Remote Payor Specialist: Eligibility & Authorization Expert
Remote Jobs
- Remote job
PRO-Spectus is a remote-forward employer delivering patient-focused healthcare solutions. The Payor Specialist role verifies and reverifies insurance coverage, submits authorizations and LOA/SCA requests, and communicates outcomes to the Case Management Team. You will collaborate with the Case Management Team to manage payor requirements, track determinations, and expedite timelines while maintaining high standards of accuracy and compliance. #J-18808-Ljbffr Remote Jobs
- Sacramento Native American Health Center, Inc. is seeking a full-time Patient Eligibility and Authorizations Specialist. The role is remote after training, with a must-be-local-to-Sacramento requirement during training, and remote work thereafter. You will verify benefits...Remote jobFull timeLocal area
- Inspire Medical Systems is recruiting a Prior Authorization Specialist to implement the US-based Prior Authorization Program and collaborate with... ..., and excellent communication. The position offers a fully remote arrangement in the United States with competitive benefits...Remote job
- Children’s National Hospital is seeking Payor Clearance Associates to join the Revenue Cycle team. You will work with referring physician offices, payers, and patients to ensure pre-service payor clearance and accurate pre-certifications. The role emphasizes attention to...Suggested
- ...knowledgeable Home Help Program Specialist (Current or Former MDHHS... ...) to join our in-office and remote capable team. You will assist... ...staff, and help resolve authorization and enrollment issues. Applicants... ..., including assessments, eligibility, authorizations, and case management...Remote jobWork at office
$122k - $158k
...factors above. This job is also eligible to participate in PG&E’s... ...position requiring work from a remote office and the assigned work... ...Work Methods and Procedures Specialist, or other job-related... ...Record of Guidance Document Author training completion Telecommunications...Remote workFlexible hours- Jobtailor is seeking a detail-oriented Authorization Clerk to handle patient eligibility, authorization tracking, and data entry. The role requires strong communication... ...to coordinate with internal teams and external payors. The position focuses on maintaining accurate EMR...
- ...Physician Authorization/Referral Specialist Join our team as a Physician Authorization... .... They verify insurance eligibility and benefits, calculate... ...with departmental policy and payor requirements. 2.... ...Wilmington, DE, 19803, US (Remote) Nemours Children's Hospital...Remote workFull timeWork experience placement
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description: New to OU Health?... ...about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in OK...Remote workFull timeShift work
- ...improve financial performance. Prior authorizations are a critical component of that success... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations... ...portals efficiently Verify insurance eligibility and benefits prior to submission...Remote workContract work
- ...Authorization Specialist The Authorization Specialist is responsible for coordinating and securing insurance pre-certifications and pre... ...Professional Center 3500 E. Fletcher Ave Tampa 33613 Eligible for Remote Work: Hybrid Remote Job: Patient Financial Services...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...DescriptionProSidian Seeks a Subject Matter Expert VI - Subject Matter Specialist (NSS014) headquartered near CONUS - Washington, DC (Remote) to support requirements for Energy &... ...Plans help you save for your retirement for eligible employees. A range of investment options...Remote workFull timeTemporary workFor contractorsWork at officeFlexible hours
- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They Deserve At Serenity... ...Gather and review patient documentation to verify eligibility for Transcranial Magnetic Stimulation (TMS)...Remote workFull timeFlexible hours
- ...physicians, and our customers. Job Summary: The Prior Authorization Specialist is responsible for all aspects of the prior authorization... ...submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and...Remote workFor contractorsWork experience placementWork at office
$17 - $31.3 per hour
...Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as an Authorization... ...education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive...Remote workHourly payDaily paidFull timeTemporary workWork at officeLocal area$19.81 - $28.3 per hour
