Prior Authorization Specialist I (Remote Eligible)
MedImpact Healthcare Systems Inc.
- Remote job
MedImpact Healthcare Systems, Inc. in Tempe, AZ is seeking an experienced Prior Authorization Specialist to join the Operations team. You will process PA requests, use clinical guidelines, and communicate with physicians and pharmacies to obtain or verify information, aiming for timely, accurate determinations according to client requirements. This role requires a GED/HS diploma and at least 1 year of relevant experience; proficiency with MS Office; and the ability to handle high-volume #J-18808-Ljbffr MedImpact Healthcare Systems Inc.
- ...Gundersen Health System in Wisconsin is seeking a Prior Authorization Specialist to obtain pre-certifications and authorizations for services... ...skills. Full-time, 40 hours/week, in Onalaska, WI with remote eligibility after training. Experience in healthcare insurance and...Remote workFull time
$52.95k - $60.89k
...experience Who You Are The Eligibility and Enrollment Specialist provides support to contracted... ...information regarding eligibility and prior authorization requirements for timely service... ...environment that requires primarily remote work with some office-based time....Remote workTemporary workLocal areaFlexible hours- ...MedImpact Healthcare Systems, Inc. in Tempe, AZ is seeking an experienced Prior Authorization Specialist to join the Operations team. You will process PA requests, use clinical guidelines, and communicate with physicians and pharmacies to obtain or verify information...Remote work
- ...includes scheduling, registration, insurance verification, prior-authorization, financial counseling, cashiering, and release of information... ...and quality standards. Based in Muncie, IN, this full-time daytime position may allow for a remote schedule. #J-18808-Ljbffr...Remote workFull time
- ...and a strong background in prior authorizations? We are seeking a highly organized... ...Prior Authorization Specialist to join our national Utilization... ...queues, verifying member eligibility, gathering medical... ...Position Type: Full-Time | 100% Remote Schedule: Monday – Friday...Remote workFull timeLive inWork from homeMonday to Friday
- ...Oklahoma Department of Human Services in Clinton, Oklahoma, is seeking a Family Services Specialist I/II to assist adults and families with eligibility for SNAP, childcare, and medical programs. The role emphasizes interview skills, casework documentation, and processing...Remote workWork at officeWork from home
$19.41 - $28.14 per hour
Job Description: The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization... ...expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork at office- ...Alternate Solutions Health Network, LLC is seeking a Verification Specialist to review patient eligibility for home care services. You will verify insurance coverage, communicate with patients and families, and ensure accurate documentation and CMS-compliant workflows...Remote work
- ...A dedicated nonprofit organization in the United States is seeking an Intake & Eligibility Specialist to be the frontline in client services. This position involves conducting intake interviews, verifying eligibility for programs, and ensuring compliance with Medicaid...Remote workFlexible hours
- ...financial responsibility. Responsibilities include verifying eligibility, calculating patient liability, obtaining prior authorizations, providing notices of admission, and addressing payer denials. Remote call-center experience and strong customer service are...Remote work
- ...Alopex Powered by ShiFox is seeking a Patient Access & Eligibility Specialist to support care management enrollment opportunities and HIPAA-compliant patient interactions. The role emphasizes accuracy in verifying insurance, eligibility, and program requirements while...Remote work
$74.68k - $97.09k
...of Indian Affairs in Billings, Montana, is seeking a Program Specialist (Corrections), GS-0301, to analyze law enforcement programs and... ...located in District 5 - Corrections, with a pay range of $74,678 to $97,087 per year. Telework eligibility is noted. #J-18808-LjbffrRemote workWork at office- ...Alopex Powered by ShiFox is seeking a Patient Access & Eligibility Specialist to verify insurance, determine CCM/RPM eligibility, and handle... ...technical skills to navigate multiple systems. You will work remotely with HIPAA compliance, supporting enrollment readiness, and...Remote work
- ...Luminare Health is seeking a detail-oriented Eligibility Clerk to support customer members and providers. You will handle data entry, verify... ...with Client Management staff. This position can be performed remotely from anywhere in the continental United States, excluding...Remote work
