Remote Prior Authorization Specialist - Clinical PA Expert
$22 - $26 per hourAmerita, Inc
- Remote job
Amerita, Inc in Englewood, Colorado is seeking a candidate for a role focused on managing prior authorizations for medications and supplies. Responsibilities include initiating the clinical review and ensuring compliance with payer requirements. The ideal candidate will possess a High School Diploma or equivalent, ideally with pharmacy experience and a knowledge of pharmacy terminology. The position has a Monday-Friday schedule and offers a pay range of $22.00 - $26.00 per hour. #J-18808-Ljbffr Amerita, Inc
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- ...Santa Barbara Cottage Hospital is seeking a clinical professional for a fully remote role focused on medical management. The position requires an... ...active New York State RN licensure and involves analyzing authorization requests to determine medical necessity. The...Remote workFlexible hours
$21.3 - $28.36 per hour
...Central Follow-Up Specialist Working at Planned Parenthood Great... ...messages that request non-clinical needs or normal lab results... ..., and notify patients of Prior Authorization claims for medications and... .... Prior experience with remote/telehealth work strongly preferred...Remote workFull timeTemporary work1 day per week$106.3k - $151.8k
Gainwell Technologies is hiring a PBM Leveraged Clinical Pharmacist for a remote position. This role supports various clinical functions, including business development and implementation of pharmacy programs. Ideal candidates must possess a PharmD, an active pharmacist...Remote job$90k - $120k
...Expert Demo Specialist - Hospital Financials & Clinicals / Remote Altera, a member of the N. Harris Computer Corporation family, delivers health IT solutions that support caregivers around the world. These include the Sunrise, Paragon, Altera TouchWorks, Altera Opal...Remote jobWork experience placementLocal areaAfternoon shift- JobRx, Inc. is seeking a Clinical Pharmacist in Canton, Massachusetts. The successful candidate will oversee pharmacy prior authorization requests, ensuring timely reviews and compliance with regulations. The role requires a Doctor of Pharmacy (PharmD) degree and at least...
- ...Somi AI is seeking a Revenue Cycle Specialist. This remote, full-time role will focus on accounts receivable follow-ups, addressing denials... ...have at least 3 years of AR resolution experience and prior authorization exposure. A solid understanding of billing and...Remote workFull time
$22 - $26 per hour
...for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy... ...established protocols. Knowledgeable to perform all PA functions. Qualifications High School...Remote workMonday to FridayShift work$29.62 - $45.31 per hour
...all core functions in the Prior Authorization (PA) Department Coordinate and... ...appropriate subject matter experts internally and across... ...provider resolutions, etc.) Remote Work This position offers... ...over 50 hospitals, over 1,000 clinics and a full range of health...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract... ...documentation of reviews. Transfers all clinical questions, escalations and... ...process prior authorization (PA) and drug benefit exception requests...Remote workContract work
- ...positions are classified as hybrid, onsite or remote. While the majority of our employees... ...of the job Responsible for utilizing clinical acumen and managed care expertise... ...focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or...Remote workFull timeContract workWork experience placementWork at officeLocal area1 day per week
- Join TriHealth as a Coding Specialist II where you will play a crucial role in supporting accurate patient care by reviewing provider documentation... ..., assigning ICD and CPT codes, and collaborating with clinical teams. We are looking for candidates with coding...Remote job
- ...is seeking a dedicated Pharmacist to join their remote team. This role involves evaluating prior authorization requests, collaborating with healthcare professionals... ...ideal candidate will have a strong background in clinical pharmacy, excellent communication skills, and the...Remote workWork from home
- Optum is seeking a Senior Retail Medication Prior Authorization Coordinator in Everett, WA. This role entails reviewing and processing medication... ...initially requires onsite training before becoming fully remote, requiring candidates to live near Everett, WA. Ideal...Remote job
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- ...interpret ultrasound studies, and assist teams in delivering specialist-level care when needed. This role offers a fully flexible schedule and the opportunity to work 100% remotely, applying your expertise in a clinically diverse environment. #J-18808-Ljbffr Wisconsin...Remote jobFlexible hours
$130k - $140k
MDU Medtronic USA Inc is seeking an EP Mapping Specialist to offer crucial clinical and technical support within a remote role. Candidates will be responsible for collaborating with clinicians, training on EP systems, and promoting CAS products. A crucial requirement is...Remote job- Medasource is seeking a Clinical Documentation Specialist (CDS) to join their remote team. The ideal candidate will possess 2-3+ years of experience, a strong understanding of MS-DRG coding concepts, and the ability to work effectively in a virtual environment. This full...Remote jobFull time
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A healthcare staffing agency is hiring an Inpatient Clinical Documentation Integrity Specialist for a 12-month remote contract. The role focuses on reviewing medical records for accurate coding and compliance, requiring risk adjustment coding experience and relevant certifications...Remote jobHourly payContract work- A healthcare services company is seeking a Remote Clinical Pharmacy Clerk in Atlanta, Georgia. The role requires 2+ years of experience... ...in Microsoft Office. Responsibilities include handling prior authorization requests and assisting with audits. Strong communication and...Remote jobWork at office
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...will drive customer success with our Veeva Clinical Data Management products, specifically... ...of the Clinical Data Management Product Expert team, you will play a key role in the Product... ...as internal teams, both in‑person and remote. Strong analytical skills and English skills...Remote workWork at officeLocal areaWork from homeFlexible hours$19 - $20 per hour
## Authorization Management Specialist (Amber Specialty Pharmacy)Applyremote... ...appeal summaries and prior authorizations,... ...appropriateness of all PA requests and provider... ...conferences, meetings, and remote events* Constantly... ...comprehensive clinical support and patient...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday$129.97k - $157.49k
...Senior Therapeutic Area Specialist, Rheumatology - Pittsburgh, PA Working with Us Challenging. Meaningful. Life... ...to communicate scientific or clinical data convincingly to help physicians... ...the capability centers. Employees in remote-by-design or lab-based roles may be...Remote workHourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceWork at officeFlexible hours$79.2k - $124.7k
...Cardiovascular Disease Specialist As a Cardiovascular Disease Specialist... ...for the Norristown, PA territory covering Philadelphia... ...systems, pharmacies, and hospital clinics, to effectively execute your responsibilities... ...Work Arrangements: Remote Shift: Not Indicated...Remote workFor contractorsWork experience placementLocal areaRelocationVisa sponsorshipFlexible hoursShift workNight shift- ...for frontier AI labs is seeking a medical expert in internal or emergency medicine to... ...enhance AI systems. The candidate will design clinical scenarios and assess AI responses for... ...and board certification. This is a fully remote contractor role requiring 20-40 hours a week...Remote workFor contractors
- University Medical Center, Inc. is seeking a Clinical Documentation Improvement Specialist responsible for enhancing clinical documentation accuracy in patient medical records. You will collaborate with healthcare providers to ensure comprehensive and compliant documentation...
- A private educational institution in Glendale, Arizona is seeking a Certified Coding Specialist responsible for coding and billing in its clinics. The role involves reviewing coding standards, educating providers, and ensuring compliance with legal requirements. The ideal...
- Blue Cross Blue Shield of Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance timelines, and a focus on customer service. Applicants should possess a healthcare-related degree and...Remote job
- ...seeking an immediate hire for the role of Authorization Specialist in San Antonio, Texas. This position... ...supporting 15 physicians and six clinic locations by managing authorization requests... ...will have 2 years of medical prior authorization experience and a high school...Immediate start
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