Prior Authorization Specialist
Virtual Vocations Inc
To support the financial clearance process, the part-time Per Diem Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with departmental guidelines while working remotely. Key responsibilities Prioritizes and processes incoming prior authorization requests, authorizing specified services as per departmental policies Collaborates with clinicians and other stakeholders to obtain necessary information and ensure timely access to care Maintains knowledge of insurance requirements and navigates payer policies to facilitate financial clearance for scheduled services Required qualifications High school diploma or GED required; Associate's Degree or higher preferred 4-5 years of office experience in a high-volume data entry, customer service call center, or healthcare setting Experience with insurance verification, prior authorization, and financial clearance processes Familiarity with insurance payer websites and basic medical terminology is helpful Bilingual candidates are preferred
- .... * Maintains open communication with other departments regarding scheduling changes. * Properly verifies and obtain prior-authorization when needed. * Follows up on any requests and/or messages left on work phone immediately. * Coordinates transportation...SuggestedWork at officeImmediate start
- ...InterCommunity HealthCare is currently seeking a Front Desk Specialist to join our team. The ideal candidate will be... ...records, correspondence, and other documents. Assisting with prior authorizations for medical procedures and treatments Maintain patient flow...SuggestedFull timeTemporary workFlexible hours
- ...week) – Onsite Compensation: Competitive wage based on experience Benefits: Eligible for benefits Now Hiring – Prior Authorization Specialist: About the Position Cherry County Hospital is seeking a dedicated and detail-oriented Prior Authorization...SuggestedFull timeTemporary workWork at officeImmediate startFlexible hours
$16.73 per hour
...pharmacy experience Patient access experience Insurance verification experience Benefits investigation experience Prior authorization experience Financial assistance program experience Healthcare call center experience Pharmacy industry experience...SuggestedFull time- ...experienced healthcare professional with a sharp eye 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 team. In this role, you will serve...SuggestedFull timeLive inRemote workWork from homeMonday to Friday
$60k
...Prior Authorization Specialist – CPhT | Montvale, NJ HealthCare Support is seeking a Prior Authorization Specialist - CPhT to join a growing Pharmacy Benefit Management (PBM) organization in Montvale. This is a great opportunity for a Certified Pharmacy Technician...Full timeTemporary workWork at officeLocal areaImmediate startMonday to Friday- ...America)Job Summary:When ProMedica patients prepare for orthopaedic surgeries and injections, the Pre-Certification Specialist performs prior authorization and certification for the services with payers. You will have a general understanding of coding for surgeries and...Full timeWork at officeFlexible hours
- ...Coding Specialist Full-Time (80 hours a pay period) | Revenue Integrity Schedule: Monday-Friday, set schedule upon hire... ...Management, Patient Financial Services, clinical departments, and Prior Authorization teams to resolve documentation and billing concerns....Full timeTemporary workRemote workMonday to Friday
$33.2 - $36.94 per hour
...visible position responsible for coordinating and securing prior authorizations for medical services and procedures on behalf of the facility... ...using the Epic system. The Prior Authorization Specialist is a key member of the interdisciplinary team, responsible...Full timeLocal areaRemote workHome officeShift work- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities...Full timeRemote work
- ...The Prior Authorization Specialist is responsible for obtaining and coordinating insurance authorizations and precertifications for medical services, procedures, diagnostic testing, medications, and other services requiring payer approval. This position plays a critical...Work at office
- ...Job Details: Job Location: Ganado, AZ 86505, Position Type: Full Time, Position Summary:The Prior Authorization Specialist is responsible for verifying insurance coverage, securing prior authorizations, and ensuring medical necessity requirements are met for all services...Full timeWork experience placementWork at officeMonday to FridayShift work
$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$18 per hour
...applicants for a part-time 10-24 hours per week Behavioral Health Specialist. The individual will assist licensed providers with the... ...for the department, as needed Complete medication prior authorizations and medication refills, as needed Collaborate with the medical...Part time10 hours per week$26 per hour
...impact in transforming healthcare. Responsibilities The Authorization Representative will need to cover authorizations for all... ...up required along with reporting of authorization status. Prior Authorization and Eligibility Initiate, submit, and track...Hourly payRemote work$55k
...to come! As the Utilization Review Specialist, you will work in an office based setting... ...is responsible for all aspects of the authorization of treatment via insurance and managed... ...Responsibilities: Requesting and obtaining prior authorizations for treatment services...Extra incomeWork at office$17 per hour
...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $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...Full timeRemote workWork from homeMonday to FridayFlexible hoursShift work- ...at KHS, Making information available to authorized users timely. Maintain storage and retrieval... ...to, the following: Receive requests for prior authorizations through the electronic... ...with insurance companies, physicians, specialist and patients as needed, including documenting...
- ...To support a growing healthcare team, the full-time Prior Authorization Specialist will determine authorization requirements for outpatient services, submit requests for approval, and follow up with healthcare providers, all while working remotely. Key responsibilities...Full timeRemote work
- ...Shreveport, LA Newly Created Position Full-Time, Day The Willis Knighton Department of Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our team. This individual will work directly with our Outpatient Infusion Units under the supervision of the Pharmacy...Full timeWork at officeShift work
- ...Verification Specialist Wilmot Administration - Tucson, AZ 85711 Overview Position... ...insurance eligibility, obtaining authorizations, and providing patient financial responsibility... ...referrals, pre-certification and/or prior authorizations via fax, online, or...Full timeTemporary workWork at officeLocal areaMonday to FridayShift work
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday... ...Review (UR) Specialist to manage insurance authorizations for adolescent and adult mental health... ...coverage requirements. Complete prior authorizations, pre-certifications,...Full timeRemote workMonday to Friday- ...GENERAL SUMMARY OF DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely medication access... ...health outcomes. This specialist is responsible for managing prior authorization (PA) processes while proactively engaging patients to...Work at officeRemote workWork from homeHome office
- ...Demonstrates knowledge of breastfeeding learning principles. ~ Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. ~ BLS - Basic Life Support AHA - American Heart Association Upon Hire and ~ IBCLC -...Work at officeLocal areaShift workDay shift
- ...Description The Revenue Cycle Specialist is responsible for the accurate and timely submission... ...reviews service documentation, verifies eligibility, authorization status, coding, and modifier requirements prior to submission, and works claims through adjudication...Full time
- ...Continuumrx Acute Authorization and Verification Team Continuumrx is currently recruiting... ...Team! Job Summary: The Verification Specialist - Specialty role is responsible for... ...completion the requirement of obtaining prior authorizations for services. This includes...Work from home
- ...Verification Specialist - Specialty The Verification Specialist - Specialty role is responsible... ...processing benefit verification and authorization responsibilities of specialty patient... ...co-pays, deductibles, and co-insurance prior to services rendered in accordance with...Work from home
- ...Revenue Cycle Specialist Are you detail-oriented, organized, and motivated by solving problems? As a Revenue Cycle Specialist... ...including: Signed attendance records Treatment vouchers Prior authorizations Other supporting documents ~ Handle the complete...Work at officeLocal area2 days per week3 days per week
- ...Referral Specialist Pittsburgh, PA 15218; PITTSBURGH, PA 15218 Description Track and follow up on prior authorization requests after submission, including communication with payers, providers, pharmacies, and patients as needed. Coordinate and monitor referrals...Work at office
$17.84 - $28.02 per hour
...Position Purpose Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate...Hourly payFull timePart timeH1bWork at officeRemote workFlexible hours
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