Randstad Prior Authorization Representative - LPN in Atlanta, Georgia

Prior Authorization Representative - LPN

job details:

  • location:Atlanta, GA

  • salary:$20 - $30 per hour

  • date posted:Friday, December 7, 2018

  • experience:Experienced

  • job type:Temp to Perm

  • reference:S_712054

  • questions:marissa.wilcox@randstadusa.com470/321-7715

job description

Prior Authorization Representative - LPN

If you are an LPN with at least 2-years experience in pre-certification or prior authorization, enjoy working in a fast paced office; I would like to talk to you about a fantastic opportunity working with my Atlanta client! Please apply and forward your resume to the email address below; only candidates with the experience requested will be contacted for interview.


  • Reviews requests and clinical packet to ensure all necessary information is provided.

  • Verifies diagnosis code is accurate and reimbursable/payable.

  • Performs insurance benefit verification for each patient via telephone, or electronically

  • Manage database for incoming prior authorizations.

  • Enrolls patients with Pharmaceutical Copay Assist Programs.

  • Communicate financial policies to patients.

  • Collect patient fees (co-pay, deductibles) when applicable.

  • Completely and accurately enter patient insurance verification/authorization forms and demographic information into Electronic Medical Records (EMR) system.

Working hours: 7:00 AM - 5:00 PM


--State nursing licensing for LPN. Prior office practice experience, preferably in rheumatology/ arthritis is desirable but not mandatory.






  • Two years of Prior Authorizations/Pre-determinations/Pre-certifications experience required. or clinical experience required.

  • Experience with NextGen and Availity software preferred. Three years of physician practice EMR experience will be considered in lieu of NextGen experience.

  • Ability to use Electronic Medical Records (EMR) for documentation of services provided.

This position will work Monday through Thursday.

This is a temporary to permanent assignment; if converted to a permanent employee, an excellent benefit package.

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.