Talent.com
Medicare Authorization Representative
Medicare Authorization RepresentativeVirtualVocations • Memphis, Tennessee, United States
No longer accepting applications
Medicare Authorization Representative

Medicare Authorization Representative

VirtualVocations • Memphis, Tennessee, United States
14 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 • Memphis, Tennessee, United States

Related jobs
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Prior Authorization Assistant to support their AI-powered prior authorization solution in healthcare operations. Key Responsibilities Review and verify insurance informa...Show more
Last updated: 30+ days ago • Promoted
Pre-Service Authorization Specialist

Pre-Service Authorization Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Pre Service IV Auth Specialist.Key Responsibilities Secure pre-authorizations from insurance companies for various healthcare services Respond to clinical inquiries th...Show more
Last updated: 2 days ago • Promoted
Reimbursement Specialist

Reimbursement Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Reimbursement Specialist - Remote.Key Responsibilities Provide expertise claims support by reviewing, researching, investigating, negotiating, and resolving all types o...Show more
Last updated: 30+ days ago • Promoted
Florida Licensed PIP Adjuster

Florida Licensed PIP Adjuster

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a PIP Coverage and Qualification Adjuster.Key Responsibilities Review and assess PIP claims to determine coverage eligibility Analyze medical records and relevant docume...Show more
Last updated: 30+ days ago • Promoted
Field Reimbursement Manager

Field Reimbursement Manager

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Field Reimbursement Manager - Rare Conditions (Northeast).Key Responsibilities Act as a compliant subject matter expert in reimbursement, access, and specialty distribu...Show more
Last updated: 30+ days ago • Promoted
Medication Access Specialist

Medication Access Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Medication Access Specialist to provide medication access and affordability services to clients and their patients. Key Responsibilities Review medication authorizations...Show more
Last updated: 4 days ago • Promoted
Texas Licensed Senior Claims Representative

Texas Licensed Senior Claims Representative

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Senior Claims Representative (Remote).Key Responsibilities Manage complex workers' compensation claims and conduct investigations into coverage and fraud Develop retur...Show more
Last updated: 30+ days ago • Promoted
Medicare Adjuster

Medicare Adjuster

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Medicare Adjuster - Analyst II.Key Responsibilities Handle medical portions of auto accident claims under personal injury protection and medical payment benefits Deter...Show more
Last updated: 1 day ago • Promoted
Pre-Authorization Specialist

Pre-Authorization Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Pre-Authorization Specialist.Key Responsibilities Identify prior authorization requirements by insurance / payer and process pre-authorizations for scheduled and add-on s...Show more
Last updated: 30+ days ago • Promoted
Technical Product Manager - Medicare

Technical Product Manager - Medicare

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Technical Product Manager - Medicare Risk Adjustment Solutions.Key Responsibilities Drive the functional and technical roadmap for risk adjustment systems and provider ...Show more
Last updated: 2 days ago • Promoted
Oregon Licensed Provider Credentialing Specialist

Oregon Licensed Provider Credentialing Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Provider Credentialing Specialist (remote in Oregon).Key Responsibilities Coordinate and process all phases of initial credentialing, re-credentialing, and privileging ...Show more
Last updated: 3 days ago • Promoted
Insurance Verification Specialist

Insurance Verification Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for an Insurance Verification and Authorization Specialist.Key Responsibilities Verify new patient accounts and review insurance benefits for accuracy Utilize payor portals ...Show more
Last updated: 30+ days ago • Promoted
Reimbursement Contract Specialist

Reimbursement Contract Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for an Infusion Reimbursement Contract Specialist to support their Specialty Infusion Pharmacy remotely. Key Responsibilities Assist in the review of payor contracts and amend...Show more
Last updated: 1 day ago • Promoted
California DME Reimbursement Specialist

California DME Reimbursement Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a DME Reimbursement Specialist.Key Responsibilities Conduct billing review and claim generation for DME / HME orders Manage A / R and denial management, including denied cla...Show more
Last updated: 2 days ago • Promoted
Authorization Specialist - Missouri

Authorization Specialist - Missouri

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for an Authorization Specialist - RCM.Key Responsibilities Validate patient information, scheduled tests / surgeries, and insurance details to ensure accurate authorization rec...Show more
Last updated: 3 days ago • Promoted
ABA Director of Authorizations

ABA Director of Authorizations

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Director of Authorizations and Client Intake.Key Responsibilities Oversee the client intake process and ensure a smooth transition for new clients Manage the authoriza...Show more
Last updated: 20 hours ago • Promoted • New!
Healthcare Product Delivery Manager

Healthcare Product Delivery Manager

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Product Delivery Manager in the healthcare sector focused on Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare projects mod...Show more
Last updated: 15 days ago • Promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocations • Memphis, Tennessee, United States
Full-time
A company is looking for a Medicare Specialist to assist with resolving aged medical claims and managing Medicare accounts. Key Responsibilities Resolve cash-generating accounts to enhance revenue...Show more
Last updated: 30+ days ago • Promoted