Prior Authorization Specialist / Remote
$22 - $26 per hourBrightSpring Health Services
Overview 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-5:30pm (EST) Responsibilities Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines. Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions. Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols. Knowledgeable to perform all PA functions. Qualifications High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy 1+ years pharmacy experience Pharmacy or healthcare-related knowledge Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication Basic math and analytical skills Intermediate typing/keyboard skills Additional Job Information Percentage of Travel: 0-25% Salary Range USD $22.00 - $26.00 / Hour #J-18808-Ljbffr
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the Prior Authorization Specialist / Remote in United States vacancy
- ...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
Randstad USA
Naperville, IL3 days ago $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 workDiverse Lynx
United States4 days ago- ...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
Amerit Consulting
Cary, NC5 days ago $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 officeMercor
New York, NYmore than 2 months ago$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... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift workProvidence Health & Service
Salem, OR2 days ago- ## Reimbursement Specialist - Days - RemoteApplylocations: Richmond, VAtime type: Full timeposted on: Posted Todayjob requisition... ...collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with...Remote workWork experience placementAll shiftsWeekend work
Virginia Commonwealth University Health
United States1 day ago - ...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
Virtual Vocations Inc
United States4 days ago - ...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
Piedmont HealthCare
Statesville, NC4 days ago - ...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
Silna Health
United States2 days ago - 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
- ...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
Slocum Center
Eugene, OR1 day ago - ...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
Virtual Vocations Inc
United States2 days ago - ...PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts. About the Company... ...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
Phil
San Francisco, CA3 days ago - ...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
Actalent
United States1 day ago - ...the completing of training 3-months of onsite training required Job Summary: The Authorization Specialist II ensures accuracy of insurance information and obtains prior authorization and predetermination requirements for non-oncology infusions, oncology infusions...Remote workFull timeWork experience placementLive inWork at officeMonday to Friday
Saint Francis Health System
United States3 days ago $24 - $28 per hour
...Prior Authorization Specialist Aleracare Phoenix, Arizona, United States About this position About Pure Infusion Pure Infusion is a fast-growing healthcare... ...to the opportunity to work together. The pay range for this role is: 24 - 28 USD per hour(Remote) #J-18808-Ljbffr...Remote workHourly payLocal areaMonday to FridayAleraCare Holdings, LLC
Phoenix, AZ1 day ago$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 officeKoya Medical, Inc.
United States2 days ago- ...soon as possible. Requests health plan authorizations/information as required; either... ...equipment up to 50 lbs. This position is remote and requires a distraction free environment... ...United States is not permitted without prior authorization. Teammate Benefits As...Remote workHourly payFull timeTemporary workWork at officeLocal areaImmediate startWork from homeHome officeFlexible hours
Accendra Health
Kansas City, KS5 days ago $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 FridayRiverhills Neuroscience
Cincinnati, OH5 days ago$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 hoursArizona Oncology
United States4 days ago$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 workCycle Pharmaceuticals
Detroit, MI5 days ago$24.76 - $33.17 per hour
...Authorization Specialist II The 61st Street Service Corporation, provides administrative and clinical... .... This position is primarily remote, candidates must reside in the Tri-State... ...authorizations for professional services prior to the patient's visit, scheduled...Remote workHourly payFull timeWork at officeLocal areaImmediate start61st Street Service Corp
United States4 days ago$24 - $26 per hour
...are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent and adult mental... ...and coverage requirements. Complete prior authorizations, pre-certifications,... ...Ability to work independently in a remote setting. Eligibility for DCF and AHCA...Remote workFull timeMonday to FridayAdolescent Wellness Academy
New York, NY6 hours ago$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 payMass General Brigham (Enterprise Services)
Somerville, MA1 day ago- ...seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step... ...accelerate time-to-therapy. Job Title: Patient Access Specialist POSITION SUMMARY: Under the general...Remote workFlexible hours
CareMetx
United States4 days ago - ...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
Talentify.io
Providence, RI2 days ago - ...LanceSoft is seeking a Pharmacist with PBM or Prior Authorization experience for a remote, full-time role. You will review and complete criteria for prior authorization per policy and procedure, ensuring accuracy and compliance. Requirements include a PharmD or B.Pharm...Remote workFull time
LanceSoft
Woonsocket, RI3 days ago $19 - $23 per hour
...Intake Specialist (In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve the lives of others isn't easy, but... ...for every registration Identify payers where prior authorization is needed and submit authorization requests...Remote workHourly payFull timeLive inWork at officeLocal areaMonday to FridayUnited Wound Healing
United States4 days ago$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... ...off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be...Remote workHourly payFull timePart timeH1bWork at officeFlexible hoursCentene Corporation
United States4 days ago$19 - $20 per hour
...Authorization Management Specialist At Amber Specialty Pharmacy, our commitment to patient care is unmatched... ...for preparing appeal summaries and prior authorizations, correspondence with... ...traverse conferences, meetings, and remote events Constantly operates a...Remote workHourly payWork experience placementWork at officeLocal areaMonday to FridayAmber Specialty Pharmacy (Hy‑Vee)
Omaha, NE1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Specialist / Remote. Be the first to apply!
Related searches
- auction specialist United States
- senior safety specialist United States
- reentry specialist United States
- grocery specialist United States
- localization specialist United States
- agency management specialist United States
- restaurant specialist United States
- outreach specialist United States
- renovation specialist United States
- live chat specialist United States