Top 141 Authorization representative Jobs in Louisville, Ky

System Director, Authorization Management & Pre-Service
Norton Healthcare —Louisville, KY
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Paid holidays
3d
Sales Representative - No Experience Required
WHITTINGHAM —Louisville, KY
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
9h
Sales Representative - No Experience Required
WHITTINGHAM —Louisville, KY
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
9h
Insurance Verification Specialist (Benefit Specialist)
Valeris —Jeffersonville, IN
- Bilingual
- Background check
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
Central Intake Coordinator
BrightSpring Health Services —Louisville, KY
- $21 - $24 an hour
- Full-time
- Remote
- Bachelor of Science
- Writing skills
- HIPAA
Patient Access Liaison - UPLIZNA - St Louis, Missouri
Amgen —Louisville, KY
- $158,394 - $222,256 a year
- Weekends as needed
- Doctoral degree
- Up to 50% travel
- HIPAA
- Disability insurance
- Health insurance
6d
Pre-Service Representative, Days
Norton Healthcare —Louisville, KY
- Full-time
- High school diploma or GED
- Pediatrics
- Computer skills
Retail Sales Associate Part Time
Sun Tan City - STC Management Group, LLC —Louisville, KY
- $12.50 - $15.50 an hour
- Part-time
- Ability to walk for extended periods
- Computer literacy
- US work authorization
- 401(k) matching
- Employee discount
Quick Apply
Overnight Closer Part Time
Planet Fitness - Glow Brands —Louisville, KY
- $15 - $16 an hour
- Part-time
- 18 years or older
- Computer literacy
- High school diploma or GED
- 401(k) matching
- Employee discount
Quick Apply
Care Coordinator
Chen Medical Associates —Louisville, KY
- $17.00 - $24.26 an hour
- Full-time
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Technical Service Representative
Hood Distribution —New Albany, IN
- $54,000 - $75,000 a year
- Full-time
- Background check
- Clean driving record
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Sales Representative - No Experience Required
WHITTINGHAM —Jeffersonville, IN
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
9h
Sales Representative - No Experience Required
WHITTINGHAM —La Grange, KY
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
9h
Product Owner, FMS/Financial Intermediary Svc
Benelynk —Louisville, KY
- $120,000 - $125,000 a year
- Full-time
- Remote
- Pass drug screening
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Specialty Sales Representative – Cardiometabolic Rare Disease
TSP (A Syneos Health Company) —Louisville, KY
- $160,000 - $180,000 a year
- 5 years
- Travel
- US work authorization
- Health insurance
- Dental insurance
Retail Receptionist Part Time
Visionworks —Louisville, KY
- $10.64 - $14.10 an hour
- Part-time
- Basic math
- HIPAA
- English
Quick Apply
Transportation Security Officer
US Transportation Security Administration —Louisville, KY
- $46,105 - $56,844 a year
- Overtime
- Background check
- 18 years or older
- Ability to walk for extended periods
- Travel reimbursement
- Paid holidays
4d
Mail Room-In-office - Louisville KY
Firstsource Healthcare —Louisville, KY
- $16 an hour
- Overtime
- Customer service
- Computer literacy
- Pass drug screening
- Opportunities for advancement
Overnight Closer Full Time
Planet Fitness - Glow Brands —Louisville, KY
- $15 - $16 an hour
- Overnight shift
- 18 years or older
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Louisville, KY based Clinical Specialist - Remote, USA
Calyxo —Louisville, KY
- $80,000 - $140,000 a year
- Nursing
- Surgery
- Sales
- Health insurance
- 401(k)
Quick Apply
10d

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System Director, Authorization Management & Pre-Service

Norton Healthcare -
Louisville, KY

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Job Details

Full-time
3 days ago

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
401(k)
Parental leave
Vision insurance
403(b)

Qualifications

Bachelor's degree

Full Job Description

Location: Louisville, Kentucky
Job Category: Executive Leadership
Job ID: 156825
Facility Group: Norton System Services

