Remote Prior Authorization Specialist
Thornton Tomasetti
Abbott in Madison, WI is hiring a Prior Authorization Associate I to handle initial and ongoing patient eligibility verification and authorization processes within Epic. You will work across departments to ensure timely and accurate approvals and denials handling, with a focus on quality and regulatory compliance. The role requires 2+ years in prior authorization workflows and 3+ years in medical billing/claims, with strong attention to detail and HIPAA compliance.
#J-18808-Ljbffr- ...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
- ...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 workWork from home
$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 work- ...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
- ...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
- ...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
- ...Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...Remote work
- ...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
- ...Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...Remote work
$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$22 - $26 per hour
...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...Remote workMonday to FridayShift work- ...Good Shepherd Health Care System is seeking a Remote Patient Access Scheduling Representative to ensure efficient daily operations... ...patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while...Remote work
- A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote work
- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist will manage complex authorization requests, verify member insurance coverage, and maintain documentation to ensure timely adjudication for payment. Key responsibilities...Remote workFull time
- ...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
$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 office- ...maximize reimbursement for patients and the organization, the full-time Prior Authorization Specialist will manage authorizations, precertifications, predeterminations, and referrals while working remotely and ensuring timely payer approvals through strong insurance...Remote workFull time
- ...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
$22 per hour
...for an Insurance Reimbursement Specialist to support insurance... ...Verify benefits, prepares pre-authorization requests.Document approvals and... ...insurance and medical device prior authorization (preferred)3+ years... ...completion of in-person training, remote working may be an option.*$22...Remote workHourly payFull timeContract workWork at office$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 hours- ...orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and...Remote workContract work
$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 work- ...Prescription Prior Authorization Specialist Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation's leading provider of low-barrier...Remote workTemporary workWork at office
$19.87 - $30.79 per hour
***Must have BOTH a current VA Pharmacy and PTCB License*** The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior...Remote workWork experience placementAll shiftsWeekend work- ...DESCRIPTION We are seeking a detail-oriented and motivated Prior Authorizations Specialist to join our team and help us ensure that our patients... ...to Commute: West Lake Hills, TX 78746 (Required) Work Location: Hybrid remote in West Lake Hills, TX 78746Remote workFull timePrivate practiceWork at officeMonday to Friday
$18.99 - $28.51 per hour
...Patient Access Specialist II- Practice Operations- Remote Opportunity Job Category : Office/Clerical/Admin. Requisition Number : PATIE009915 Posted... ..., registration, insurance verification, or prior authorization processes Experience mentoring or supporting new team...Remote workHourly payFull timeWork experience placementWork at office- ...Authorization Specialist II page is loaded## Authorization Specialist IIlocations: Remote - OKtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR32680**Current... ...of insurance information and obtains prior authorization and predetermination requirements...Remote workWork experience placementLive inWork at officeMonday to Friday
$20 - $21.96 per hour
...8am to 5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION: Lumicera... ...Due to growth we are adding an Intake Specialist to our team! Under direction from... ...and insurance companies in triaging prior authorizations for patients of the specialty pharmacy...Remote workFlexible hoursShift work$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 hours- ...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
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