Prior Authorization professional Job at Daley and Associates

Prior Authorization Coordinator

We are looking for a Prior Authorization Coordinator to support authorization an...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in administrative support, care coordination, or insurance authorization within a healthcare setting
Working knowledge of prior authorization processes and payer communication practices
Ability to manage inbound calls, scheduling needs, and follow-up tasks with professionalism and accuracy
Familiarity with home health or related healthcare services is preferred
Strong organizational skills with the ability to handle multiple priorities and meet deadlines
Clear written and verbal communication skills when working with patients, payers, and internal teams
Proficiency with standard office systems and electronic record or scheduling tools

Job Responsibility

Coordinate prior authorization requests by gathering required documentation, submitting information to payers, and tracking approvals to support timely care delivery
Respond to inbound calls professionally, address routine questions, and route more complex concerns to the appropriate team members
Provide administrative support through data entry, record updates, document management, and follow-up communication with stakeholders
Work closely with clinical and operational teams to confirm authorization status and prevent delays in service
Maintain organized records of authorization activity, scheduling changes, and payer communications for reference and compliance
Assist with workflow updates or process-related coordination as needed to support department operations

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Prior Authorization Clerk

We are looking for a dedicated and detail-oriented Prior Authorization Clerk to ...

Location

United States , Brea

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in a customer service or sales-related role
Strong skills in promotional sales and executing sales calls effectively
Proven ability to deliver superior customer service in a detail-oriented setting
Excellent communication and interpersonal skills
Detail-oriented with strong organizational abilities
Ability to work collaboratively within a team environment
Proficiency in handling documentation and maintaining accurate records
Familiarity with sales strategies and techniques to engage customers

Job Responsibility

Handle patient admissions efficiently and with a focus on providing excellent customer service
Conduct outbound sales calls to promote services and engage potential clients
Assist in managing promotional sales campaigns to drive customer interest
Collaborate with team members to ensure smooth operational processes
Maintain accurate records and documentation related to admissions and sales activities
Communicate effectively with patients and staff to address inquiries and resolve issues
Ensure compliance with organizational policies and procedures during all processes
Provide superior customer service by addressing client needs promptly and professionally
Identify opportunities to improve workflows and enhance patient satisfaction
Support the team in achieving departmental goals and objectives

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Prior Authorization Coordinator

We are looking for a dedicated Prior Authorization Coordinator to join our team ...

Location

United States , St. Louis Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing and prior authorizations within a healthcare setting
Strong understanding of insurance verification processes and claims management
Familiarity with Epic EMR system for documentation and tracking purposes
Excellent organizational skills and attention to detail in handling patient accounts
Ability to communicate professionally with patients, providers, and insurance representatives
Knowledge of healthcare regulations and compliance standards
Problem-solving skills to address billing and authorization challenges
Ability to work independently and collaboratively in a fast-paced environment

Job Responsibility

Process and manage prior authorization requests with accuracy and efficiency
Verify insurance coverage and eligibility to ensure proper billing procedures
Handle medical claims submissions and follow up on outstanding claims
Collaborate with healthcare providers to resolve patient account inquiries
Utilize Epic EMR to document and track patient information and authorization statuses
Investigate and resolve issues related to medical collections and billing discrepancies
Maintain compliance with healthcare regulations and insurance policies
Communicate effectively with patients regarding their account status and authorization requirements
Work closely with insurance companies to expedite approvals and resolve any delays
Provide support in analyzing patient account data to identify trends and areas for improvement

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Trainee Client Partner - Prior Authorization

Give your career a boost by becoming a Trainee Client Partner for Prior Authoriz...

Location

Philippines , McKinley Hill, Taguig and Cebu City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Bachelor's/College Degree, Post Graduate Diploma / Master's Degree, Professional License (Passed Board/Bar/Professional License Exam), Post Graduate Diploma / Master's Degree of the following medical allied courses: Medicine
Nursing
Physical Therapy
Pharmacy
Biology/ Human Biology
Medical Technology
Radiologic Technology
No work experience required
Preferably with BPO experience
Excellent communication skills

Job Responsibility

Conduct outbound calls to providers
To obtain authorization of specific medical procedure or prescription drug and to check on patient’s eligibility, benefits, and coverage
Document the call notes and take appropriate action on the revenue cycle system

New

Sr. Solutions Engineer - Public Sector - SLED

As a Senior Solutions Engineer at Palo Alto Networks - Idira (CyberArk), you wil...

