Talent.com
Missouri Licensed Prior Authorization Rep

Missouri Licensed Prior Authorization Rep

VirtualVocationsAlbuquerque, New Mexico, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Prior Authorization Representative in Revenue Cycle Management.

Key Responsibilities

Validate patient information, scheduled tests / surgeries, and insurance details to ensure accuracy in authorizations

Communicate professionally with provider offices, insurance companies, and patients to facilitate the authorization process

Collaborate with a multidisciplinary team to support authorization for various services and maintain a high standard of customer service

Required Qualifications

High School Diploma or GED

2-5 years of relevant experience

Associate's Degree preferred

5-10 years of relevant experience preferred

Certification as a Certified Healthcare Access Associate (CHAA) is a plus

serp_jobs.job_alerts.create_a_job

Prior Authorization • Albuquerque, New Mexico, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Insurance Authorization Specialist

Insurance Authorization Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist responsible for authorizing appointments and procedures.Key Responsibilities Identify patients requiring pre-certification or pre-authorization fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Authorization Associate

Patient Authorization Associate

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services. Key Responsibilities Secure pre-certifications and au...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Claims Examiner

Health Claims Examiner

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Claim Technician

Claim Technician

Health Care Service CorporationAlbuquerque, NM, US
serp_jobs.job_card.full_time
Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims.Data entry and / or typin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Investigator - Experienced

Claims Investigator - Experienced

Command InvestigationsAlbuquerque, NM, US
serp_jobs.job_card.full_time
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Arizona Licensed Authorization Representative

Arizona Licensed Authorization Representative

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a PAS Pre-Service Authorization Representative to handle insurance authorization requests and verification. Key Responsibilities Obtain and complete insurance authorizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Intake Coordinator

Intake Coordinator

The Salvation Army Southwest DivisionAlbuquerque, NM, US
serp_jobs.job_card.part_time
Albuquerque Adult Rehabilitation Program.The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible.Its ministry is mo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
ESIS Senior Claims Representative, WC

ESIS Senior Claims Representative, WC

ChubbAlbuquerque, NM, US
serp_jobs.job_card.full_time
Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Medicare Specialist to manage and resolve aged medical claims for hospital or physician groups. Key Responsibilities Resolve cash generating accounts and review Medicare...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claim Clerk

Claim Clerk

CCMSIAlbuquerque, NM, US
serp_jobs.job_card.full_time
At CCMSI, we look for the best and brightest talent to join our team of professionals.As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of deliver...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.new
Hawaii Licensed Claims Trainee

Hawaii Licensed Claims Trainee

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Guardian Associate (Workers Compensation Claims Trainee).Key Responsibilities Participate in structured learning through instructor-led sessions, online modules, and jo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Specialist to manage the initiation and processing of prior authorization requests. Key Responsibilities Initiate, process, and oversee clinical revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.new
Wisconsin Licensed Claims Representative

Wisconsin Licensed Claims Representative

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Representative - Workers Compensation.Key Responsibilities Manage moderate to complex claims with minimal supervision Conduct thorough investigations, ev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Claims Specialist

Claims Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist to manage complex claims and ensure timely resolution.Key Responsibilities Manage a large inventory of complex claims to evaluate compensability and l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Insurance Claims Specialist

Insurance Claims Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.new
Patient Authorization Specialist

Patient Authorization Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services. Key Responsibilities Secure pre-certifications and au...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Access Specialist - PRN

Patient Access Specialist - PRN

Ensemble Health PartnersAlbuquerque, NM, US
serp_jobs.job_card.part_time
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.They offer end-to-end...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Insurance Verification Specialist

Insurance Verification Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Verification Specialist - Per Diem.Key Responsibilities Ensure financial clearance for pre-service accounts prior to the date of service Obtain and verify i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

Ensemble Health PartnersAlbuquerque, NM, US
serp_jobs.job_card.full_time
Patient Access Specialist Opportunity.Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30