Prior Authorization & Appeals Coordinator
$18.43 per hourA-Line Staffing Solutions
A-Line Staffing is now hiring a Coordinator I (Prior Auth & Appeals) ! This remote opportunity supports a respected healthcare organization and offers strong experience-building potential. See additional details below. Coordinator I Highlights Pay: $18.43 per hour Schedule: Monday–Friday, 8-hour shifts (assigned shifts may vary between 8:00 AM–8:00 PM Central Time ) Training: Mon–Fri, 8:00 AM–4:30 PM Central Time (first 2 weeks ) Setting: Remote (anywhere in the U.S.) Type: Full-time, W2 temporary (40 hours/week) Class/Start Date: 07/05/2026 Openings: 20 Requirements: Drug screen required Responsibilities Perform non-clinical activities and functions under the supervision of a Clinical Supervisor. Review and maintain compliance with ERISA, CMS, Medicaid, and client-specific requirements . Support business unit goals by working effectively as part of a team. Maintain strong written communication and interpersonal skills while handling day-to-day workflow. Requirements High school diploma required 6 months–1 year of data entry experience (preferred) At least 1 year of healthcare industry experience (hospital, managed care, physician office, PBM, etc.) Proficient in Microsoft Word and Excel (screenshot of an online assessment required) Typing speed: minimum 30 WPM (attach screenshot of recent typing test result) Able to read and type in English Must be able to work from a private home office with a door , free from distractions Hardwired internet connection required (no Wi‑Fi) Must be willing to turn on camera during work hours if requested Must submit an internet speed test screenshot Benefits Available Benefits are available to full-time employees after 90 days of employment. A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. If you are interested in this Coordinator I position, APPLY , or contact View email address on click.appcast.io . Deliver nursing care to patients Provide professional nursing care to patients Ensure the nurse to nurse reports Perform professional nursing care of patients Provide direct professional nursing care to patients Implement the nursing care plan and provide skilled nursing care Provide skilled nursing care to assigned patients Provide professional nursing care to assigned patients Provide professional nursing care to patients within assigned unit Provide general nursing care to patients Educate the nursing staff on patient care Coordinate the nursing care of assigned patients Render professional nursing care to patients in need of medical care Provide professional nursing care to patients within assigned unit Coordinate nursing care for patients during hospitalization Ensure that appropriate nursing care Ensure that appropriate nursing care Formulate individualized nursing care plans Adapt patient care to individual patient needs Assist the nurse managers in decisions regarding nursing care
- ...Job Summary The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement... ...cycle, or claims denials and appeals processing required Prior experience with revenue cycle processes in a hospital or...SuggestedWork at officeRemote work
$22 per hour
...Overview The Prior Authorization Coordinator will facilitate the logging in and out of all prior authorization, appeal, reimbursement and grievance requests, and follow-up on requests to ensure that all are resolved and completed in a timely manner. The coordinator will...SuggestedHourly payTemporary work$19 per hour
...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization and appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations...SuggestedTemporary workLocal areaRemote work- ...will have strong communication skills and be proficient in Excel and Outlook. Key responsibilities include compiling and submitting appeal bundles while maintaining confidentiality and compliance with HIPAA regulations. A high school diploma is required, and a bachelor’...Suggested
$22 - $23 per hour
...A leading healthcare consulting firm is seeking a Grievance & Appeals Coordinator for a remote position. This role involves processing and resolving member appeals and grievances while maintaining compliance with healthcare regulations and quality standards. Candidates...SuggestedContract workRemote work$22 - $23 per hour
...Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 - $...Contract workWork at officeLocal areaImmediate startRemote work$46.99k - $122.4k
...oriented? Are you comfortable corresponding with provider offices on patient medication inquiries? We are looking for a member appeal coordinator . The candidate must be a highly trained, certified pharmacy technician that has multiple years of experience within retail...Hourly payFull timeTemporary workLocal area$132.02k - $156.77k
...Transplant Coordinator, Registered Nurse- Heart Transplant Nursing -- Nursing New York, NY • Full-Time/Regular NYU... ...with FGP medical secretary Complete paperwork for prior authorizations, denials/appeals with FGP medical secretary Prepare information for peer...Full time$66.3k - $75k
...exciting opportunity to join our team as a Medication Bedside Coordinator - Ambulatory Care Pharmacy. In this role, the... ...supplies Band Aids etc Work with pharmacy staff to obtain prior authorization for patients when required Work with NYU Langone...Work at office$23.01 - $35.86 per hour
...Job Description The Home Infusion Intake Coordinator is responsible for insurance verification, conducting and completing necessary third party (insurance) prior authorization requests, patient out of pocket estimates, patient notification of co-insurance, co-payments...Hourly payFull timeTraineeshipLocal area$25.22 per hour
...employees grow with us. Summary of Position Coordinates surgical and medical procedures and/or outpatient diagnostic... ...billing, and medical records documentation process, completes prior authorization, and performs clerical duties as required. Principal...Hourly payWork experience placementWork at office$20 - $25 per hour
