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
- ...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
$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- ...Socket.dev is seeking an Infusion Prior Authorization Specialist to ensure all pre-service accounts are financially cleared before the date of service. You will verify insurance information, validate benefits, and obtain required authorizations to initiate the patient...Remote work
$29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$20.98 - $30.12 per hour
...recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts. Handles patient concerns...Remote workImmediate start- ...Working remotely in a full-time capacity, the Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with healthcare delivery standards while managing financial clearance activities. Key responsibilities...Remote workFull timeWork at office
- ...providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and...Remote work
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our... ...Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay: $18-22 per hour...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday- ...providers. Job Overview: The Intake Specialist is responsible for managing... ...all required elements are obtained prior to benefits investigation and authorization Patient & Provider Communication... ...Life 401k Paid Time Off Location: Remote with limited travel to client locations...Remote workWork at office
- ***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
$17 - $31.3 per hour
...Authorization Specialist We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...dynamic and fast-paced role, you will be responsible to obtain prior authorization information for both new and existing...Remote workDaily paidFull timeWork at officeMonday to FridayShift work$20 - $24 per hour
...seeking a detail-oriented Revenue Cycle Specialist to join our growing team! The ideal... ...imaging experience preferred including prior authorization requirements/processes ~ Certified... ...providers Work Location: Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull timeWork at office- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They Deserve At Serenity Healthcare, we... ...role Familiarity with TMS, behavioral health, or prior authorization processes Why You'll Love Working...Remote workFull timeFlexible hours
$22 per hour
...for an Insurance Reimbursement Specialist to support insurance... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...completion of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...healthcare operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior...Remote workHourly payPart timeFor contractorsWork at officeFlexible hours$28.3 per hour
...Brigham. Job Summary Summary Reviews and processes prior authorization and referral requests for medical services in accordance... ...environment. Additional Job Details (if applicable) Remote Model Requirements Remote M-F Eastern business...Remote workHourly payShift work- ...Insurance Verification Specialist Revenue Cycle Management is looking... ...to join our team. Remote opportunity after 90 day of... ...plan. Creates cost estimates prior to the surgery date and communicates... ...all notifications and authorizations are completed by the surgery...Remote workFull timeContract workTemporary workWork at office
$28.83 - $46.14 per hour
...Location Wage Range: $28.83 - $46.14 per hour. Location: Remote in Washington State only. Posted wage ranges represent... ...of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. ~ Experience...Remote workHourly payContract workFlexible hoursShift work$20 per hour
*Location:* Fully remote role but *MUST live in the state of Arizona* *Schedule... ...*Description:* The Referral and Authorization specialist is responsible for ensuring patients have... ...or services needed. *Skills:* Prior authorization, customer support, customer...Remote workContract workTemporary workLive inWork at officeMonday to FridayShift work- Abax Health is seeking a Patient Access Concierge to operate remotely within the United States. The role covers patient registration, insurance verification, scheduling, and prior authorizations with increasing independence. You will assist patients, providers, and clients...Remote job
$20 per hour
...Patient Access And Prior Authorization SpecialistAston Carter is hiring for Patient Access and Prior Authorization Specialists!This role serves as a next-generation contact center position... ...systems.Work EnvironmentThis is a remote position based in the United States. Candidates...Remote workContract workTemporary workInternshipWork at office- ...seeking a detail-oriented Precertification Specialist to support our Revenue Cycle team by... ...insurance benefits, obtaining prior authorizations, and ensuring patients are well informed... ...to the date of service.ScheduleHybrid/Remote, Full-time, 40 hours per week. Monday-...Remote workFull timeWork from homeHome officeMonday to Friday
- UCLA Health is seeking a motivated professional to join our team as a prior authorization specialist. This role supports an award-winning health system and ensures efficient operations across a complex organization. You will handle urgent and routine authorization requests...Remote job
- Raventra Health is seeking a Prior Authorization Specialist to coordinate requests for scheduled procedures, treatments, and services, working with... ...the team, while staying current on payer requirements. This remote role requires 2+ years in prior authorization or related...Remote job
- Inspire Medical Systems in Minneapolis, MN, is seeking a Prior Authorization Specialist to join our team. You will lead enrollment in the U.S. Prior Authorization Program, coordinate with Territory Managers and the PA team, and ensure coding and coverage questions are...Remote job
- Fremont Economic Development Corporation is looking for a Prior Authorization Specialist to enhance patient care by ensuring timely access to healthcare... ...and communication skills. This position allows remote work for residents of several states and offers competitive...Remote job
- ...Illinois and ongoing provider education, onboarding, and issue resolution, interfacing with claims, prior authorizations, and enrollment teams. Work is field-based with a home/remote style, 40 hours per week, and a pay range reflecting mid-market Illinois compensation, plus a...Remote job
- Moda Health is recruiting for a Medical Management support role to assist in investigation and research of prior authorization requests. This full-time work-from-home position supports the clinical team, processes referrals, and educates members and providers on the prior...Remote jobFull timeWork at office
- A healthcare organization in California is seeking a Prior Authorization Representative responsible for verifying prior authorization requirements and facilitating patient access to therapies. The role involves coordinating paperwork and communication with physician offices...Remote job
- ...looking for a full-time Medical Billing Collector. In this remote position, you will process referrals, review patient files,... ...in intake and medical billing. The role includes obtaining prior authorizations and improving collection rates while interacting with best practices...Remote jobFull time
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