Remote Coverage & Prior Authorization Specialist
A-Line Staffing Solutions
- Remote job
A-Line Staffing Solutions is seeking a Remote Coverage Determination Specialist to support PBM and health plan coverage determinations. You will help members and providers move requests to resolution in a fast-paced queue. This role requires Medicare Part D, prior authorizations, and payer documentation knowledge. Work From Home in the United States, with a Monday–Friday schedule and an afternoon training block. #J-18808-Ljbffr A-Line Staffing Solutions
- We are looking for a Prior Authorization Specialist to support front-end revenue cycle operations for a long... ...opportunity. This is a fully remote role but you must reside in Minnesota... ...this role, you will help secure timely coverage approvals, verify benefits, and clarify...Remote workLong term contract
$29.62 - $45.31 per hour
...responsible for all core functions in the Prior Authorization (PA) Department Coordinate and... ...prepare all cases for RN/MD review of coverage (medical necessity, eligibility, network... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...Purpose: The purpose of a Triage Specialist is to perform effective... ...will transition to fully remote/work-from-home. Essential Duties... ...pre-certification and prior authorization requirements for procedures... ...work Comprehensive Health Coverage - Includes Medical, Dental,...Remote workFull timeTemporary workWork at officeImmediate startWork from home
$18 per hour
...system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department... ...pm, Hybrid, 2 days in office, 3 days remote after full in office training. Key Benefits... ...Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders...Remote workFull timeTemporary workWork at officeMonday to Friday- ...the full-time Patient Access Specialist will review and validate... ...insurance eligibility, manage prior authorization processes, and communicate... ...party payers while working remotely. Key responsibilities... ...registration and confirm benefit coverage, including deductibles and...Remote workFull timeWork at office
- ...Prior Authorization Specialist DeCoach Recovery is a leading addiction treatment center dedicated to... ...healthcare providers and payers to ensure coverage requirements are met. The role... ...and denials. This position can become remote once training is completed. Minimum...Remote workCurrently hiringWork at office
- ...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation... ...providers to obtain additional information to process coverage requests and complete all necessary actions to close cases....Remote work
- ...Job Overview: The Intake Specialist is responsible for... ...required elements are obtained prior to benefits investigation and authorization Conduct welcome calls to... ...payer requirements, coverage limitations, and prior authorization... ...: N/A Location: Remote with limited travel to...Remote workWork at office
$21 per hour
...company to recruit for an experienced Prior Authorization Clerk to join their team! This is an excellent... ...live healthier lives. These are fully remote opportunities open to candidates... ...reviewing prescription and medical benefit coverage Entering requests into the computer...Remote workPermanent employmentFull timeTemporary workLocal areaMonday to Friday- ## Authorization SpecialistApplylocations: COS - Remotetime... ...4665Carolina Oncology Specialists has been providing... ...Oncology Specialists-Remote **Reports To:** Authorization... ...and verifying prior authorizations for oncology... ...Verify insurance benefits, coverage limitations, and...Remote workWork at office
$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,... ...co-pays or those without insurance coverage. This role works closely with nursing...Remote workWork experience placementAll shiftsWeekend work$22.99 per hour
...Management team. In this role, you will act as a key resource in the prior authorization process, ensuring all requests are documented accurately and... ...the clinical review process. Verify member insurance coverage and benefit eligibility using system tools to ensure timely...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$70k - $90k
...Revenue Cycle Specialist MyOme's mission is to provide clinically... ...full category spectrum — prior authorization, medical necessity, timely... ...Benefits: Location: Remote in the US Compensation:... ...~ Comprehensive healthcare coverage (Health, Dental, and Vision...Remote workImmediate start$20 per hour
...Representative (AI Patient Access Specialist) The Client Support Representative... ..., helping to verify insurance coverage, manage prior authorizations, and ensure that all information is... ...workflows evolve. Comfort working in a remote environment with AI-driven tools...Remote workContract workTemporary workInternshipWork at office$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... ...insurance eligibility, benefits, and coverage for specific services, ensuring alignment...Remote workFull timeTemporary workWork at officeFlexible hoursShift work$16 - $31.44 per hour