Job Description

Responsibilities

The System Director Authorization Management & Pre-Service leads and manages a team composed primarily of denial nurses, utilization review nurses (RN, LPN), pre-service and insurance verification representatives. This team develops processes for prospective, concurrent and retrospective utilization review. They provide timely notification of admission to third party payors and managed care companies. The team works closely with the hospital-based care managers and clinical offices to provide clinically accurate, timely and meaningful clinical reviews to payors in order to obtain authorizations. The System Director Authorization Management & Pre-Service collaborates with staff external to the organization (payors), as well as members of the Norton Healthcare team (Patient Financial Services, Registration, Norton Medical Group, Health Information Management, and Care Management). As a key leader in Norton Healthcare's Improvement Network, the System Director Authorization Management & Pre-Service, will coach and facilitate this team in performance improvement initiatives, to ensure high quality outcomes and exceptional patient care. Tracking, trending and reporting key financials (lost revenue due to denials) is required. The System Director Authorization Management & Pre-Service provides guidance to staff on preventing and appealing denials and educates on medical necessity criteria such as InterQual and/or Milliman Care Guidelines. This position also leads and develops processes for securing outpatient authorizations. The team works closely with clinic offices and provides and obtains accurate, timely authorizations from payors.

Key Accountabilities:

Assists staff to ensure proper hospital &payor authorization requirements are met. Maintains current organized databases regarding payor requirements, reviews, contacts, decisions and appeals. Is knowledgeable of managed care contracts, government payment methodologies and coverage guidelines.
Provides annual performance evaluations for direct reports & provides feedback to other system leaders as requested. Evaluates annual employee engagement results and works with teams to establish action plans to ensure workforce concerns are being addressed. Mentors & coaches team as needed to ensure that members have the right tools and training to deliver on expected goals and quality patient care.
Identifies and coordinates improvement opportunities and leads formal groups to identify processes to reduce insurance denials/loss of revenue. Continually assesses the insurance authorization process for opportunities to streamline and eliminates duplication of work. Collaborates with staff & eaders in other departments (both external and internal to NHC). Provides appropriate feedback to the staff as needed regarding payor guideline changes.
Responsible for achieving annual department performance metrics developed by system leadership, and the management of financial resources to meet and exceed the expected budget (efficient utilization review).
Demonstrates critical thinking, problem solving and prioritization skills. Uses positive communication techniques, is skilled in empathizing, listening and supporting while maintaining strict professional boundaries. Manages the department by leading as a role model. The leader holds themselves accountable to the same performance expectations as those reporting to them.

Qualifications

Required:

Five (5) years of management experience in care management & care coordination setting and/or clinical experience.
Bachelor Degree
Registered Nurse

Desired:

Master Degree
Certified Case Manager OR Certified Professional in Denial & Appeal Management

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Screening requirements:

Background check
License & education verification
Employment reference verification
Drug Screen

Norton Healthcare offers a competitive benefit package, including:

Paid vacation, sick days and holidays
Paid parental leave
403b/401k retirement plan
View more: Benefits Guide
Medical, Dental, and Vision Insurance

Discover meaningful career opportunities at NortonHealthcareCareers.com.
Norton Healthcare Careers - Together, We Will.

Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's second largest employer, with more than 20,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Norton Healthcare strives to make the Norton Healthcare Careers site accessible to all job seekers. If you're a candidate with a disability, we will make reasonable efforts to accommodate your needs during the application process.

If you have a disability and need to request a reasonable accommodation, email [email protected]

Equal Employment Opportunity is the law.

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Refine Your Search

authorization representative jobs in louisville, ky

System Director, Authorization Management & Pre-Service

Sales Representative - No Experience Required

Sales Representative - No Experience Required

Insurance Verification Specialist (Benefit Specialist)

Central Intake Coordinator

Patient Access Liaison - UPLIZNA - St Louis, Missouri

Pre-Service Representative, Days

Retail Sales Associate Part Time

Overnight Closer Part Time

Care Coordinator

Technical Service Representative

Sales Representative - No Experience Required

Sales Representative - No Experience Required

Product Owner, FMS/Financial Intermediary Svc

Specialty Sales Representative – Cardiometabolic Rare Disease

Retail Receptionist Part Time

Transportation Security Officer

Mail Room-In-office - Louisville KY

Overnight Closer Full Time

Louisville, KY based Clinical Specialist - Remote, USA

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