Remote Utilization SLP - Prior Authorization Specialist
Pacer Group
- Remote job
Pacer Group is seeking a Licensed Speech-Language Pathologist for a fully remote Utilization Specialty Therapist role. This 9-month contract focuses on clinical utilization review and therapy prior authorization, with a Monday–Friday schedule. Responsibilities include reviewing requests, ensuring policy compliance, maintaining required documentation, and meeting turnaround times. Pediatric experience is preferred; adult experience is also considered. #J-18808-Ljbffr Pacer Group
- ...Managing insurance authorizations for mental health and substance use treatment... ...full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support... ...criteria while working remotely. Key responsibilities Verify...Remote workFull time
$27 - $30 per hour
...and have experience in utilization management, healthcare... ...pharmacy operations, this remote opportunity offers a... ...Utilization Management Specialist, you'll play a key role in the authorization review process, helping... ...teams and assist with prior authorization activities...Remote workContract workMonday to Friday$65k - $75k
...Utilization Review Specialist (RN) – Remote $65K–$85K | Required - OASIS & Coding Certifications | Florida RN License Required Concierge Home Care | Remote... .../Kinnser experience SHP platform experience Prior QA, Utilization Review, or Clinical Auditing experience...Remote workFull timeMonday to FridayWeekday work$53.19k - $82.43k
...Do in This Role: The Utilization Management Specialist provides advanced operational... ...payer communication, authorization coordination, documentation... ...documentation elements are present prior to submission and escalate... ...complete. *Approved Remote States: Arizona,...Remote workFull time- ...school systems, special districts, utilities, and related agencies. Our work... ...collaborators. Engagements are remote-first with occasional client travel. When you authorize it, AlphaGov may name you as an... ...and Grid Interconnection Specialist for current public EV charging...Remote workContract workBank staff
- .... Job Details PAC Specialists in our Patient Engagement... .... This is a remote-based environment, allowing... ...and accuracy. Utilizing sound drug knowledge to... ...receive prescription authorizations, clarifications or transfers... ...duties such as prior authorizations, billing...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours
$41.6k - $49.92k
...This Role: The Revenue Cycle Authorizations Specialist I is responsible for... ...have familiarity with the prior authorization process or experience... ...current client status. Utilize the Outlook system to appropriately... ...RCM benchmarks. Previous remote work experience preferred....Remote workFull timeWork experience placementWork at office- ...Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on... ...obtaining and maintaining insurance authorizations, communicating with managed... .... The ideal candidate has prior utilization review or behavioral...Remote workPart timeWeekend work
$34.82k - $55.99k
...The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion... ...Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications with insurance payers. You will support patient access by securing initial and continued...Remote work
- ...physicians’ offices, and submit and obtain prior authorizations as required by payer; obtain... ...client database and patient files and utilize the client database to monitor outstanding... ...of the exciting perks UBC offers: ~ Remote opportunities ~ Competitive salaries...Remote workFull timeTemporary workLocal areaFlexible hoursShift work
- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
- ...professional growth. About this Role SOURCING SPECIALIST – EPC / UTILITIES Own the Sourcing. Build the Partnerships. Power the Future... .... EnergyLink | A Quanta Services Company Location: Remote Travel: Up to 10% Your Next Career Move Starts Here....Remote workFull timeContract workLocal areaShift work
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ..., along with experience in Epic EHR and Utilization Review. The selected candidate will... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work- ...Looking For We are seeking an experienced specialist who is passionate about making a... ...Responsible for managing all clinical authorization processes to ensure timely, accurate,... ...field required preferred. 2-3 years of utilization review experience in behavioral health...Remote workDaily paidFull time
$22 - $26 per hour
...initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols...Remote workMonday to FridayShift work$18 - $20 per hour
...compassionate professional to join our Utilization Review department. At... ...As a Utilization Review Specialist, you serve as the vital link... ...corporate office, 3 days remote. What You Will Do Act... ...clinical updates and managing authorizations. Collaborate with...Remote workHourly payFull timeWork at office- ...Coronis Health is seeking a qualified Utilization Review Specialist to manage authorization of treatment with insurance and managed care companies from a remote Jackson, MI area. You will provide information to payers about medical necessity and perform pre-certification...Remote work
- ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment facilities... ...to secure the maximum number of authorized days for them to complete treatment... ..."recovering". Benefits ~100% remote first company to foster flexibility,...Remote workFull timeWork at office
$18.5 per hour
...Type: Temporary Role Location: Remote Compensation: $18.50 Ideal Option has been... ...disorder. We are looking for a Prescription Prior Authorization Specialist to join our growing team and help us... ...Additional responsibilities include: Utilizes and comprehends eClinicalWorks. Such...Remote workTemporary workWork at office- ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified... ...necessary, appropriately authorized, and compliant with payer, state,...Remote workFull timeMonday to FridayFlexible hours
- ...About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Prior Authorization Specialist takes in-bound... ...to support volume where needed. Responsibilities: Utilizing multiple software systems to complete Medicare appeals...Remote workContract work
- ...Cedars-Sinai is seeking a highly organized Utilization Management Specialist to provide advanced operational and workflow support for UR Nurses... ...compliant utilization review processes. You will manage authorization lifecycles, coordinate with payers, and maintain documentation...Remote work
$90.9k - $129.9k
...expertise to adjudicate Behavioral Health prior authorizations based on medical necessity and... ...for this role, rather you will provide utilization review and quality assurance. Your... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hours- ...Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation... ...judgment, and collaboration with providers and members, in a remote setting. Requirements include a nursing degree or a Human...Remote workWork at office
$26 per hour
...healthcare. Responsibilities The Authorization Representative will need to... ...of authorization status. Prior Authorization and... ...Assist with payer audits and utilization management reviews by providing... ...Role Is 26 - 26 USD per hour(Remote (United States)) #J-18808-Ljbffr...Remote workHourly pay- ...Description: Role Summary: The Authorization Specialist role is responsible for all... ...including frequency and prior testing requirements. EDUCATION... ...delivery skills. Ability to utilize websites, portal and... ...on the needs of the organization. #LI-REMOTE #J-18808-Ljbffr...Remote workWork at office
$37.5 - $54.25 per hour
...Health is searching for a Utilization Management Specialist to join our dedicated team... ...-centered care! Fully remote opportunity - Must currently... ...37.50-$54.25 depending on prior related experience and... ...insurance partners to facilitate authorizations and medical necessity...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shift- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical data and obtain authorized services for ABA and related treatments. This role offers either remote work or a home-office hybrid setup, with collaboration across clinical staff...Remote jobWork from homeHome office
- Role: Utilization Specialty Therapist - Speech-Language Pathologist Location: Remote - Texas Job Type: Contract - 9 Months Schedule:... ...Speech-Language Pathologist (SLP) to support utilization... ...management by reviewing therapy prior authorization requests. This remote role...Remote workContract workWork at officeVisa sponsorshipWork visaMonday to Friday
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