...Patient Access Specialist $2000 Sign On Bonus For External Candidates... ...level of insurance coverage When contacting payers directly... ...Obtains referral, authorization, and pre-certification information... ...1+ years of experience with prior authorizations ~ Experience...Remote workDaily paidFull timePart timeWork experience placementLive inWork at officeRelocation packageMonday to FridayShift work- ...Access Specialist United States (EST only) Access Specialist II - Metabolic -... ...Company: Cycle Vita Location: This is a remote position, but candidates will be... ...summaries, verify insurance coverage, obtain prior authorizations and support appeals processes. As part...Remote work
- ...people. Job Purpose The Eligibility and Prior Authorization (EVA) Specialist is responsible for ensuring accurate... ...cycle function by confirming coverage requirements, obtaining required authorizations... ...roles. Experience supporting remote therapy monitoring, rehabilitation...Remote workWork experience placementShift work
$19.37 - $27.71 per hour
...time, 40-hour Practice Specialist to join our Sports... ...Manager in assigning coverage for planned and unplanned... ...issues for staff. Manage authorizations in collaboration with... ...messages related to prior authorizations, provider... ...strongly preferred. Remote Type: Onsite Work Location...Remote workHourly payFull timeMonday to FridayShift workWeekend work$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; 8:00am... ...and systems. Enter and maintain authorization, coverage, and benefits information in applicable platforms. Identify...Remote workHourly payTemporary workCasual workInternshipMonday to FridayFlexible hours$20 per hour
...Representative (AI Patient Access Specialist) Job Description The Client... ...learning, helping to verify insurance coverage, manage prior authorizations, and ensure that all information is... ...evolve. Comfort working in a remote environment with AI-driven tools and...Remote workContract workTemporary workInternshipWork at office- Motorola Solutions is seeking a Senior Coverage Tools Support Specialist to act as a vital liaison for the Coverage Test Center. You will diagnose software... ...while aligning with CST working hours. The role supports remote work from anywhere in the United States and requires a...Remote job
$18.99 - $29.22 per hour
...Precertification Specialist Join RCCA and make a meaningful impact... ...journey. As a fully remote Precertification Specialist... ...for obtaining and managing prior authorizations to ensure patients receive... ...eligibility, benefits, and coverage for specific services, ensuring...Remote workFull timeTemporary workFlexible hours- ...Medication Access Specialist We are relentless in solving... ...providing integrated remote support to patients,... ..., handling medication authorizations, managing insurance... ...to determine patient coverage, out-of-pocket costs,... ...necessary documentation for prior authorization...Remote workFull timeWork at office
- ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization Specialist - with... ...order to efficiently complete electronic coverage requests in addition to providing... ...-speed internet to meet the needs of remote processing (required) Reliable transportation...Remote workFull timeWork at officeMonday to FridayShift work
$28.72 - $36.92 per hour
...Authorization & Referrals Specialist III The 61st Street Service Corporation, provides... ...This position is primarily remote, candidates must reside in... ...and authorization prior to the patient's visit, scheduled... ...Responsibilities: Verifies insurance coverage via system tools, payer...Remote jobHourly payFull timeWork at officeLocal areaImmediate start$22.3 - $28.8 per hour
...Wound Care Customer Success Specialist This Specialist role for... ..., submit or route for prior authorization and perform final biller tasks... ...contributor position is a remote-based role. Responsibilities... ...Medical, dental and vision coverage ~ Paid time off plan ~...Remote workHourly payFull timeTemporary workWork experience placementImmediate startFlexible hours- ...Billing/Coding/Credentialing Specialist possesses medical billing... ...liaison to therapist and AHCCCS Prior Authorization Department • Tracking and... ...billing, insurance, and coverage criteria updates with staff... ...in-person position only, no remote options. #J-18808-Ljbffr...Remote workWork at office
- ...Authorization Specialist (Remote) Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is... ...Specialist's main function is to secure prior authorization for our patients from... ...payer's policy and procedures regarding coverage and items that require prior approval...Remote jobWork at office
$55k - $60k
...benefits program. Job Summary The Authorizations Specialist ensures timely payer... ...role reports to the Manager, Prior Authorization within the... ...time, exempt and will work remotely. Essential Duties and Responsibilities... ...to payers for coverage approval, including network...Remote workFull timeContract work
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