Remote Medicare Prior Authorization Tech
Actalent
- Remote job
Actalent is seeking a Remote MedPharma Pharmacy Technician to process and review Medicare/Medicaid prior authorizations. You will handle intake, perform technical reviews, and determine coverage decisions in a HIPAA-compliant remote setting. Training runs Monday–Friday with flexible schedules and rotating holiday coverage. The role emphasizes data accuracy, strong customer service over the phone, and collaboration with a remote team to ensure timely approvals and denials according to SOPs and #J-18808-Ljbffr Actalent
- ...Actalent is hiring for a Remote Pharmacy Technician Prior Authorization to support Medicare and Medicaid patients from a fully remote environment. You will handle intake, conduct technical reviews, and make coverage determinations using established SOPs and insurance...Remote work
$49 per hour
3 months of fresh tech sales jobs for $49 Straight from company... ...if it's not for you. Remote Type: Remote Time Type:... ...insurance formularies, and prior authorization processes. Proven track record... ...visit the Centers for Medicare and Medicaid Services (CMS)...Remote workFull timeWork at officeLocal areaNight shift- Actalent is hiring a Remote Pharmacy Technician Prior Authorization to support Medicare and Medicaid patients in a fully remote role. You will handle intake, perform technical reviews, and make coverage determinations according to established criteria and SOPs while maintaining...Remote jobFlexible hours
- ...Location: USA - Nevada - Las Vegas Remote Type: Field worker Time Type: Full... ...formularies, retail pharmacy operations, prior authorization processes Strong presentation,... ...information, please visit the Centers for Medicare and Medicaid Services (CMS) website at...Remote workFull timeLocal areaNight shift
- .... ACU-Serve incorporates HME workflow, Medicare, Medicaid and Private Payer knowledge,... ...integral part of the HME office staff, not a remote third party billing vendor. The DME... ...medical necessity to submit for Prior Authorization. Submits and maintains prior authorizations...Remote workWork at officeLocal area
$125 per hour
...quality of clinical services provided to Medicare beneficiaries ensuring compliance with... ...and improvement opportunities.This is remote positionESSENTIAL DUTIES AND... ...required.Fast Facts:$125 per hourConduct Prior Authorizations for High Risk procedures performed on...Remote jobFull timeFor contractorsWork at officeLocal areaImmediate startFlexible hoursWeekend work- ...quality of clinical services provided to Medicare beneficiaries ensuring compliance with... ...improvement opportunities.This is a remote position.ESSENTIAL DUTIES AND RESPONSIBILITIES... ...Determinations (NCD/LCD)Peer to Peer Prior Authorization discussions: Prepare for and...Remote jobFull timeWork at officeLocal areaImmediate startWork from homeMonday to FridayShift work
- ...Actalent is seeking a Remote Pharmacy Technician to support Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will intake requests, perform technical reviews, and make coverage determinations...Remote work
$22 per hour
...Temporary Assignment Work Type: Remote Pay Rate: $ 22.00-22.00/... ...rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience... ...in Detroit, MI . Pharmacy Tech Support Call Center Rep (Work...Remote workHourly payContract workTemporary workWork at officeWork from homeNight shift- ...Actalent is seeking a Certified Pharmacy Technician for a 100% remote contract position based out of Houston, Texas. You will evaluate and authorize commercial prior authorization requests from prescribers, using clinical criteria in a call center environment. Responsibilities...Remote workContract work
- ...payer systems, insurance formularies, and prior authorization processes. - Proven track record of... ...tasks and team meetings can be done remotely. Candidates should live within or near... ...information, please visit the Centers for Medicare and Medicaid Services (CMS) website at...Remote workFull timeWork at officeLocal areaNight shift
$17 - $34.15 per hour
...CVS Health is seeking a Pharmacy Technician for Prior Authorization to work from home in Hawaii. This role involves processing and communicating prior authorization referrals for specialty medications while collaborating with customer service and pharmacy operations. Candidates...Remote workHourly payFull timeWork from home$20 - $23 per hour
...Pharmacy Technician Prior Authorization (Fully Remote)This role supports the Pharmacy Services department by reviewing prior authorization requests... ...covered under government-sponsored health plans such as Medicare and Medicaid. You will manage a high-volume queue of...Remote workPermanent employmentContract workTemporary workWork experience placementShift work$20 - $23 per hour
