain authorizations in a timely manner while demonstrating understanding of payer medical policy guidelines.
Initiate appeals for denied authorizations and maintain close follow-up to ensure positive member outcomes.
Engage in external coordination of pharmacy support services to ensure members receive all necessary support throughout the prior authorization process.
Assist members in accessing services, providing personalized customer service while maintaining close communication with the care coordination team.
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.

What We're Looking For: Qualifications & Requirements

Required

Bachelor's Degree in Healthcare administration or equivalent course work
Minimum of 2-3 years experience in healthcare coordination, care, or case management within a remote digital healthcare space
Completed degree in a health and science related field (biology, psychology, health science, nutrition, nursing, etc.).
Fluent in healthcare terminology with a working understanding of clinical concepts.
Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers.
Comfortable and competent with common administrative technologies (Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems

Preferred

Experience working in telehealth or a digital health environment.
Strong critical thinking skills with ability to triage accurately and escalate appropriately.
Experience in a high-growth startup or mission-driven healthcare organization.

Compensation & Benefits

Salary Range: $47,000 – $52,000 (commensurate with experience)
Health Benefits: Employer-sponsored medical, dental, and vision coverage
Time Off: Unlimited PTO + 11 paid company holidays
Retirement: Eligibility to contribute to 401(k)
Work Style: Remote-first — work from home anywhere within our approved states
Growth: Tailored professional development opportunities as we scale
Life Concierge: Access to Overalls, because we know life happens

About Oshi Health

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team and a mission that's changing what great healthcare looks like. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

Genuine passion for improving patient lives and transforming GI care
Strong communication skills and emotional intelligence
Comfort in a fast-paced, remote-first, mission-driven environment

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.

Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com

Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to [email protected], and we'll confirm whether you're engaging with one of our Oshi teammates!

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Refine Your Search

case insurance authorization coordinator jobs in duluth, ga

Referral & Authorization Care Coordinator

Medication Access Coordinator

Complex Case Insurance Authorization Coordinator

Case Manager

Heart Center Referral Coordinator

Durable Medical Equipment Coordinator

Bilingual Lead Medical Coordinator _JOR

Complex Case Scheduler (Surgery Scheduler)

Direct Hire Public Notice - Data Scientist

Worker’s Compensation Coordinator

Lead Registration Associate

Workers Compensation Coordinator Bilingual

Care Coordination Lead KHC

Clinical Assistant

Director, Division of Reactor Projects

Post Acute Care Coordinator

Direct Hire Public Notice - General Engineering/Physical Scientist

Goodman Dermatology - Scheduler - Woodstock

Assistant Manager, Tissue Recovery

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