JOB DESCRIPTION
The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases
Responsibilities Include, But Are Not Limited To
Validates insurance patient's coverage, communicate any issues with benefits or coverage to the appropriate managers
Checks the requirements for prior authorization and initiates as required
Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required
Follows up frequently to ensure visibility on authorization status throughout the approval process
Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process
Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of Medtronic therapy codes
Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders,
Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed
Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail
Alabama Homecare of Montgomery
United States - AL - AL - Mathews
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Coosada
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Hardaway
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
United States - AL - AL - Steele
July 4, 2024
Req ID: 436300 Address: 905 Steele Station Road Steele, AL, 35987 *Benefits: * Paid Time Off * Flexible Scheduling * 401(k) - 100% match up to 5% * Medical/Dental/Vision Insurance after 30 days * Competitive Pay * Career Development * Welcome to Love's! Diesel Technicians work in a fast-paced...
Alabama Homecare of Montgomery
United States - AL - AL - Titus
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
United States - AL - AL - Madison
July 4, 2024
Onin Staffing is currently looking for a 1st & 2nd Shift Forklift Operator in Madison, AL. • This is a long-term position with an opportunity to work for a Best Places to work company. • Onin Staffing We Hire Teammates - Not temps 1st Shift - $17.50 per hour (7: • 00AM-3: • 45PM) (Possible 2 hours...
Alabama Homecare of Montgomery
United States - AL - AL - Letohatchee
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
United States - AL - AL - Birmingham
July 4, 2024
*Immediate dates. Apply to hear back about open positions.* • Join a growing teamwith a national presence and experience across different areas of manufacturing, distribution, fulfillment, shipping, and assembling. • All the necessary training is provided on-site, and you will gain experience while...
United States - AL - AL - McCalla
July 4, 2024
Req ID: 436299 Address: 22183 Hwy 216 McCalla, AL, 35111 *Benefits: * Paid Time Off * Flexible Scheduling * 401(k) - 100% match up to 5% * Medical/Dental/Vision Insurance after 30 days * Competitive Pay * Career Development * Welcome to Love's! Diesel Technicians work in a fast-paced environment and...
Alabama Homecare of Montgomery
United States - AL - AL - Elmore
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Ramer
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
United States - AL - AL - Muscle Shoals
June 30, 2024
CDL A Company Driver - Reefer. Monthly Bonus (Performance-Based) • Up to $.05 cpm per month • Per Diem • $.10 cpm for all Drivers - included in pay rate • Military Pay • Drivers who are currently serving or have served within the past 24 months • <2 years verified service = $.01 cpm pay increase •...
Alabama Homecare of Montgomery
United States - AL - AL - Hayneville
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Pike Road
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
United States - AL - AL - Prattville
July 4, 2024
Our client in Prattville AL has a 8HR DAY travel position for an Therapist with current Physical Therapy experience. • The ideal candidate must have at least 2 years of experience, with active Therapist license and BLS and/or ACLS (if required) certified by the American Heart Association What makes...
United States - AL - AL - Hueytown
July 4, 2024
JOB DESCRIPTION - PHYSICAL THERAPIST (GT) Physical therapists provide a variety of medical services to help individuals who have been injured or physically affected by illness to recover or improve function. • A Physical Therapist must be able to evaluate a patient's condition and devise a...
Alabama Homecare of Montgomery
United States - AL - AL - Wetumpka
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Booth
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Millbrook
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Shorter
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Lowndesboro
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Autaugaville
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Marbury
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
United States - AL - AL - Bessemer
July 4, 2024
Our client in Bessemer AL has a 8HR DAY travel position for an Therapist with current Physical Therapy experience. • The ideal candidate must have at least 2 years of experience, with active Therapist license and BLS and/or ACLS (if required) certified by the American Heart Association What makes Go...
United States - AL - AL - Huntsville
July 4, 2024
Summary : • Physical therapists help patients with injuries and chronic health conditions regain their range of motion, manage their pain, and improve their quality of life. • PTs play a critical role not only in treating musculoskeletal conditions but also in educating patients about staying fit...
Alabama Homecare of Montgomery
United States - AL - AL - Mount Meigs
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...
Alabama Homecare of Montgomery
United States - AL - AL - Hope Hull
June 5, 2024
We are hiring for a Registered Nurse. At Alabama HomeCare of Montgomery, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve it truly is all...