...Pharmacy Technician Prior Authorization (Fully Remote)This role supports the Pharmacy Services department by reviewing prior authorization requests... ...covered under government-sponsored health plans such as Medicare and Medicaid. You will manage a high-volume queue of...Remote workPermanent employmentContract workTemporary workWork experience placementShift work- ...pharmacists to support our contract with the Centers for Medicare & Medicaid Services (CMS) reviewing the prior authorization (PA) and step therapy (ST) criteria that... ...Working Conditions: US-based fully remote/work-from-home position PRN position with a seasonal...Remote workContract workTemporary workReliefSeasonal workWork at officeWork from home
- ...healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years in...Remote work
$20 - $23 per hour
...Remote Pharmacy TechnicianThis role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will start with intake of prior authorization requests and be trained to perform technical...Remote workContract workTemporary workFlexible hours$249.84k - $374.76k
...programs, including utilization management, prior authorization, concurrent review, case management,... ...and pre-authorization requests. For Medicare line of business (LOB) only: Partner... ...holidays. Please note: The opportunity for remote work may be possible for all jobs...Remote work- ...Certified Pharmacy TechnicianTop national healthcare company is hiring certified pharmacy technicians to work in their prior authorization call center. Fully remote position. Summary: We are seeking experienced pharmacy technicians to support a high-volume inbound call center...Remote work
$20 - $23 per hour
Remote Pharmacy Technician! Job Description This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will start with intake of prior authorization requests and be trained...Remote workContract workTemporary workFlexible hours$40k - $52.3k
...all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Humana policies... ...: Home. Home workstyle is defined as remote but will use Humana office space on an... ...better quality of life for people with Medicare and Medicaid, families, individuals,...Remote workWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$40k - $52.3k
...Management, you will work fully remote. You are part of the Home... ...team You will build and pend authorizations for review You will... ...administrative support capacity ~ Prior professional experience of... ...quality of life for people with Medicare and Medicaid, families,...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office- ...payer systems, insurance formularies and prior authorization processes. Demonstrated track record of... ...Expect most time in the territory with remote work for administrative tasks and... ...information, please visit the Centers for Medicare and Medicaid Services (CMS) website at...Remote workFull timeWork at officeLocal areaNight shift
- ...getting more complex, and patients on Medicare and Medicaid feel it most. Things that... ..., like booking a specialist, getting a prior authorization approved, appealing a denied claim, arranging... ...You built and scaled sales at a remote patient monitoring, chronic care management...Remote workFull timeShift work
$20 - $23 per hour
...Job Description This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will start with intake of prior authorization requests and be trained to perform technical...Remote workContract workTemporary workFlexible hours- ...To support a growing health-tech company, the seasonal Licensed Pharmacy Technician... ...appropriate medication therapy while working remotely on a contract basis for 6 months. Key... ...Triaging clinical review processes for prior authorization requests according to established...Remote workContract workWork experience placementSeasonal work
$40k - $52.3k
...Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care... ...Workstyle: This position is remote. Work Schedule: Monday through Friday... ...better quality of life for people with Medicare and Medicaid, families, individuals, military...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$28.3 per hour
...including doctors, nurses, business people, tech experts, researchers, and systems... ...Summary Summary: Reviews and processes prior authorization and referral requests for medical services... ...Additional Job Details (if applicable) Remote Type Remote Work Location 399...Remote workHourly payShift work- ...SNP) and Institutional-Equivalent Special Needs Plan (IE-SNP) Medicare Advantage products. The CMO is responsible for the strategic... ...goals. Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review...Remote work
$50k
...Remote Field Reimbursement ManagerValeris is a fully integrated life sciences commercialization... ...expert on regional payer access, prior authorizations, appeals processes, and patient... ...policies and regulations (e.g., Commercial, Medicare, and Medicaid)Work and compliantly...Remote workFull timeTemporary workWork at officeLocal areaImmediate start
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