Remote-Eligible Prior Authorization Specialist
Hologic, Inc.
- Remote job
Hologic, Inc. is seeking a detail-oriented Prior Authorization Specialist to manage high-volume submissions for molecular pathology testing. You will review medical records, apply payer criteria, and ensure CPT/ICD-10 alignment to minimize denials. You will collaborate with billing teams, verify eligibility, and maintain HIPAA compliance while using payer portals and internal systems to track and follow up on authorizations. #J-18808-Ljbffr Hologic, Inc.
$18.25 - $24 per hour
...A healthcare company is seeking a Membership Eligibility Processor to handle enrollment applications and maintain eligibility records. The ideal candidate will have a high school diploma and data entry experience. Responsibilities include processing applications, ensuring...Remote workHourly payWork from homeFlexible hours$18.25 - $24 per hour
...A health care organization is looking for a Membership Eligibility Processor who can work from home. The role includes processing enrollment applications, maintaining eligibility records, and providing excellent customer service. Candidates should have a high school diploma...Remote workHourly payWork from home- ...A health care organization is looking for a Membership Eligibility Processor to manage subscriber eligibility and application processing. This role requires at least a high school diploma and 6 months of data entry experience. Key responsibilities include maintaining accurate...Remote workWork at officeWork from homeFlexible hours
- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They... ...patient documentation to verify eligibility for Transcranial Magnetic... ...with TMS, behavioral health, or prior authorization processes Why You...Remote workFull timeFlexible hours
$35.11k
...Authorization Specialist - TGMG Phy Practice Plan The Authorization Specialist is responsible for... ...Understanding of pre-certification, prior authorization, and referral requirements... ...3500 E. Fletcher Ave Tampa 33613 Eligible for Remote Work: Hybrid Remote Job: Patient...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work$20.31 per hour
...Prior Authorization Specialist We are looking for a Prior Authorization Specialist to join our team. In this role you will work with hospital... ...hours/week, Monday–Friday, 7 am to 5 pm, 8‑hour shifts. Remote eligible after in‑person training in Onalaska, WI. Specialize in...Remote workHourly payFull timeMonday to FridayShift work- ...Infusion and Specialty Drug Revenue Cycle Specialist is responsible for managing the... ...Insurance Verification Confirm insurance eligibility and coverage for infusion therapies... ...and clinical teams to obtain prior authorizations when required. Compliance and Documentation...Remote work
$20.98 - $30.12 per hour
...billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems... ...exhibit financial need. Works with the Medical Assistance Eligibility team to refer patients through the Medical Assistance process...Remote workImmediate start- ...processes to minimize delays and optimize outcomes for Medicaid eligibility determinations. Qualifications Experience working for the... ...for skilled nursing facilities is required. Work Arrangement Remote work with occasional site visits during the year. Compensation...Remote workPart time
$29.62 - $45.31 per hour
...responsible for all core functions in the Prior Authorization (PA) Department Coordinate and... ...review of coverage (medical necessity, eligibility, network status, regulatory) Use appropriate... ..., provider resolutions, etc.) Remote Work This position offers 100%...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...A health care company is seeking a Membership Eligibility Processor to join their remote team. Responsibilities include processing enrollment applications, maintaining accurate member records, and ensuring compliance with eligibility standards. The ideal candidate will...Remote work
- ...Responsible for screening and processing prior authorization requests in the medical care... ...appropriate healthcare delivery. Work Mode: Remote Responsibilities Prioritizes... ...Answers ACD line calls, verifies member eligibility, and enters information necessary to document...Remote workWork at office
$51 per hour
...Utilization Management Specialist (UM / Utilization Review Nurse) — Remote In this role, you'll... ...support timely, accurate authorization decisions. Location:... ...S.) — Maryland compact/eligibility required Type: Contract... ...and support prior authorizations. Use...Remote workContract workWork at officeLocal areaFlexible hours- ...Prior Authorization Specialist (Contract) Flagler Health | Posted Mar 9 Apply Full-time New York Negotiable... ...AI-powered workflow automation, remote patient engagement, and chronic care... ...portals efficiently Verify insurance eligibility and benefits prior to submission...Remote workFull timeContract work
- ...Prior Authorization Specialist Responsible for screening and processing prior authorization requests... ...Answers ACD line calls, verifies member eligibility and enters information necessary to... ...Effort: Work is performed fully remotely. No or very limited physical effort...Remote workWork at office
