Talent.com
Medicare Authorization Representative
Medicare Authorization RepresentativeVirtualVocations • Visalia, California, United States
No longer accepting applications
Medicare Authorization Representative

Medicare Authorization Representative

VirtualVocations • Visalia, California, United States
4 days ago
Job type
  • Full-time
Job description

A company is looking for a Representative II.

Key Responsibilities

Utilize multiple software systems to complete Medicare Prior Authorization case reviews

Meet or exceed government mandated timelines and comply with productivity and quality standards

Manage data entry accurately and navigate multiple computer applications in a fast-paced environment

Required Qualifications

High School Diploma or GED required

Associate degree in Business, Accounting, or equivalent work experience preferred

Experience working independently in a data-driven role preferred

Pharmacy or medical background is a plus

Create a job alert for this search

Authorization Representative • Visalia, California, United States

Related jobs
Medical Insurance Verification Specialist

Medical Insurance Verification Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Perform outbound and inbound calls to assist patients and healthcare providers Review and process...Show more
Last updated: 4 days ago • Promoted
Transition Order Specialist

Transition Order Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Transition Order Specialist responsible for reviewing, validating, and processing orders related to company acquisitions and payer transitions.Key Responsibilities Revi...Show more
Last updated: 20 hours ago • Promoted • New!
Minnesota Licensed Intake Specialist

Minnesota Licensed Intake Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for an Intake Reimbursement Specialist.Key Responsibilities Verify insurance benefits, identify coverage issues, and manage the intake and authorization process for pharmacy ...Show more
Last updated: 30+ days ago • Promoted
Pre-Registration Specialist

Pre-Registration Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Pre-Registration Specialist responsible for managing the pre-registration team and ensuring accurate patient insurance verification. Key Responsibilities Contact insuran...Show more
Last updated: 30+ days ago • Promoted
Medicaid Billing Representative

Medicaid Billing Representative

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Medicaid Billing Representative to manage claims submitted to Medicaid.Key Responsibilities Work on claims that are pending, denied, or incorrectly paid by Medicaid car...Show more
Last updated: 30+ days ago • Promoted
Senior Provider Reimbursement Specialist

Senior Provider Reimbursement Specialist

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Provider Reimbursement Policy Specialist Sr.Key Responsibilities Create and maintain standardized documentation for medical and clinical claim payment policies Researc...Show more
Last updated: 1 day ago • Promoted
Remote Authorization Specialist

Remote Authorization Specialist

VirtualVocations • Fresno, California, United States
Remote
Full-time
A company is looking for a Remote Authorization Specialist responsible for obtaining and maintaining prior authorization status for patient medications and therapies. Key Responsibilities Obtain a...Show more
Last updated: 4 days ago • Promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Prior Authorization Specialist - Contract.Key Responsibilities Verify patient insurance coverage using phone or online resources Submit prior authorizations to insuran...Show more
Last updated: 30+ days ago • Promoted
Insurance Authorization Specialist

Insurance Authorization Specialist

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a PFS Insurance Specialist II to manage insurance verifications and authorizations for genetic testing. Key Responsibilities Verify insurance coverage benefits and determi...Show more
Last updated: 30+ days ago • Promoted
Healthcare Product Delivery Manager

Healthcare Product Delivery Manager

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Product Delivery Manager in Healthcare focusing on Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare projects related to Me...Show more
Last updated: 4 days ago • Promoted
Texas Licensed Medical Insurance Specialist

Texas Licensed Medical Insurance Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Remote Prior-Authorization Specialist.Key Responsibilities Handle prior-authorizations and insurance verification Communicate with patients, providers, and insurance p...Show more
Last updated: 22 days ago • Promoted
CMA Licensed Medication Specialist

CMA Licensed Medication Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Medication Line Specialist (CMA Required).Key Responsibilities Complete the medication reconciliation process for patients Answer live patient calls regarding prescrip...Show more
Last updated: 20 hours ago • Promoted • New!
Arizona Licensed Insurance Billing Representative

Arizona Licensed Insurance Billing Representative

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Temporary Insurance Billing Representative who must reside in AZ.Key Responsibilities Manage billing processes including claim submissions, corrections, and follow-ups ...Show more
Last updated: 30+ days ago • Promoted
Arizona Licensed Senior Abstractor

Arizona Licensed Senior Abstractor

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Senior Abstractor, HEDIS / Quality Improvement (Remote).Key Responsibilities Conducts data collection and abstraction of medical records for HEDIS projects Coordinates a...Show more
Last updated: 3 days ago • Promoted
Prior Authorization Supervisor

Prior Authorization Supervisor

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Prior Authorization Supervisor, Specialty Testing - REMOTE.Key Responsibilities Oversee work assignments and ensure efficient task distribution Audit employee work for...Show more
Last updated: 20 days ago • Promoted
Authorization Specialist

Authorization Specialist

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for an Authorization Specialist (Remote in Wisconsin / Michigan).Key Responsibilities Review patient medical records to determine the necessity of prior authorization for treat...Show more
Last updated: 30+ days ago • Promoted
Bilingual Medication Therapy Representative

Bilingual Medication Therapy Representative

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Representative, Medication Therapy Management Services (Remote)(Bilingual).Key Responsibilities Handles inbound / outbound pharmacy calls and ensures compliance with CMS ...Show more
Last updated: 1 day ago • Promoted
Senior Patient Access Representative

Senior Patient Access Representative

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Senior Patient Access Services Representative who performs various registration, insurance verification, scheduling, and billing duties to support patient access to medic...Show more
Last updated: 30+ days ago • Promoted
Medical Director - Colorado Licensed

Medical Director - Colorado Licensed

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Medical Director - Post-Acute Care Management - Care Transitions.Key Responsibilities Provide daily utilization oversight and communication with network physicians and ...Show more
Last updated: 1 day ago • Promoted
Credit Management Representative

Credit Management Representative

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Credit Management Representative.Key Responsibilities Manage credit balance for multiple clients, including researching and resolving patient accounts Prepare and subm...Show more
Last updated: 20 hours ago • Promoted • New!