Remote Prior Authorization Specialist
Thornton Tomasetti
- Remote job
Abbott seeks a Prior Authorization Associate Level I to manage patient insurance eligibility, authorizations, and claim follow-up using Epic and related tools. You will work across sales, operations, billing, and lab teams to ensure accurate coverage and timely reimbursement. The role requires meticulous attention to detail, knowledge of payer rules, and the ability to handle high-volume workflows while maintaining HIPAA compliance and professional communication. #J-18808-Ljbffr Thornton Tomasetti
$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$21.68 - $23.99 per hour
...Prior Authorization Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you'll have the opportunity...Remote workHourly payWork at officeWork from homeHome officeNight shift- 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 jobWork 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$22.14 - $28.78 per hour
...Pharmacy Medication Access Specialist (Refill Team) Location Aurora... ...reside in Colorado for this remote position Department: Patient... ...appropriate monitoring and authorization of medications for UCHealth... ...year of experience performing prior authorizations or refill renewals...Remote workFull timeWork at officeShift work- ...Appeals Specialist Are you an analytical healthcare professional who loves solving... ...Utilization Management team! In this 100% remote role, you will act as the first line... ...evaluating claim disputes, verifying prior authorization requirements, and conducting thorough...Remote work
- ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through... ...to reliable, high-speed internet to meet the needs of remote processing (required) Reliable transportation and ability...Remote workFull timeWork at officeMonday to FridayShift 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- CVS Health is hiring a Representative I to be the first point of contact for Prior Authorization requests from members, providers, and a diverse customer base. You will determine if complex requests should be escalated to a pharmacist and maintain detailed documentation...Remote jobWork from homeNight shift
- ...The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...specialist 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 workFull timeWork at officeWork from homeHome office
- ...JOB OVERVIEW DeliverHealth is seeking an experienced Prior Authorization (PA) Specialist to support the continuous improvement of InstaAuth , DeliverHealth's AI-powered and agentic Prior Authorization platform. The primary responsibility of this role...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
- ...To support patient care, the fully remote Precertification Specialist will obtain and manage prior authorizations, ensuring compliance with insurance requirements and facilitating timely access to treatment. Key responsibilities Ensures timely acquisition and management...Remote work
- ...To support patient access services, the full-time Prior Authorization Specialist will verify insurance, obtain authorizations, and coordinate financial clearance activities remotely, ensuring compliance with healthcare delivery standards. Key responsibilities Processes...Remote workFull timeWork at office
$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$15 - $18 per hour
...Remote - US Full time REQ_26_70645 At Accendra Health, we understand that healthcare... ...as possible. Requests health plan authorizations/information as required; either... ...United States is not permitted without prior authorization. Teammate Benefits As...Remote workHourly payFull timeTemporary workWork at officeLocal areaImmediate startWork from homeHome officeFlexible hours- ...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
- ...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
- ...believe in the power of human connection, with inclusion as the heart of our mission. Location: Remote Summary Description: This remote Prior Authorization Specialist supports the Patient Access Onshore department in various functions, insurance verification and...Remote workWork at officeFlexible hours
$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...pharmacy member appeals and grievances, the full-time remote Appeals and Grievance Specialist will ensure compliance with regulatory requirements... ...Experience with Medicare medical and/or pharmacy prior authorization processes Comprehensive knowledge of CMS, MassHealth...Remote workFull time
$13 per hour
...Pride Health is hiring a Prior Authorization Specialist to support our client's healthcare facility in Sumter, SC . Interested? Apply Today!... ...Schedule: Business Hours EST Location: Sumter, SC 29150 or Remote Job Type: Contract Contract Length: 27 Week/s...Remote workContract workLocal area$46.37k - $60.86k
...Hi, we're Oscar. We're hiring a Specialist, Admin Complaints, Grievances & Appeals to... ...Team Lead. Work Location: This is a remote position, open to candidates who reside... ...complex event timelines involving prior authorizations, claims processing, and system-based adjudication...Remote jobFull timeWork 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
- ...Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!... ...Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and... ...all outstanding held revenue related to prior authorizations for insurances assigned....Remote workFull timeTemporary workWork at office
- ...Intake Specialist Due to growth we are adding an Intake Specialist to our team! Under... ...and insurance companies in triaging prior authorizations for patients of the specialty pharmacy... ...~ Adoption Assistance Program ~ Flexible Spending Account Remote US...Remote workFlexible hoursShift work
$21 - $28.3 per hour
...verify insurance coverage, obtains pre-authorization for medical procedures, and facilitates... ...insurance coverage and eligibility for patients prior to medical procedures or hospital... ...30 am-5:00 pm EST schedule required for remote role * Quiet, secure, stable, compliant...Remote workHourly pay$24.5 - $37 per hour
...Prior Authorization Specialist Minneapolis, MN Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical...Remote workWork experience placementWork at officeLocal areaFlexible hours$50k
...way of patients and their access to therapy. The Benefits Specialist works in a dynamic and compassionate customer service role... ...benefits Coverage Determination Summary. Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation...Remote workFull timeTemporary workWork at officeImmediate start- ...Job Description Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote, part-time opportunity working 10-20 hours/week where candidates will leverage their prior authorization expertise to evaluate...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
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