Remote Authorization Specialist II - Utilization
Centene Corporation
- Remote job
Centene Corporation is seeking a dedicated professional to support the prior authorization request process and assist the utilization management team in Florida. The role ensures timely authorization determinations, documents medical information, and verifies insurance coverage to facilitate payment authorization. The candidate should have a high school diploma or GED with 1-2 years of related experience. The position offers hourly pay and comprehensive benefits in a full-time role, with varied #J-18808-Ljbffr Centene Corporation
- ## Prior Authorization Specialist IIApply: WFH State of Oklahoma: Full time: Posted... ...Authorization Specialist II## **Department:**Pre-visit... ...total rewards package.*****Remote Eligibility:** Candidates must... ...payer medical policies and utilization management criteria.*...Remote workFull timeWork from homeShift work
- Elevance Health is seeking an Utilization Management Representative II in Florida. The role involves handling incoming calls, triaging cases, authorizing inpatient and outpatient services, and gathering demographic information. The position supports a hybrid/virtual work...Remote job
- ...and a strong background in prior authorizations? We are seeking a highly organized... ...-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role,... ...Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:0...Remote workFull timeLive inWork from homeMonday to Friday
- OU Health is seeking a Prior Authorization Specialist II in Oklahoma. The role supports pre-visit services, working with multiple payers and specialties... ...and ensure medical necessity documentation is obtained. Remote eligibility is limited to candidates residing and working...Remote job
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$24.76 - $33.17 per hour
...Opportunities with 61st Street Service Corp Current job opportunities are posted here as they become available. Authorization Specialist II #Full Time #Remote The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors....Remote jobHourly payFull timeWork at officeLocal areaImmediate start$17.84 - $28.02 per hour
...Acts as a resource and supports the prior authorization request process to ensure that all... ...in the contractual timeline. Supports utilization management team to document authorization... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workHourly payFull timePart timeH1bLive inWork at officeFlexible hours- ...Job Title: Safety Specialist II FLSA Classification: Exempt Reports to: Safety and... ...Duties/Responsibilities: Technical Authority and Work Product Review Review... ...crane and rigging, renewable energy, or utility-scale battery storage operations Authorized...Remote workFor contractorsLocal areaShift work
- ...Utilization Management Team Member We are seeking dedicated remote professionals residing in Florida to join our utilization management team. In this work-from-home role, you will play a critical part in connecting members with the care they need by processing member...Remote workWork from homeMonday to Friday
$30.34 - $45.5 per hour
...HIM Specialist II El Camino Health is committed to hiring, retaining... ...certificate information utilizing the state electronic birth recording... ...including in-person and remote access, monitors access... ...and submission of required authorization / forms at point of contact....Remote workWork at officeShift work- ...AAB Processing Specialist II Location: AZ - Chandler 3075 As a Processing... ..., physical mail, high-dollar remote deposit review(RDC), VOD letters, proof-of-authorization, review exception and payment... ...team to balance workload. Utilize systems and tracking tools to...Remote work
$51k - $71.4k
...Description: JOB OVERVIEW Repair Specialist II ensures that highly... ...ESSENTIAL FUNCTIONS • Review and authorize collision repairs and/or... ...dollar repair estimates utilizing I-CAR repair resources, and... ...Environment: This is a fully remote position. Position Type/Standard...Remote workFull timePart timeWork at officeMonday to Friday$22.99 per hour
We are seeking dedicated remote professionals residing in Florida to join our utilization management team. In this work-from-home role, you will play a critical... ...benefit details using system tools. Ensure all authorization requests are addressed accurately and within...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeMonday to FridayShift work$20.69 - $27.36 per hour
Health Information Management Specialist II Facility *National Jewish... ...privacy by ensuring that only authorized individuals have access to... ...and proper billing/charging. Utilizes a wide variety of software... ...Colorado, regional office and remote employees. Health Savings...Remote workFull timePart timeWork experience placementWork at officeLocal areaMonday to FridayShift workDay shift$50.64k - $75.96k
...States of America) Salary Range: $50,639.00 - $75,959.00 The Authorization Specialist II (AS II) is responsible for financially securing Ambulatory... ...to execute task Ability to learn in classroom, utilizing resources Ability to remain composure under pressure Ability...Work at officeShift work$68.89k - $92.14k
...Pay Plan Title: Utilization Management Specialist III Working Title: Utilization Management Specialist... ...8,890- $92,138 Office Location: Remote within North Carolina POSTING... ...of care needed and making service authorization decisions regarding individual service...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Virtual Employee Work Location Virtual/Remote ONLY for living in the following states... ...The primary purpose of the Coding Specialist II is to code and verify charge data... ...charge review skills understanding the utilization of modifiers and other coding, charging...Remote workContract workLocal area
- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams....Remote workPart timeWeekend work
$17 per hour
...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $17/hour Work Schedule: This is a full-time role... ...administrative and clerical support tasks as needed Utilize multiple systems and applications efficiently in a...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work- ...To support the treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent reviews, collaborating with case managers and the multidisciplinary treatment team to ensure compliance with...Remote workFull time
- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations... ...necessity criteria while working remotely. Key responsibilities Verify...Remote workFull time
- ...HIPAA regulations the Enrollment Specialist performs enrollment core... ...maintains all member enrollments utilizing multiple Health Plan... ...assigned by management. Level II - in addition to Level I responsibilities... ...There may be opportunity for remote work within all jobs posted...Remote workWork experience placementWork at officeWork from homeHome office
$22 - $26 per hour
...initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established...Remote workMonday to FridayShift work- ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified... ...necessary, appropriately authorized, and compliant with payer, state,...Remote workFull timeMonday to FridayFlexible hours
$26 per hour
...healthcare. Responsibilities The Authorization Representative will need to cover... ...needed. Assist with payer audits and utilization management reviews by providing complete... ...The pay range for this role is: 26 - 26 USD per hour (Remote (United States))Remote workHourly pay- ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR... ...and obtain initial and continuing authorizations for ABA and related services. The ideal... ...environment. This is a fully remote or office/home hybrid position....Remote workWork at officeFlexible hours
- ...Telework Policy and Procedures, Remote Access, and the Telework... ...GED Experience: Charge Entry Specialist IThree (3) months experience... ...Certification: Charge Entry Specialist II:Certificate in medical... ...the prolonged use of keyboards utilizing repetitive movement of...Remote workWork at officeImmediate startTrial periodFlexible hoursShift work
$20.45 - $22.5 per hour
...based on experience The Spec II Revenue Recovery will be... ...identified and recovered. The Specialist will determine the appropriate... ...Monster Top Workplace for Remote Work 2024 Great Place to Work... ...individuals who reside and are authorized to work within the United...Remote workContract workWork at officeLocal area- ...& Teen Challenge in Minneapolis is seeking a Utilization Review Coordinator to obtain and maintain insurance authorizations for treatment services, collaborating with admissions... ...is provided; initial in-person in Minneapolis with remote work thereafter. #J-18808-Ljbffr...Remote work
- Specialist II, Education & Knowledge Technical TrainingPOSITION PROFILEDirectly supports the... ...of the overall goalsHas decision making authority for area of responsibility and... ...noise levelRequires periodic travel to remote officesMay require overnight travel 20-...Remote workWork at officeLocal areaWorldwideFlexible hoursNight shift
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