Location

United States , Chicago

Salary:

198000.00 - 273000.00 USD / Year

Palo Alto Networks

Expiration Date

Until further notice

Requirements

MIS/Computer Science Degree or equivalent experience required
5+ Years experience in a presales technical role, ideally specifically with identity management or security technologies
Experience working in or a strong understanding of public sector IT environments, including familiarity with government-specific security requirements (FIPS, FedRAMP, ATOs, STIGs/hardening), security accreditation processes, and public sector procurement procedures (NIST 800-53 and ATO processes)
Ability to work closely with customers and internal teams to build tailored solutions that address the unique needs of public sector organizations
Knowledge of identity security technologies, Identity and Access Management solutions, Identity Governance solutions, Privileged access management (PAM), and related security solutions
Experience with key security concepts such as authentication, authorization, and encryption are essential
Hands-on experience with Windows Server and Active Directory administration, Directory Services (LDAP, AD, Federation, Bridging), and familiarity with UNIX/Linux systems
Knowledge of database security, network security, scripting, and DevOps practices is highly desirable
Experience with IaaS/PaaS administration and support within cloud providers (AWS, Azure, GCP) are highly desirable
Ability to communicate complex technical concepts clearly and effectively to both technical and non-technical stakeholders, including executives and government officials

Job Responsibility

Serve as the subject matter expert on Idira's Identity Security solutions, providing in-depth knowledge and technical guidance to public sector organizations and partners, through business value presentations, solution demonstrations, architecture reviews, etc
Proactively seek out new sales opportunities by developing new and existing technical relationships within prospective accounts, partners, and current active customers
Plan, execute, and manage Proof of Concept (POC) evaluations with potential and existing public sector customers, demonstrating how Idira’s solutions can solve their security challenges
Assist in the preparation and response to Requests for Proposals (RFPs) and Requests for Information (RFIs), positioning Idira’s solutions for success in public sector evaluations
Build and maintain strong, long-term relationships with technical teams and executive stakeholders within public sector organizations, ensuring they achieve success and satisfaction with Idira’s solutions
Support and enable Idira’s partner network, ensuring they can effectively communicate the value of Idira to their public sector clients
Represent Idira at industry events, partner seminars, trade shows, and marketing initiatives, showcasing the value of Identity Security solutions to government and educational organizations
Able to convey customer requirements to Product Management teams, Professional Services and other internal Idira teams on behalf of customers and partners
Actively engage and contribute to the internal teams, serving as a resource and mentor to others when appropriate
Light travel required (<50%) for client meetings and industry events

Fulltime

New

Front Office Executive

Process all guest check-ins, verifying guest identity, form of payment, assignin...

Location

India , Jaipur

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or G.E.D. equivalent
At least 1 year of related work experience
At least 1 year of supervisory experience

Job Responsibility

Process all guest check-ins, verifying guest identity, form of payment, assigning room, and activating/issuing room key
Set up accurate accounts for each guest according to their requirements
Enter Marriott Rewards information
Ensure rates match market codes, document exceptions
Secure payment prior to issuing room key, verify/adjust billing
Compile and review daily reports/logs/contingency lists
Complete cashier and closing reports
Supply guests with directions and property information
Accommodate guest requests, contacting appropriate staff if necessary
Follow up to ensure requests have been met

Fulltime

New

Solutions Engineer - Public Sector - SLED

As a Senior Solutions Engineer at Palo Alto Networks - Idira (CyberArk), you wil...

