Nursing Home Prior Authorization Agent

Johannesburg, GP, ZA, South Africa

Job Description

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Nursing Home Prior Authorization (PA) Agent



Overview:



We are hiring a Nursing Home PA Agent to oversee and process authorizations related to long-term care services, equipment, and treatments. The role requires coordination between healthcare facilities, insurers, and care providers.

Key Responsibilities:



Submit and track prior authorization requests for nursing home services Coordinate with facility staff, physicians, and insurance companies Confirm eligibility and PA requirements for residents Maintain detailed documentation and status updates Ensure timely approvals to prevent care interruptions

Requirements:





Experience with nursing home or long-term care authorizations


Understanding of durable medical equipment (DME) and service approvals



Knowledge of Medicaid/Medicare processes preferred



Strong attention to detail and follow-through



Ability to work efficiently within EMR and case management systems

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Job Detail

  • Job Id
    JD1438418
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, GP, ZA, South Africa
  • Education
    Not mentioned