Remote Medicare PA Tech: Prior Authorization Specialist
Actalent
- Remote job
Actalent is seeking a Remote Pharmacy Technician to support Medicare and Medicaid patients by processing and reviewing prior authorizations in a fully remote environment. You will handle intake, apply criteria, and determine whether medications should be approved, denied, or partially covered. This role emphasizes detailed data entry, familiarity with managed care pharmacy, and professional phone support to patients and providers. #J-18808-Ljbffr Actalent
- About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months... ...process prior authorization (PA) and drug benefit... ...and in accordance with Medicare Part D CMS Regulations.... ...School diploma or GED US Tech Solutions is a global staff...Remote workContract work
- NYX Health Group is seeking an experienced Infusion Prior Authorization Specialist to support our Cancer Infusion Team remotely. The role requires 4+ years of infusion PA experience and EPIC proficiency, with responsibilities from submission to approval, while ensuring...Remote jobFull time
- ...Staffing Solutions is seeking an experienced LVN/LPN for a fully remote Prior Authorization and Appeals role in the United States. The position supports... ...PM CT. Required are an active LVN/LPN license and 2+ years PA experience in PBM, MDO, or clinical settings. #J-18808-...Remote jobShift workWeekday work
$28.3 per hour
...Mass General Brigham Authorization Specialist Mass General Brigham relies on... ...doctors, nurses, business people, tech experts, researchers, and... ...Reviews and processes prior authorization and referral requests... ...Details (if applicable) Remote Type: Remote Work...Remote workHourly payShift work$220k - $245k
.... Our new clinical model is tech-enabled, backed by the best... ...clinical team as an Obesity Specialist. In this role, you will be at... ...Collaborate with nursing staff on prior authorizations and care coordination.... ...time (30+ hours) Location: Remote Compensation and Benefits...Remote workFull timeMonday to FridayFlexible hours$19.37 - $27.71 per hour
...nurses, business people, tech experts, researchers,... ..., 40-hour Practice Specialist to join our Sports Medicine... ...for staff. Manage authorizations in collaboration with... ...takes messages related to prior authorizations,... ...strongly preferred. Remote Type: Onsite Work Location...Remote workHourly payFull timeMonday to FridayShift workWeekend work- ...DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...is responsible for managing prior authorization (PA) processes while proactively engaging... ...environment. Dedicated home office space for remote work flexibility, as role is assigned/...Remote workWork at officeWork from homeHome office
$22 - $26 per hour
...proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...established protocols. Knowledgeable to perform all PA functions. Qualifications ~ High School Diploma or GED or...Remote workMonday to FridayShift work$22 - $25 per hour
...company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech‑enabled medical group, we... ...This position primarily allows for remote work; however, it includes 2–3... ...practitioner, and Community Engagement Specialist with delegated tasks....Remote workFull timeWork experience placementLocal areaWork from homeFlexible hours- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy... ..., AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers... ...compliance while improving the PA program. Responsibilities include evaluating...Remote work
- ...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
$19 - $20 per hour
...Authorization Management Specialist At Amber Specialty Pharmacy, our commitment... ...summaries and prior authorizations, correspondence... ...of all PA requests and provider... ...Working knowledge of Medicare, Medicaid, Commercial... ...conferences, meetings, and remote events Constantly...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday$225k - $300k
...certified Pediatric Nurse Practitioner (PNP) or PA or MD or DO OR General Pediatrician OR... ...pediatric care with both in-person and remote services, giving our team members... ...and procedures Facilitate referrals to specialists and medical facilities as necessary Collaborate...Remote workDaily paidFull timePart timeRelocation packageMonday to FridayFlexible hoursShift work- Tetra Tech is seeking experienced Disaster Recovery / Grant Management / Public Assistance Consultants to support FEMA PA and other disaster programs across the United States. This on‑call role may be remote, onsite, or hybrid depending on project needs and deployment schedules...Remote workTemporary work
