Remote Prior Authorization Specialist | Reimbursement Expert
Inspire Medical Systems
Inspire Medical Systems is recruiting a Prior Authorization Specialist to implement the US-based Prior Authorization Program and collaborate with Territory Managers and the prior authorization team to resolve coding and coverage questions efficiently. The role requires 2+ years in reimbursement, strong payer knowledge, and excellent communication. The position offers a fully remote arrangement in the United States with competitive benefits and 401k matching. #J-18808-Ljbffr
- ...home office. The role requires independence, reliable internet, and proficiency with EMR and billing systems to support client reimbursement goals. Responsibilities include coding for professional fee, facility, or HCC, applying codes with specificity, and maintaining...Remote workReimbursementHome office
- ...Z-Radar is recruiting a full-time MDS Support Specialist in New York to conduct MDS assessments, ensure CMS... ...collaboration, and robust EMR proficiency in a remote setting. You will work with PDPM/case-mix reimbursement, Quality Measures, and Five Star programs while...Remote workReimbursementFull time
- ...Connections Health Solutions is seeking an Accounts Resolution Specialist to ensure accurate billing and reimbursements for our crisis care programs. This fully remote role supports patients and payers across eligible states and uses our billing platforms to resolve denials...Remote workReimbursement
$23 - $27 per hour
...Western Massachusetts is seeking a dedicated medical billing professional for a remote role. You will follow up on claims, review denials, and navigate payer processes to ensure timely reimbursement for behavioral health services. The position requires at least 5 years in...Remote workReimbursementHourly pay- ...Navajo Health Foundation in Ganado, AZ seeks a dedicated Prior Authorization Specialist to verify insurance coverage, obtain authorizations, and... ...to secure documentation and accurate coding for timely reimbursement. Responsibilities include reviewing payer policies, submitting...Reimbursement
- RethinkFirst is seeking a Reconciliation Specialist to support our billing teams by reconciling therapy session reimbursements with insurance providers. You will post payments... ...to detail, and excellent communication. Remote opportunities are available in AZ and other...Remote jobReimbursement
- Gebbs Healthcare Solutions Inc. is hiring for an Authorization Representative to manage prior authorization, eligibility verification, and reimbursement workflows. You will initiate and track requests, verify patient benefits, and coordinate with payers to minimize delays...Reimbursement
- ...is looking for a Revenue Cycle Specialist to join our team! This is a remote work position that requires residency... .... Obtains pre-determinations, prior authorizations, and retro authorizations when... ...possible efforts to ensure reimbursement, recover outstanding revenue, and...Remote workReimbursement
- ...United BioSource is seeking a Sr. Reimbursement Specialist to support patient access and payer negotiations from a remote work setup. You will investigate insurance coverage, obtain prior authorizations, and guide patients through the reimbursement process while ensuring...Remote workReimbursement
- ...AmerisourceBergen is seeking a Field Reimbursement Specialist to educate provider offices on insurance coverage, reimbursement policies,... ...ideal candidate has strong knowledge of pharmacy benefits, prior authorizations, and coding practices, plus experience in the revenue...Remote workReimbursementNight shift
- ...Geisinger is seeking a Prior Authorization Specialist to work from home in Pennsylvania. You will obtain prior authorizations... .... You will serve as a subject matter expert on patient medication assistance foundations and reimbursement programs, ensuring timely access to...Remote workReimbursementWork from home
$193.5k - $276.4k
.... The Advisor Medical Expert serves as a trusted clinical... .... Review complex authorization requests, appeals, and... ...management, prior authorization, appeals... ...in this role ~ Remote position supporting Medicaid... ...hotel accommodations, reimbursement for travel expenses, and...Remote workReimbursementFull timeTemporary workMonday to FridayFlexible hours- ...customer service, the fixed-term Eligibility Specialist will verify benefits and eligibility for... ...referrals and FDA requirements Assist with reimbursement inquiries, including insurance verification and prior authorizations Conduct payer research and maintain accurate...Remote workReimbursementFixed term contract
- ...Health in Kentucky is seeking a Revenue Cycle Specialist for a remote role requiring residency in KY, IN or IL.... ...as you obtain pre-determinations, prior authorizations, and retro authorizations to maximize reimbursement and minimize #J-18808-Ljbffr BHS Baptist Healthcare...Remote jobReimbursement
- Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations... ...investigations to support accurate billing and reimbursement. You will work with payers, providers, and patients, ensuring...Remote jobReimbursement
$19.87 - $30.79 per hour
