Top 35 Prior authorization specialist Jobs in Lilburn Ga

Surgery Prior Authorization Specialist
PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC —Atlanta, GA
- Full-time
- Surgery
- HIPAA
- Mid-level
Quick Apply
Registration Associate
Children's Healthcare of Atlanta —Atlanta, GA
- Weekends as needed
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
Team Account Coordinator - OEM Team
Siemens —Peachtree Corners, GA
- $44,982 - $77,112 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
4d
Registration Associate - PRN
Children's Healthcare of Atlanta —Atlanta, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
Registration Associate - Part time
Children's Healthcare of Atlanta —Alpharetta, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
2d
Registration Assoc
Children's Healthcare of Atlanta —Chamblee, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
10d
Eligibility & Benefits Specialist
Oshi Health —Atlanta, GA
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
2h
Complex Case Scheduler (Surgery Scheduler)
Summit Spine and Joint Centers —Lawrenceville, GA
- Spanish
- Microsoft Outlook
- Surgery
Quick Apply
Front Office I
Atlanta Oral & Facial Surgery —Atlanta, GA
- 8 hour shift
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Patient Support Specialist
Total Respiratory & Rehab —Conyers, GA
- Weekends as needed
- Background check
- Microsoft Outlook
- Office
Quick Apply
7d
Lead Registration Associate
Children's Healthcare of Atlanta —Atlanta, GA
- Weekends as needed
- Microsoft Word
- Basic math
- Mid-level
- On-the-job training
Quick Apply
PRN Registration Associate North Point-4
Children's Healthcare of Atlanta —Alpharetta, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
9d
Insurance Verification Specialist - Procedure Scheduling Experience Preferred
Atlanta Interventional Institute —Smyrna, GA
- Urgently hiring
- Mid-level
- Communication skills
- Under 1 year
- Paid holidays
- Health insurance
Quick Apply
Lead Registration Assoc
Children's Healthcare of Atlanta —Brookhaven, GA
- Weekends as needed
- Microsoft Word
- Basic math
- Mid-level
- On-the-job training
Quick Apply
2d
Medical Billing and Coding Specialist
Positive Impact Health Centers INC —Decatur, GA
- Basic math
- Research
- Mid-level
- Free parking
- Profit sharing
Front Office III
Atlanta Oral & Facial Surgery —Suwanee, GA
- 8 hour shift
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Front Office III
Beacon Oral Specialists —Duluth, GA
- 8 hour shift
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
14d
Medical Coder and Biller
Modern Family Medicine —Roswell, GA
- $24.38 - $29.37 an hour
- Part-time
- Private practice
- Spanish
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote (6896)
Avanos —Alpharetta, GA
- $160,000 - $185,000 a year
- Remote
- Windows
- Analysis skills
- Bachelor's degree
- Health insurance
- 401(k) matching
Program Assistant
Totally Joined for Achieving Collaborati —Atlanta, GA
- 8 hour shift
- High school
- 5 years
- Research
- Paid holidays
- Disability insurance
Quick Apply

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prior authorization specialist jobs near lilburn ga

Surgery Prior Authorization Specialist

PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC
Atlanta, GA

Quick Apply

Job Details

Full-time

Qualifications

Overseeing health insurance pre-certification
Medical insurance coverage verification

Full Job Description

Job Title: Surgery Prior Authorization Specialist

Location: Atlanta/Sandy Springs, GA

Job Type: Full-Time

About Us:

We are a leading Pediatric Ears, Nose, & Throat practice in Atlanta dedicated to providing exceptional care to our patients. We are currently seeking a skilled and detail-oriented individual to join our team as a Surgery Prior Authorization Specialist.

Job Summary:

The Surgery Prior Authorization Specialist is responsible for managing the prior authorization process for upcoming surgical cases. This role involves ensuring that all authorizations are obtained accurately and in a timely manner, while coordinating closely with physicians, surgical centers, and insurance companies. The ideal candidate will have a strong background in prior authorizations and insurance verification, with a focus on surgery, and will be capable of working in a fast-paced, pediatric ENT setting.

Minimum Qualifications:

Minimum one year of experience in prior authorization and insurance verification.
Prior experience in Ears, Nose & Throat (ENT) is highly preferred.
Familiarity with EMR systems: EPIC and/or ModMed, is highly preferred.
Familiarity with insurance processes and authorizations.

Essential Functions:

Monitor and manage authorizations for upcoming surgical cases, ensuring timely and accurate approval.
Verify patient demographic information and insurance eligibility, including coordination of benefits.
Complete surgical cost analysis forms and provide cost estimates for patient collections prior to surgery.
Verify insurance benefits for all surgical procedures.
Document authorizations and update patient records with authorization progress.
Enter authorization information into the case management system.
Communicate effectively with physicians, patients, coworkers, hospitals, and surgical centers.
Provide ongoing training to staff on new processes to ensure timely surgical case confirmations.
Assist surgery schedulers with urgent (STAT) authorizations.
Maintain confidentiality of health records and patient information in compliance with HIPAA guidelines.
Identify workflow improvement opportunities and work with the department manager to resolve any complaints professionally and promptly.
Attend department meetings as required.

Skills and Abilities:

Strong communication and interpersonal skills.
Detail-oriented with excellent organizational abilities.
Ability to work both independently and collaboratively.
Proficiency with case management software and insurance verification tools.
Familiarity with HIPAA compliance and confidentiality standards.

Quick Apply

Refine Your Search

prior authorization specialist jobs in lilburn ga

Surgery Prior Authorization Specialist

Registration Associate

Team Account Coordinator - OEM Team

Registration Associate - PRN

Registration Associate - Part time

Registration Assoc

Eligibility & Benefits Specialist

Complex Case Scheduler (Surgery Scheduler)

Front Office I

Patient Support Specialist

Lead Registration Associate

PRN Registration Associate North Point-4

Insurance Verification Specialist - Procedure Scheduling Experience Preferred

Lead Registration Assoc

Medical Billing and Coding Specialist

Front Office III

Front Office III

Medical Coder and Biller

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote (6896)

Program Assistant

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