- ...Baystate Health is hiring for a remote role serving Massachusetts and Connecticut. You will process referrals and prior authorizations, ensuring accurate documentation while monitoring... ...remote work option is available for eligible candidates in the Northeast, with benefits...Remote workWork at office
- ...The Eligibility & Authorization Rep II at CHLA supports authorizations for patient services, acting as the primary liaison between patients, CHLA, and third-party payers. This remote role may require on-site attendance for business needs and requires California residency...Remote workWork at office
- ...Boston Medical Center is seeking a Part-Time, remote Prior Authorization Specialist I to support Insurance Verification and financial clearance. You will handle pre-registration, verify eligibility, obtain referrals and precertifications, and coordinate with providers...Remote workPart time
- ...Oscar Health is hiring an Enrollment Processor (Eligibility) to join the Eligibility & Billing team. This fully remote role serves U.S. candidates (excluding certain states) and focuses on back-office tasks, member questions, and process adherence. You will work with...Remote work
- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist will manage complex authorization requests, verify member insurance coverage... ...member insurance coverage and service eligibility, aligning authorizations with guidelines for...Remote workFull time
- ...is seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full... ...across a group of nursing centers. This remote role involves gathering documents, submitting... ...communicating with families, obtaining authorizations, coordinating financial documentation,...Remote work
- ...Centauri Health Solutions is seeking empathetic Medicare/Medicaid Eligibility Specialists to support members remotely, guiding them through benefits and enrollment with care. You will verify Medicaid, LIS, and MSP eligibility, gather required information, and document...Remote work
- ...Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote position with a 40-hour work week. The role focuses on accurately verifying insurance eligibility, securing prior authorizations, and managing denials to support patient financial...Remote work
- ...Mass General Brigham Health Plan is hiring an enrollment specialist to assist MassHealth applicants, renewals, or waivers. You will explain eligibility, help complete forms, and guide clients through the enrollment process with a patient, compliant approach. The role...Remote workWeekday work
- ...University of Utah Health seeks a primarily remote role to secure outpatient accounts through insurance verification and prior authorization. You will work with physicians, nurses,... .... Responsibilities include verifying eligibility and benefits, creating estimates, submitting...Remote work
- ...The State of Maine is seeking an Eligibility Specialist II in Machias within the Department of Health and Human Services to determine initial and ongoing eligibility for public assistance programs, with a strong MaineCare policy focus. The role sits in the Long-Term Care...Remote work
- ...Ensemble Health Partners is seeking a remote Patient Eligibility Specialist to screen uninsured/under-insured patients for Medicaid eligibility and coordinate applications for timely submissions. Ideal candidates will have 1–2 years in healthcare, be inquisitive, and able...Remote work
$22 - $29 per hour
...Retina Prior Authorization Specialist - Fully Remote Location: Fully Remote - EST, CST, or MST Only Pay: $22-$29/hour, based on experience Schedule... ...in the Pacific Time Zone (PST/PDT) are not eligible. Benefits: Medical, Dental, Vision, 401K, PTO...Remote workLocal areaMonday to Friday$50 - $150 per hour
...Benture is seeking a remote VA Eligibility Specialist contractor to support Veterans Affairs health care enrollment and eligibility workflows. You will assess eligibility and priority groups while handling income and means testing to ensure veterans receive appropriate...Remote workHourly payFor contractors- ...Boston Medical Center is seeking a Remote Part-Time Prior Authorization Specialist I to screen and coordinate prior authorizations and financial clearance... ...requests, obtaining authorizations, verifying eligibility, and guiding callers through network benefits while...Remote workPart time
$21 - $23 per hour
...Infusion Prior Authorization Specialist – Remote Position – Full Time Position Summary We’re looking for an EXPERIENCED U.S. based Infusion Prior Authorization... ...exceptional experience.] High performers will also be eligible for a performance bonus incentive . Health Insurance #J...Remote workHourly payFull timeShift work
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