Location

United States , Atlanta

Salary:

173000.00 - 237500.00 USD / Year

Palo Alto Networks Italia

Expiration Date

Until further notice

Requirements

MIS/Computer Science Degree or equivalent experience required
5+ Years experience in a presales technical role, ideally specifically with identity management or security technologies
Experience working in or a strong understanding of public sector IT environments, including familiarity with government-specific security requirements (FIPS, FedRAMP, ATOs, STIGs/hardening), security accreditation processes, and public sector procurement procedures (NIST 800-53 and ATO processes)
Ability to work closely with customers and internal teams to build tailored solutions that address the unique needs of public sector organizations
Knowledge of identity security technologies, Identity and Access Management solutions, Identity Governance solutions, Privileged access management (PAM), and related security solutions
Experience with key security concepts such as authentication, authorization, and encryption
Hands-on experience with Windows Server and Active Directory administration, Directory Services (LDAP, AD, Federation, Bridging), and familiarity with UNIX/Linux systems
Knowledge of database security, network security, scripting, and DevOps practices is highly desirable
Experience with IaaS/PaaS administration and support within cloud providers (AWS, Azure, GCP) are highly desirable
Ability to communicate complex technical concepts clearly and effectively to both technical and non-technical stakeholders, including executives and government officials

Job Responsibility

Serve as the subject matter expert on Idira's Identity Security solutions, providing in-depth knowledge and technical guidance to public sector organizations and partners, through business value presentations, solution demonstrations, architecture reviews, etc
Proactively seek out new sales opportunities by developing new and existing technical relationships within prospective accounts, partners, and current active customers
Plan, execute, and manage Proof of Concept (POC) evaluations with potential and existing public sector customers, demonstrating how Idira’s solutions can solve their security challenges
Assist in the preparation and response to Requests for Proposals (RFPs) and Requests for Information (RFIs), positioning Idira’s solutions for success in public sector evaluations
Build and maintain strong, long-term relationships with technical teams and executive stakeholders within public sector organizations, ensuring they achieve success and satisfaction with Idira’s solutions
Support and enable Idira’s partner network, ensuring they can effectively communicate the value of Idira to their public sector clients
Represent Idira at industry events, partner seminars, trade shows, and marketing initiatives, showcasing the value of Identity Security solutions to government and educational organizations
Able to convey customer requirements to Product Management teams, Professional Services and other internal Idira teams on behalf of customers and partners
Actively engage and contribute to the internal teams, serving as a resource and mentor to others when appropriate
Travel: Light travel required (<50%) for client meetings and industry events

What we offer

Restricted stock units
Bonus
Employee benefits

Fulltime

New

Senior Critical Environment Technician (CET) - Controls SME

As a Senior Critical Environment Technician (CET) - Controls SME in Microsoft’s ...

Location

United States , Phoenix

Salary:

34.13 - 56.54 USD / Hour

Microsoft Corporation

Expiration Date

Until further notice

Requirements

High School Diploma, GED, or equivalent
3+ years mission critical services work/applied learning experience (e.g., high availability assembly/manufacturing/critical infrastructure environments such as data centers, oil and gas refineries, hospitals, pharmaceutical, manufacturing, or related fields) OR equivalent experience
1+ year(s) experience in a specialized area (e.g., mechanical field, electrical field, controls field) or related field
Ability to meet Microsoft, customer and/or government security screening requirements are required for this role. These requirements include, but are not limited to the following specialized security screenings: Microsoft Cloud Background Check: This position will be required to pass the Microsoft Cloud background check upon hire/transfer and every two years thereafter

Job Responsibility

Understands, follows, and ensures safety and security requirements (e.g., job hazard assessments [JHAs], toolbox talks), and business processes and procedures are met, to properly perform work in a safe, quality, and reliable manner in accordance to applicable Authority Having Jurisdiction (AHJ) regulations, and Microsoft requirements
Recognizes safe versus unsafe working conditions and responds accordingly (e.g., stop/pause tasks, stand down vendors where necessary)
Escalates immediately when unsafe working conditions are observed and promotes a safe working culture to empower less experienced team members
Participates in required meetings, trainings, and necessary handoffs
Proactively assesses and shares current and emerging security threats in safety discussions and shares best practices to address or mitigate risk
Assesses and identifies appropriate resources and equipment necessary to fully support environmental health and safety (EHS) objectives
Actively maintains safe working conditions at all times
Proactively ensures safety and security requirements are followed and met for the work of themselves and others
Processes method statement of work (MSOW) documents
Coordinates activities and associated schedules with contractors

Fulltime

Select Country

Prior Authorization professional

Job Description

Requirements

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