Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Prior Authorization Specialist in Madison, WI vacancy
  •  ...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 work
    Full time
    Live in
    Work from home
    Monday to Friday

    Randstad USA

    Naperville, IL
    22 hours ago
  •  ...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 work
    Work from home

    Verisma

    New York, NY
    4 days ago
  • $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 work
    Full time
    Work from home
    Monday to Friday
    Flexible hours
    Shift work

    Diverse Lynx

    United States
    1 day ago
  •  ...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 work
    Temporary work
    Work at office
    Local area
    Monday to Friday

    Amerit Consulting

    Cary, NC
    2 days ago
  •  ...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 work
    Full time

    Virtual Vocations Inc

    United States
    22 hours ago
  •  ...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 work
    Work at office
    Work from home
    Home office

    Piedmont HealthCare

    Statesville, NC
    1 day ago
  •  ...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

    Boston Medical Center

    United States
    21 hours ago
  •  ...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 work
    Hourly pay
    Full time
    For contractors

    Silna Health

    United States
    4 days ago
  •  ...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

    LabCorp

    New York, NY
    4 hours ago
  • $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 work
    Full time
    Contract work
    Summer work
    Work at office

    Mercor

    New York, NY
    more than 2 months ago
  • $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 work
    Monday to Friday
    Shift work

    BrightSpring Health Services

    United States
    3 days ago
  •  ...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

    Good Shepherd Health Care System

    United States
    5 days ago
  • 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

    Arsenault

    Houston, TX
    4 days ago
  •  ...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 work
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...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 work
    Part time

    Boston Medical Center

    United States
    4 days ago
  • $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 work
    Full time
    Contract work
    Work at office

    Koya Medical, Inc.

    United States
    22 hours ago
  •  ...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 work
    Full time

    Virtual Vocations Inc

    United States
    4 days ago
  •  ...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

    Actalent

    United States
    3 days ago
  • $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 work
    Hourly pay
    Full time
    Contract work
    Work at office

    Maven Wise

    Santa Clarita, CA
    3 days ago
  • $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 work
    Full time
    Temporary work
    Flexible hours

    Tennessee

    United States
    1 day ago
  •  ...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 work
    Contract work

    Flagler Health

    United States
    1 day ago
  • $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

    Cycle Pharmaceuticals

    Detroit, MI
    2 days ago
  •  ...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 work
    Temporary work
    Work at office

    Ideal Option and Ideal Balance

    United States
    2 hours ago
  • $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 work
    Work experience placement
    All shifts
    Weekend work

    Virginia Commonwealth University Health Systems

    United States
    2 days ago
  •  ...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 78746
    Remote work
    Full time
    Private practice
    Work at office
    Monday to Friday

    Crane Center

    West Lake Hills, TX
    3 days ago
  • $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 work
    Hourly pay
    Full time
    Work experience placement
    Work at office

    University of Maryland Faculty Physicians

    Baltimore, MD
    3 days ago
  •  ...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 work
    Work experience placement
    Live in
    Work at office
    Monday to Friday

    Saint Francis Health System

    Oklahoma City, OK
    2 days ago
  • $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 work
    Flexible hours
    Shift work

    Navitus Health Solutions

    United States
    1 day ago
  • $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 work
    Hourly pay
    Full time
    Part time
    H1b
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    20 hours ago
  •  ...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 work
    Full time

    LanceSoft

    United States
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Prior Authorization Specialist. Be the first to apply!