...Reimbursement Specialist 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 authorizations efficiently via...Remote workReimbursementWork experience placementAll shiftsWeekend work$176.9k - $252.7k
.... The Advisor Medical Expert serves as a trusted clinical... .... Review complex authorization requests, appeals, and... ...management, prior authorization, appeals... ...should expect in this role Remote position supporting Medicaid... ...hotel accommodations, reimbursement for travel expenses,...Remote workReimbursementFull timeTemporary workMonday to FridayFlexible hours$18 - $24 per hour
...RCM Intake Specialist (Behavioral Health) - Remote GeBBS Healthcare Solutions is a leading provider of... ...support accurate registration and reimbursement. Coordinate eligible patients through... ...benefit information. Identify prior authorization requirements and ensure...Remote workReimbursementHourly pay- ...Remote Authorization SpecialistNew England Life Care (NELC) is one of the fastest... ...:The Remote Authorization Specialist is responsible for obtaining and maintaining prior authorization status for... ...accounts.Career Ladders: NELC's reimbursement department offers career...Remote workReimbursementTemporary workLocal areaMonday to Friday
$75k - $90k
...revenue cycle challenges and improving reimbursements for patient care. Our clients include... ...recognition in the U.S. Location: Remote Position Summary: We are looking... ...of healthcare revenue cycle management–prior authorization, coding, billing, A/R recovery–is...Remote workReimbursementFull timeFlexible hours- ...an Acute Clearance Specialist to support our Specialty... ...Pharmacy and work Remotely (USA). Join us in... ...and follow up of payer authorization requests. Responsibilities... ...-up, and secure prior authorization, pre-... ...and/or medical intake/reimbursement experience preferred...Remote workReimbursementFull timeContract workImmediate startMonday to Friday
- ...Description: Role Summary: The Authorization Specialist role is responsible for... ...insurance requirements for reimbursement before diagnostic testing... ...including frequency and prior testing requirements.... ...vary based on the needs of the organization. #LI-REMOTE...Remote workReimbursementFull timeWork at office
$26 - $28 per hour
...Cell And Gene Insurance Reimbursement SpecialistMcKesson is... ...Reimbursement Specialist, you will have the opportunity... ..., including pre-authorization requirements, limitations... ...verification, prior authorizations, medical... ...work effectively with remote internal and external...Remote workReimbursementHourly payWork at office2 days per week- ...product, and ensure the highest level of reimbursement is attained for client product.... ...physicians’ offices, and submit and obtain prior authorizations as required by payer; obtain... ...of the exciting perks UBC offers: ~ Remote opportunities ~ Competitive salaries...Remote workReimbursementFull timeTemporary workLocal areaFlexible hoursShift work
- ...advance care. Labcorp is seeking a REMOTE a Pre Authorization Specialist II to join our team! Work Schedule:... ...accuracy of required documentation for prior authorization Work directly with... ...within authorization, billing, reimbursement, or revenue cycle management systems...Remote workReimbursementTemporary workCasual workInternshipWork at officeMonday to FridayFlexible hoursDay shift
$108.6k - $250.7k
...Cardiac, Senior Health & Science Specialist is a field-based specialty sales role... ...by providing information on prior authorization requirements, reimbursement support, hubs, and co‑pay resources... ...Kansas Work Location Assignment: Remote - Field Based This role is posted...Remote workReimbursementPermanent employmentWork experience placementH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageNight shift- ...Medication Access Specialist We are relentless in... ...providing integrated remote support to patients,... ...handling medication authorizations, managing insurance denials... ...documentation for prior authorization submissions... ...claim processing and reimbursement. Proficient in...Remote workReimbursementFull timeWork at office
$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting for an Insurance... ...benefits, prepares pre-authorization requests. Document... ...insurance and medical device prior authorization (preferred)... ...completion of in-person training, remote working may be an option.*...Remote workReimbursementHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work$18.99 - $29.22 per hour
...impact on the patient journey. As a fully remote Precertification Specialist, you will be responsible for obtaining and managing prior authorizations to ensure patients receive timely... ...current knowledge of healthcare reimbursement, insurance authorization requirements...Remote workReimbursementFull timeTemporary workWork at officeFlexible hoursShift work- ...Mesquite, TX 75150, Surgery Verification Specialist (Remote) - Revenue Cycle Urology Clinics of... ...know your way around payer portals, prior authorizations and CPT codes? Do you want to work... ...protects patient care and practice reimbursement. Training and schedule: This is a...Remote workReimbursementFull timeWork at officeWork from home
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