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Prior Authorization Representative
Quadax, Inc.Prior Authorization Representative reviewing insurance information and handling prior authorization requests. Collaborating with medical professionals and insurance companies to facilitate the authorization process.
About the role
Key responsibilities & impact- Review case and insurance coverage information to customize the prior authorization request to the insurance company or physician’s office.
- Navigate through payer portals to initiate/obtain prior authorization status.
- Provide insurance company representatives with an overview of the services being submitted for prior authorization.
- Answer questions regarding the reimbursement process and direct testing specific and treatment questions.
- Complete LOMN (letter of medical necessity) form based on client or insurance requirements and fax to the ordering physician’s office for completion.
- Follow up with the insurance company or physician’s office as needed.
- Meet benefit investigation process standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the task.
- Participate in team meetings by sharing the details of cases worked.
- Comply with all applicable SOPs.
- Meet or exceed productivity and quality KPI goals.
- Perform other duties as assigned.
Requirements
What you’ll need- High School diploma or GED
- Previous health insurance billing experience
- Working knowledge of medical terminology
- Proficient and attentive to details
- Excellent written and verbal communication skills
- High attention to detail
- Ability to maintain confidentiality
- Proficient in using Microsoft Excel and Word
- Ability to multitask, establish priorities, and work independently
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Quadax, Inc. Website LinkedIn All Job Openings 501 - 1000 employees Founded 1973 ☁️ SaaS 🤝 B2B 🤖 Artificial Intelligence SaaS
- B2B
- Artificial Intelligence Quadax, Inc. is a healthcare-focused revenue cycle management company that provides software and services to automate and optimize billing, claims processing, denial management, patient access, and reimbursement for hospitals, laboratories, physician groups, DME providers, and post-acute care organizations. Combining more than 50 years of RCM expertise with AI-powered analytics and intelligent automation (branded as iQ), Quadax helps healthcare organizations reduce denials, accelerate payments, improve cash flow, and enhance the patient experience. The company offers enterprise-level SaaS solutions and managed services tailored to the needs of healthcare providers and billing partners. Prior Authorization Representative 🔥 1 hour ago 🏈 Ohio – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Review case and insurance coverage information to customize the prior authorization request to the insurance company or physician’s office.
- Navigate through payer portals to initiate/obtain prior authorization status.
- Provide insurance company representatives with an overview of the services being submitted for prior authorization.
- Answer questions regarding the reimbursement process and direct testing specific and treatment questions.
- Complete LOMN (letter of medical necessity) form based on client or insurance requirements and fax to the ordering physician’s office for completion.
- Follow up with the insurance company or physician’s office as needed.
- Meet benefit investigation process standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the task.
- Participate in team meetings by sharing the details of cases worked.
- Comply with all applicable SOPs.
- Meet or exceed productivity and quality KPI goals.
- Perform other duties as assigned. 🎯 Requirements
- High School diploma or GED
- Previous health insurance billing experience
- Working knowledge of medical terminology
- Proficient and attentive to details
- Excellent written and verbal communication skills
- High attention to detail
- Ability to maintain confidentiality
- Proficient in using Microsoft Excel and Word
- Ability to multitask, establish priorities, and work independently Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Auction Representative 🔥 1 hour ago Hankey Group 1001 - 5000 🚗 Transport 💸 Finance 🏠 Real Estate Website LinkedIn All Job Openings Auction Representative managing vehicle inventories and auction vendor relationships at CULA. Responsible for maximizing net retention through effective oversight of auction vendors and vehicle sales. 🇺🇸 United States – Remote 💵 $70k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative Auction Representative 🔥 1 hour ago Hankey Group 1001 - 5000 🚗 Transport 💸 Finance 🏠 Real Estate Website LinkedIn All Job Openings Auction Representative managing off-lease vehicle inventory and vendor relationships for CULA. Responsible for vehicle assessment, sale preparation, and maximizing net retention. 🇺🇸 United States – Remote 💵 $70k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative Auction Representative 🔥 1 hour ago Hankey Group 1001 - 5000 🚗 Transport 💸 Finance 🏠 Real Estate Website LinkedIn All Job Openings Auction Representative managing off-lease vehicle inventory and relationships with auction vendors. Maximizing net retention through oversight of vehicle inventory and auction processes. 🇺🇸 United States – Remote 💵 $70k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative Auction Representative 🔥 1 hour ago Hankey Group 1001 - 5000 🚗 Transport 💸 Finance 🏠 Real Estate Website LinkedIn All Job Openings Auction Representative managing off-lease vehicle inventory and vendor relationships for CULA. Ensuring timely, compliant, and cost-effective preparation and sale of vehicles. 🇺🇸 United States – Remote 💵 $70k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative Auction Representative 🔥 1 hour ago Hankey Group 1001 - 5000 🚗 Transport 💸 Finance 🏠 Real Estate Website LinkedIn All Job Openings Auction Representative managing off-lease vehicle inventory and auction vendor relationships. Ensuring effective oversight of auction vendors while maximizing net retention. 🇺🇸 United States – Remote 💵 $70k - $80k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
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Hard Skills & Tools
Prior Authorization Request CustomizationLOMN Form CompletionReimbursement Process KnowledgeProductivity And Quality KPI Achievement
Soft Skills
Attention To DetailMultitasking AbilityIndependent Work Capability
Certifications
High School DiplomaGED