Remote Pharmacy Prior Authorization Specialist
Univera HealthСare in
- Remote job
Univera Healthcare is seeking a Pharmacy Prior Authorization Technician to support the Pharmacy Benefits team in managing prior authorization workflows and clinical criteria. Under supervision, you will review medical documentation, determine approvals, and assist with data entry and reporting to support member care. The role emphasizes collaboration with pharmacists and physicians, adherence to guidelines, and the ability to handle on-call responsibilities as part of a rotation. #J-18808-Ljbffr Univera HealthСare in
- ...Prior Authorization Specialist About Our Company: At Infinx, we are a dynamic and rapidly expanding... ...includes physician groups, hospitals, pharmacies, and dental groups. We are in search... .... Summary Description: This remote Prior Authorization Specialist supports...Remote workWork at officeFlexible hours
- ...intelligent data management, pharmacy optimization, and value-... ...Overview: The Intake Specialist is responsible for... ...required elements are obtained prior to benefits investigation and authorization Conduct welcome calls to... ...: N/A Location: Remote with limited travel to client...Remote workWork at office
- ...The Rep I, Clinical Services takes in-bound calls from 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...Remote work
$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under direction... ...insurance companies in triaging prior authorizations for patients of the...Remote workFlexible hoursShift work- ...Medication Access Specialist We are relentless in solving... ...pharmacydesigning pharmacy footprints that meet... ...providing integrated remote support to patients, pharmacists... ..., handling medication authorizations, managing insurance... ...documentation for prior authorization...Remote workFull timeWork at office
$40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40... ...home infusion and specialty pharmacy services. We are accredited... ...Qualifications Required: Prior experience in home infusion... ...holidays. Opportunity for remote work based on qualifications...Remote workHourly payFull time- ...Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care... ...pharmacy experience required, including prior authorizations, benefit verifications, running test claims...Remote jobFull timeContract workImmediate startMonday to Friday
- ...Staffing Solutions seeks an experienced Pharmacist to perform criteria-based clinical reviews and issue prior authorization determinations for PBM programs in a fully remote role across the continental U.S. This contract-to-hire position supports high-volume provider...Remote jobContract work
$53 per hour
A-Line Staffing Solutions is seeking a Pharmacist - Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent employment. Responsibilities include reviewing prior authorization requests, ensuring regulatory compliance, and maintaining...Remote jobHourly payPermanent employmentFull timeTemporary work- ...Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in... ...submission, and follow up of payer authorization requests. Responsibilities include... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate start
$75 per hour
Gridnaut Recruiting is hiring a remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist contractor (pay $75/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: Remote contractor engagement supporting a leading AI lab.; Subject...Remote workHourly payContract workFor contractors- ...PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with... ...will have expertise in handling prior authorizations (PA), billing, insurance processes, and... ...This position offers flexibility for remote or hybrid work arrangements, with a competitive...Remote workWork at officeFlexible hours
$75 per hour
...evaluates and validates AI tools that automate pharmacy benefit management and specialty medication prior authorization workflows, ensuring accurate, payer-compliant decisions... ...model improvement. Work Terms Location, remote. Employment type, hourly. Compensation...Remote workHourly pay- ...Authorization SpecialistAre you a detail-oriented healthcare professional looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-paced, collaborative team! In this... ...validating, and creating prior authorization requests across...Remote workWork from home
$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical necessity and eligibility, in accordance with... ...and proceduresWhat you should expect in this role100% Remote home office.Full-time position.Applications will be accepted...Remote workFull timeHome officeFlexible hours- 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$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- ...Innovative Renal Care is seeking a Remote Prior Authorization Specialist to support dialysis clinics by processing prior authorizations, referrals, appeals, and renewals. You will collaborate with clinics, patients, and payers to secure and maintain required approvals...Remote workWork at office
- ...Labcorp is seeking a Pre Authorization Specialist to join a remote, United States–based team. You will conduct prior authorizations, verify benefits, and communicate with patients, health plans, and clients to expedite reimbursement. You will review medical policies, gather...Remote work
- ...A healthcare services provider is seeking a Prior Authorization Specialist to coordinate patient care and manage prior authorizations. The role involves... ...a proactive work style. This position offers the flexibility of remote work in a fast-paced environment. #J-18808-Ljbffr...Remote work
- ...Mass General Brigham Incorporated is seeking a detail-oriented staff member to review and process prior authorization and referrals for medical services, ensuring eligibility, coordination of benefits, and medical necessity in line with HIPAA standards. You will document...Remote work
- ...To support patient care, the full-time Pre-Authorization Specialist will identify prior authorization requirements by insurance providers, process and complete... ...to the ordering provider's office while working remotely. Key responsibilities Analyze information to complete...Remote workFull timeWork at office
- ...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
- ...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 work
- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist II will assist the utilization management team by documenting authorization requests, verifying member insurance coverage, and maintaining accurate records for behavioral...Remote workFull time
$48k - $50k
...Float Health is seeking a Recurring Care Specialist to coordinate nursing visits, interface with specialty pharmacies, nurses, and patients, and ensure timely scheduling... ...operations and quality patient experiences in a fully remote US role. Compensation ranges from $48,000 to $...Remote workShift work- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Remote workPart time
- ...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
$34.5 - $46.58 per hour
Job Description:Rx Refill Specialists ensure the timely processing of chronic medication... ...prescription refill request processing and prior authorization processing (if applicable). The Refill... ...: Completion of an Accredited Pharmacy Technician Program - Required or will...Hourly payFull timeLocal areaShift workWeekend work
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