Remote Prior Authorization Specialist (OMHC)
Jobleads-US
- Remote job
Enterprise Management Solutions, LLC seeks an OMHC Prior Authorization Specialist to coordinate intake and authorization for OMHC and related clinics. You will ensure medical necessity docs are complete, submit authorizations on time, track approvals, and maintain payer-compliant records.
Must handle pre-start authorizations at least three business days prior to service, minimizing disruptions and protecting reimbursement potential. Remote work is available with standard 8–hour days.
#J-18808-Ljbffr Jobleads-US- ...OMHC Prior Authorization Specialist Baltimore, MD DISCLOSURES The specific statements shown in each section of this job description are not... ...occasional in-person site visits WORK CONDITIONS Remote Fast-paced, deadline-driven environment with collaborative...Remote workHourly payFor contractorsMonday to Friday
- ...Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...Remote workWork from home
$29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$17 per hour
...Prior Authorization Specialist Remote (Work from Home) Full-Time $17/hour Work Schedule This is a full-time role requiring 40 hours per week Candidates must be flexible to work Saturday shifts as part of the weekly schedule Operational Hours: Monday...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work$40 - $50 per hour
...Position: Healthcare Administrative Specialist Type: Contract Compensation... ...: $40–$50/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support using real-...Remote workFull timeContract workSummer workWork at office$21.68 - $23.99 per hour
...Prior Authorization Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you'll have the opportunity...Remote workHourly payWork at officeWork from homeHome officeNight shift- ...DxTx Pain & Spine is hiring a Prior Authorization Coordinator for a remote, full-time role. You will manage the entire authorization process for interventional pain management procedures, coordinating with practices, payors, and patients to secure approvals. Requirements...Remote workFull timeWork at office
- ...DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...is responsible for managing prior authorization (PA) processes while proactively engaging... ...environment. Dedicated home office space for remote work flexibility, as role is assigned/...Remote workWork at officeWork from homeHome office
- ...JOB OVERVIEW DeliverHealth is seeking an experienced Prior Authorization (PA) Specialist to support the continuous improvement of InstaAuth , DeliverHealth's AI-powered and agentic Prior Authorization platform. The primary responsibility of this role...Remote work
$22.14 - $28.78 per hour
...Pharmacy Medication Access Specialist (Refill Team) Location Aurora... ...reside in Colorado for this remote position Department: Patient... ...appropriate monitoring and authorization of medications for UCHealth... ...year of experience performing prior authorizations or refill renewals...Remote workFull timeWork at officeShift work$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our... ...Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay: $18-22 per hour...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday- ...Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...Remote work
$18 - $22 per hour
...Prior Authorization SpecialistFor over two decades, Riverhills Neuroscience has been a pioneer... ...0pm, Hybrid, 2 days in office, 3 days remote after full in office training.Pay: $18... ...ParkingResponsibilities:As a Prior Authorization Specialist at Riverhills Neuroscience, you will...Remote workFull timeTemporary workWork at officeMonday to Friday- ***Must have BOTH a current VA Pharmacy and PTCB License*** The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior...Remote workWork experience placementAll shiftsWeekend work
- ...Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. Researches and... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
- ...Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...Remote work
- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with optimizing a broken system. We're making sure... ..., which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients...Remote workHourly payFull timeFor contractors
- ...Supporting the prior authorization request process, the full-time Authorization Specialist II will assist the utilization management team in documenting authorization... ...verifying member insurance coverage while working remotely from Arizona. Key responsibilities Aids the...Remote workFull time
$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...Good Shepherd Health Care System is seeking a Remote Patient Access Scheduling Representative to ensure efficient daily operations... ...patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while...Remote work
$21 - $28.3 per hour
...verify insurance coverage, obtains pre-authorization for medical procedures, and facilitates... ...insurance coverage and eligibility for patients prior to medical procedures or hospital... ...30 am-5:00 pm EST schedule required for remote role * Quiet, secure, stable, compliant...Remote workHourly pay- ...To support patient care, the fully remote Precertification Specialist will obtain and manage prior authorizations, ensuring compliance with insurance requirements and facilitating timely access to treatment. Key responsibilities Ensures timely acquisition and management...Remote work
$22.99 per hour
...detail-oriented professional to support our Utilization Management team. In this role, you will act as a key resource in the prior authorization process, ensuring all requests are documented accurately and addressed within contractual timelines to support member healthcare...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Remote workPart time
- ...To support patient access services, the full-time Prior Authorization Specialist will verify insurance, obtain authorizations, and coordinate financial clearance activities remotely, ensuring compliance with healthcare delivery standards. Key responsibilities Processes...Remote workFull timeWork at office
- ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through... ...to reliable, high-speed internet to meet the needs of remote processing (required) Reliable transportation and ability...Remote workFull timeWork at officeMonday to FridayShift work
$46.37k - $60.86k
...Hi, we're Oscar. We're hiring a Specialist, Admin Complaints, Grievances & Appeals to... ...Team Lead. Work Location: This is a remote position, open to candidates who reside... ...complex event timelines involving prior authorizations, claims processing, and system-based adjudication...Remote jobFull timeWork at office$19 - $20 per hour
...Amber Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA:... ...for preparing appeal summaries and prior authorizations, correspondence with... ...traverse conferences, meetings, and remote events Constantly operates a...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday- ...LanceSoft is seeking a Pharmacist with PBM or Prior Authorization experience for a remote, full-time role. You will review and complete criteria for prior authorization per policy and procedure, ensuring accuracy and compliance. Requirements include a PharmD or B.Pharm...Remote workFull time
$25 - $26 per hour
...Authorizations Specialist Department: RCM: Authorizations Employment Type: Full Time Location... ...Specialist Location: REMOTE or HYBRID Entity: Alliance Health... ...Specialist is responsible for obtaining prior authorizations for all treatment by successfully...Remote workFull timeMonday to Friday
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