...nurses, business people, tech experts, researchers, and systems... ...Reviews and processes prior authorization and referral requests for medical... .... Ensures insurance eligibility, coordination of benefits, siteofcare... ...Details (if applicable) Remote Model Requirements...Remote workHourly payShift work- ...Carolina Oncology Specialists has been providing compassionate... ...clinics, along with expert diagnosis, treatment,... ...: Job Title: Authorization Specialist... ...Oncology Specialists-Remote Reports To: Authorization... ..., and patient eligibility as needed ~ Ensure...Remote workWork at office
- ...Authorization Specialist The Authorization Specialist plays a critical role in the health care services industry by ensuring that all patient... ...: ~ Medical, Dental, Vision Insurance ~401k You're eligible after 3 months of service/The plan is 100% fully vested immediately...Remote workTemporary workImmediate start
$25.75 - $30 per hour
...Overview The role of the Reimbursement Authorization Specialist I is integral to the success of the... ...Ayer, MA with flexibility for limited remote work. The core hours of operation are... ...work experience in medical billing, eligibility, authorization, and interaction with...Remote workHourly payWork experience placementCasual workWork at officeLocal area$55k - $58k
...Medicaid Eligibility Support Coordinator We are dedicated to improving the lives we touch... ...of nursing centers. Duties in this remote role include gathering documents, submitting... ...documents. Obtain necessary authorizations and coordinate the collection of financial...Remote workTemporary workWork at officeImmediate start$20 per hour
*Location:* Fully remote role but *MUST live in the state of Arizona* *Schedule... ...*Description:* The Referral and Authorization specialist is responsible for ensuring patients... ...this position is $20.00 - $20.00/hr. Eligibility requirements apply to some benefits...Remote workContract workTemporary workLive inWork at officeMonday to FridayShift work- ...Administration Coordinator 2 to support the prior authorization process by managing clinical documentation, verifying member eligibility and benefits, and ensuring timely processing... .... The role emphasizes collaboration in a remote environment, leveraging Microsoft Office and...Remote jobWork at office
- ...Description The Authorizations Specialist is responsible for obtaining and applying all required authorizations, enabling the appropriate... ...compensation for medical claims. Confirms patients' insurance eligibility while obtaining authorization. The specialist acts as a...Remote workTemporary workWork at officeLocal areaImmediate startFlexible hours
$20 per hour
...Representative (AI Patient Access Specialist) Job Description The... ...coverage, manage prior authorizations, and ensure that all information... .... Verify insurance eligibility, benefits, and coverage details... ...evolve. Comfort working in a remote environment with AI-driven...Remote workContract workTemporary workInternshipWork at office$17.75 - $19.5 per hour
...improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday - Friday; 8:0... ...scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental,...Remote workHourly payTemporary workCasual workInternshipMonday to FridayFlexible hours- ...is seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full... ...across a group of nursing centers. This remote role involves gathering documents, submitting... ...communicating with families, obtaining authorizations, coordinating financial documentation,...Remote job
$24.76 - $33.17 per hour
...subspecialties. This position is primarily remote, candidates must reside in the Tri-... ...needs. Job Summary: The Authorization Specialist II is responsible for verifying insurance... ...understand and navigate managed care eligibility, insurance billing requirements, and...Remote workHourly payFull timeWork at officeLocal areaImmediate start- ...Services Commission in Austin seeks a Program Specialist V to support PASRR specialized services review, adjudication, and authorization. You will interpret policies, assist... ...accuracy, and policy clarity, with telework eligibility and a focus on specialized services...Remote job
- Mass General Brigham is seeking a detail-oriented authorization specialist to review and process prior authorization and referrals for medical... ...in line with payer requirements. The role ensures eligibility, COB coordination, site-of-care compliance, and medical necessity...Remote job
- University of Utah Health is seeking a Prior Authorization/Insurance Verification Specialist to secure outpatient accounts by verifying eligibility, obtaining benefits and prior authorizations before services are rendered. The role collaborates with physicians, nurses,...Remote job
- OCHIN, Inc. is hiring an Enrollment Specialist to manage payor enrollment for providers within the OCHIN Collaborative or contracted third parties... ...a primary focus, with opportunities to advance within a remote, nationwide organization that supports work-life balance and...Remote job
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