Remote Prior Authorization Specialist
Arsenault
A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional demeanor in a fast-paced call center environment. Ideal candidates have at least 2 years of customer service experience, a high school diploma, and knowledge of medical terminology. Bilingual candidates are preferred. Join us and make a meaningful impact on healthcare quality. #J-18808-Ljbffr
- ...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
- ...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
- ...seeks an accomplished Patient Access Specialist ** TITLE: Patient Access Specialist... ...: Hybrid (2 Days Office | 3 Days Remote) | Client Location: 11800 Weston Parkway... ...helping navigate insurance coverage, prior authorization requirements, pharmacy claims, refills...Remote workTemporary workWork at officeLocal areaMonday to Friday
$17 per hour
...Prior Authorization Specialist Remote (Work from Home) Full-Time $17/hour Work Schedule This is a full-time role requiring 40 hours per week Candidates must be flexible to work Saturday shifts as part of the weekly schedule Operational Hours: Monday...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift 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
- ...Managing insurance authorizations for mental health and substance use treatment,... ...Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support... ...necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
$40 - $50 per hour
...Position: Healthcare Administrative Specialist Type: Contract Compensation... ...: $40–$50/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support using real-...Remote workFull timeContract workSummer workWork at office- ...The Prior Authorization Submitter (PAS) at Tobii Dynavox works with insurance payors to obtain medical necessity and prior authorization for durable medical equipment. You will assemble submission packets and file them through online portals, faxes, and mail, then track...Remote work
- ...Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...Remote work
- ...Good Shepherd Health Care System is seeking a Remote Patient Access Scheduling Representative to ensure efficient daily operations... ...patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while...Remote work
- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with optimizing a broken system. We're making sure... ..., which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients...Remote workHourly payFull timeFor contractors
$22 - $26 per hour
...This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5...Remote workMonday to FridayShift work- ...To support the financial clearance process, the full-time Prior Authorization Specialist will manage incoming prior authorization requests,... ...ensure compliance with departmental guidelines while working remotely. Key responsibilities Prioritizes and processes incoming...Remote workFull timeWork at office
- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Remote workPart time
$55k - $60k
...a competitive benefits program. Job Summary The Prior Authorization Specialist ensures timely payer approvals by managing authorizations... ...Department. The role is full time, exempt and will work remotely. Essential Duties and Responsibilities The essential...Remote workFull timeContract workWork at office- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist will manage complex authorization requests, verify member insurance coverage, and maintain documentation to ensure timely adjudication for payment. Key responsibilities...Remote workFull time
$18 - $22 per hour
...Prior Authorization SpecialistFor over two decades, Riverhills Neuroscience has been a pioneer... ...0pm, Hybrid, 2 days in office, 3 days remote after full in office training.Pay: $18... ...ParkingResponsibilities:As a Prior Authorization Specialist at Riverhills Neuroscience, you will...Remote workFull timeTemporary workWork at officeMonday to Friday- ...Supporting the prior authorization request process, the full-time Authorization Specialist II will assist the utilization management team in documenting authorization... ...verifying member insurance coverage while working remotely from Arizona. Key responsibilities Aids the...Remote workFull time
- ...4 Position Type: Full Time Job Shift: Day Position Title: Prior Authorization Specialist Department: Business Office Supervisor’s Title: HIM/Business... ...office work. Positions is flexible to be in suite, remote or hybrid. General Health care environment exposure to patient...Remote workFull timeWork at officeFlexible hoursShift work
$80k
Location: This is a remote position, but candidates will happy to work on either... ...Pharmaceuticals is recruiting for two Access Specialist's to join our growing Metabolic team... ..., verify insurance coverage, obtain prior authorizations and support appeals processes. As part...Remote work- ...About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers...Remote workContract work
$18.99 - $29.22 per hour
...Precertification Specialist Join RCCA and make a meaningful 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 access to the care and...Remote workFull timeTemporary workFlexible hours- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They Deserve At Serenity Healthcare... ...Familiarity with TMS, behavioral health, or prior authorization processes Benefits Why...Remote workFull timeFlexible hours
$22.99 per hour
The Appeal Specialist II will manage cases returned from clinicians to the Resolution queues... ...through a Pulse Note, based on the authorization or appeal status. The coordinator will... ...Years of experience required: 1-2 years prior auth, referrals, claims resolutions and...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work- ...Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. Researches and... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
- ...orthopedic clinics to help optimize operations and 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 for both procedures and...Remote workContract work
- ...priorities in a fast-paced environment preferred Knowledge of medical scheduling, registration, insurance verification, or prior authorization processes Experience mentoring or supporting new team members For this position, we will consider residents of the...Remote workWork experience placement
- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory...Remote work
$19.87 - $30.79 per hour
***Must have BOTH a current VA Pharmacy and PTCB License*** The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior...Remote workWork experience placementAll shiftsWeekend work$22 per hour
...for an Insurance Reimbursement Specialist to support insurance... ...Verify benefits, prepares pre-authorization requests.Document approvals and... ...insurance and medical device prior authorization (preferred)3+ years... ...completion of in-person training, remote working may be an option.*$22...Remote workHourly payFull timeContract workWork at office
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