...how better health happens. Summary Of Position The Practice Coordinator, Mental Health will report directly to the Practice Manager... ...physician schedules, patient rescheduling, referral, and prior authorization support, assisting in implementation and roll out of new product...Hourly payFull timeWork experience placementWork at officeRemote workVisa sponsorshipWork visa$35 - $50 per hour
...our clients with the best resources and opportunities to excel in their respective sports. We are currently seeking a Prior Authorization Coordinator to join our team and help us continue to grow and succeed. Position Overview As a Prior Authorization Coordinator, you...Hourly payFull timePart timeWork at officeRemote workHome officeFlexible hours- ...A leading sports management company in New York is seeking a Prior Authorization Coordinator to facilitate insurance authorization processes for clients. This role includes verifying coverage, submitting requests, and educating clients about the process. Strong communication...Remote workFlexible hours
- WESTSIDE IS LOOKING FOR HEALTH CARE COORDINATORS! JOIN A CARING, DEDICATED TEAM WHO HELPS PATIENTS AND FAMILIES GAIN ACCESS TO HEALTHCARE... ...to provide assistance to patients Process necessary prior authorizations and insurance referrals as assigned Maintain surveillance...Temporary workWork experience placementWork at office
$66.3k - $75k
Position Summary Medication Bedside Coordinator - Ambulatory Care Pharmacy. Responsible for reviewing and preparing medication for... ...supplies, bandages, etc). Work with pharmacy staff to obtain prior authorization for patients when required. Assist patients with...Work at office- ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office . This role is responsible for insurance verification, prior authorizations, and referral coordination while ensuring compliance with U.S. insurance...Full timeFor contractorsWork at officeRemote work
$28 per hour
Job Title: Associate Transplant Coordinator Location: New York, NY 10032 Shift: 8:00 AM -... ...Bachelor’s Degree ( Preferred ) Experience Prior experience working with kidney... ...insurance agencies for obtaining prior authorizations If Interested, you can reach me on my number...Contract workShift work- ...daily oversight and monitoring of staff intaking and assigning all appeals and grievances for all product lines and ensuring compliance... ...discipline is required. An associates degree will be considered with prior experience. ~4-5 years prior related experience is required,...
$77.2k - $96.5k
...Overview Supervises and monitors department staff members' handling of grievances and appeals for all product lines, and ensuring compliance with state and federal regulatory requirements and timelines. Responsible for oversight of the subcontractors who have been...Work experience placementFor subcontractorFlexible hoursWeekend work$58k - $68k
...Administrative Coordinator As our Administrative Coordinator, you will coordinate administrative functions for the department,... ...efficient patient experience Process referrals and manage prior authorizations for medications and procedures as applicable...$78.4k - $85k
...Responsible for overseeing a group of prior authorization technicians and expanded responsibility... ...from prescribers, referral coordinators, andappropriate staffto ensure all aspects... ...Medicare Prior Authorization and/or Medicare appeals experience Demonstrated ability to...Work at officeLocal areaRemote workFlexible hoursShift work- ...inquiries within service standards Educate members on benefits, coverage, claims, and plan processes Assist with prior authorizations, formulary exceptions, and appeals Research and resolve issues using multiple systems in real time Accurately document all interactions in CRM...Daily paidFull timeWork at officeRemote workMonday to FridayFlexible hoursShift workWeekend work1 day per week
- Metropolitan Jewish Health System is seeking a Supervisor to oversee the intake and assignment of appeals and grievances while ensuring compliance with state and federal regulations. The role involves training staff and preparing data reports for program management. The...
$20 - $30 per hour
...Prescreen referrals to project/anticipate authorizations. Provide recommendations regarding... ...with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation and... ...(NAR) requests. Establish post denial appeal response recommendations. Obtain portal...Remote work- ...Authorizations Coordinator The Authorizations Coordinator plays a critical role in the healthcare and social assistance industry by managing... ...advantageous. Demonstrated ability to handle complex cases and appeals effectively. Experience in a fast-paced healthcare...
$52k - $56.5k
...House is seeking a full-time Ecommerce Coordinator based remotely (must reside in NY, NJ,... ...digital storefronts to maximize visual appeal and performance. You'll also play a key... ...team Preferred qualifications include prior experience in eCommerce environments and...Full timeTemporary workWork at officeRemote work- ...clinical staffing to obtain information for client reviews. Maintain daily UR database accurately. Perform Act 106 reviews and follow up appeals. Track all county referrals for documentation of admission calls. Maintain and participate in chart reviews to ensure proper...Work at officeLocal area
$25 - $30 per hour
...Onsite Food and Beverage Coordinator The Onsite Food and Beverage Coordinator is a high-visibility, client-facing role responsible for... ...operations, maintaining a clean, organized, and visually appealing environment at all times Manage inventory end-to-end including...Work experience placementFlexible hoursShift work$58k
...Appeals And Grievances Coordinator Manages all non-clinical aspects of member and provider appeals and grievances to ensure accurate intake, validation, timely case processing, and compliance with federal, state, and internal policy requirements. This role performs...Full timeContract workPart timeFlexible hours
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