- Tremco CPG Inc. and WTI in Philadelphia, PA, is seeking a Field Technical Specialist to grow contractor discretionary business while delivering hands-on roof coatings expertise. The role covers PA with remote support, travel up to 20%, and close work with Tremco and contractor...Remote jobFor contractors
$22 - $25 per hour
...company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we... ...This position primarily allows for remote work; however, it includes 2-3... ...practitioner and Community Engagement Specialist with delegated tasks...Remote jobFull timeWork experience placementLocal areaWork from homeFlexible hours- ...for a dedicated Cardiovascular Invasive Specialist 2 to join the Interventional Radiology team... ...leave, flexible work schedules, and remote and more!\n \n Cardiovascular Invasive... ...least 5 years of Interventional Radiology Tech experience with active RTR registry, OR a...Remote workImmediate startRelocation packageFlexible hoursShift workDay shift
- ...Job Overview The Intake Specialist is responsible for managing... ...elements are obtained prior to benefits investigation and authorization Patient & Provider... ..., including commercial, Medicare, and Medicaid Ability to... ...Paid Time Off. Location Remote with limited travel to client...Remote workWork at office
- ...Ophthalmology Appt Tech Hub – Remote Position ** Candidate... ...Time Medication Access Specialist (Ophthalmic Technician... ...In Basket, electronic PA tools, patient calls,... ..., medication history, prior trials, contraindications... ...-to-consumer options, Medicare Extra Help, specialty...Remote workPart timeRelocation
$20 per hour
Role Snapshot The Intake Specialist manages inbound and outbound... ...cases. This role supports prior authorizations, claims processing including... ...consideration, we do offer remote work in the following approved... ...for beneficiaries of the Medicare program and manage benefits...Remote workHourly payFor contractorsWork at officeLocal areaImmediate start2 days per week$75k - $90k
...the company has earned recognition in the U.S. Location: Remote Position Summary: We are looking for an Enablement... ...familiarity with aspects of healthcare revenue cycle management–prior authorization, coding, billing, A/R recovery–is essential as much of the...Remote workFull timeFlexible hours- ...Opportunity The Therapy Access Specialist provides operational support... ...insurance benefits, secure authorizations and other duties, as... ...interpretation of benefits and prior authorization protocol. Also... .... Location: Remote, must reside in the United States...Remote workFull timeContract workFor contractors
- ...Job Description: Role Summary: The Authorization Specialist role is responsible for all... ...necessity guidelines including frequency and prior testing requirements. Required Qualifications... .... Specific details may vary based on the needs of the organization. #LI-REMOTE...Remote workFull timeWork at office
$17.75 - $19.5 per hour
...informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday - Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization & Benefits...Remote workHourly payTemporary workCasual workInternshipMonday to FridayFlexible hours$37.44k - $52k
...improve health and improve lives. Labcorp is seeking a REMOTE a Pre Authorization Specialist II to join our team! Work Schedule: Monday – Friday;... ...completeness and accuracy of required documentation for prior authorization Work directly with various vendors to...Remote workFull timeTemporary workCasual workInternshipWork at officeMonday to FridayFlexible hoursDay shift$110k - $130k
...processes for user groups in our main and remote project locations. The SH&E Professional... ...and other specific engineering lab use authorizations. ● Collaborate regarding chemical... .... The majority of our clients are high tech, R&D, manufacturing, construction and/or...Remote workFor contractorsWork at officeLocal areaFlexible hours- ...for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management... .... Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM –...Remote workFull timeLive inWork from homeMonday to Friday
- ...Medical Center of Florida, Inc. seeks a licensed Physician Assistant to support the robotic and surgical services in Miami Beach. The PA will perform comprehensive patient assessments, assist in the operating room, and participate in perioperative care with an emphasis...
$14.28 per hour
Harrisburg and Elizabethville, PA Monday - Friday NO WEEKENDS- No Holidays!! Pay... ...one person at a time. Registration Specialist Full-time Harrisburg and Elizabethville... ...doctor(s) to support things like lab work, prior authorization requests for meds, etc. Requirements...Full timeWork at officeMonday to FridayAfternoon shift1 day per week- ...Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...Remote workWork from home
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