- ...financial assistance for medical care, the full-time hourly Eligibility Specialist 2 will conduct eligibility screenings, facilitate... ...between patients and healthcare providers, all while working remotely. Key Responsibilities Conduct advanced eligibility screenings...Remote workHourly payFull time
$19 - $23 per hour
...Intake Specialist (In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve... ...Accurately verify eligibility for each insurance payer identified... ...registration Identify payers where prior authorization is needed and submit...Remote workHourly payFull timeLive inWork at officeLocal areaMonday to Friday- ...Advanced Imaging Authorization Specialist – Full-Time Position – Raleigh Location... ...our Raleigh office and two remote workdays. In-office days... ...Verify patient insurance eligibility and coverage requirements... ...medical insurance, billing, or prior authorizations strongly preferred...Remote workFull timeWork at office3 days per week
- ...Remote Authorization Specialist New England Life Care (NELC) is one of the fastest growing home infusion... ...for obtaining and maintaining prior authorization status for NELC patient... ...to the success of the department are eligible for promotion to the following positions...Remote workTemporary workLocal areaMonday to Friday
$18.89 - $27.81 per hour
...and prevention, experienced specialists, life‑changing care, or... ...Moorstown - 300 West Route 38 Remote Type: On‑Site Employment Type... ...responsible for obtaining prior authorizations for surgical procedures and... ...of patient benefits and eligibility. Position Responsibilities...Remote workHourly payFull timeTemporary workPart timeLocal areaFlexible hoursShift workDay shift$15 - $21 per hour
...edits, using available resources: face sheets, insurance cards, eligibility results etc. Determine the appropriate insurance carrier... ...Location: ~ Lafayette, LA - SCP Office (4 days in office, 1 day remote) Pay Range: 15.00 - 21.00 USD per hour This range...Remote workHourly payWork at office$25 per hour
...Maximus is seeking Sr. Enrollment and Eligibility Specialists with direct SNAP (Supplemental Nutrition... ...program. Ideal candidates will have prior experience working for a state agency,... ...federal and state regulations. This is a remote opportunity with computer equipment...Remote workFor contractorsHome office$15.75 per hour
...Eligibility Specialist Location: Remote, Wisconsin Residents Only Pay: $15.75 per hour Schedule: Full Time, Monday through Friday Assignment Notice: This is a temporary position expected to continue through the end of the year. While continued employment...Remote workHourly payFull timeTemporary workLocal areaMonday to Friday$19 - $20.85 per hour
...Russell Tobin's client a health insurance company is hiring Eligibility Specialists in Phoenix AZ. Job Title: Community Assistor - Medicaid/... ...Department: Medicaid Location: Phoenix, AZ (remote) Pay Rate:$19 - 20.85hr. FLSA Status: Exempt / Nonexempt...Remote workFull timeContract workWork at officeWeekend workAfternoon shift- MagnaCare in Chapel Hill, NC, is seeking an Enrollment and Eligibility Specialist to handle critical processing tasks. This hybrid position involves creating and updating member profiles, troubleshooting inquiries, and collaborating with various stakeholders to ensure...Remote jobWork at office
- Brighton Health Plan Solutions, LLC is seeking an Enrollment and Eligibility Specialist to join their team remotely. The role involves processing enrollment and eligibility, analyzing data discrepancies, and communicating with clients to ensure high-quality service. Candidates...Remote job
- ...activation processes. In this role, you will manage benefit eligibility checks and prior authorization requests, ensuring timely processing. You will also... ...and medication shipping, working independently in a remote setting while maintaining accuracy in documentation and...Remote jobFull time
$18 - $20 per hour
...Work to ensure insurance verification and authorization is obtained for medical services... ...precertification experience M‑F 8:30a‑5p CST Remote Desired Professional Skills and... ...experience in healthcare billing, AR, eligibility, and precerts preferred Background with...Remote workHourly payWork experience placementWork from homeFlexible hours- ...Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60055556 CLASS TITLE: ECONOMIC SELF... ...Act, must notify the agency hiring authority and/or People First Service Center (1-... ...announcement. Location: OCALA, FL, US, 34474 Remote / Telework, US For assistance, call...Remote workMonday to Friday
$25.3 per hour
...our Community Assistance Division as a Long‑Term Care (LTC) Eligibility Specialist . In this role you will determine eligibility for Long Term... ...wellness programs; tuition reimbursement; flexible schedules; remote work options; and more. Work Schedule This position offers a...Remote workHourly payMonday to FridayFlexible hours
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