Remote Pharmacy Prior Authorization Specialist
Onco360
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist in Saint Louis, MO, to handle insurance pre-authorizations, resolve claim denials, and coordinate with providers and patients. This full-time role may allow remote work with Missouri licensure.
The position offers a $5,000 sign-on bonus for hires before Oct 31, 2026, plus a comprehensive benefits package and opportunities for growth within a patient-focused organization.
#J-18808-Ljbffr- ...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
$33.28k - $41.6k
...clientele includes physician groups, hospitals, pharmacies, and dental groups. We are in search of... ...inclusion as the heart of our mission. Location: Remote Summary Description: This remote Prior Authorization Specialist supports the Patient Access Onshore...Remote workFull timeWork at officeFlexible hours$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$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- ...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
- ...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
$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- ...seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...submission, and follow up of payer authorization requests. Responsibilities... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate startMonday to Friday
- ...seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...submission, and follow up of payer authorization requests. Responsibilities... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate startMonday to Friday
- ...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$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- 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
$34.5 - $46.58 per hour
...Job Description: Rx Refill Specialists ensure the timely processing of chronic medication... ...refill request processing and prior authorization processing (if applicable). The Refill... ...Education: ~ Completion of an Accredited Pharmacy Technician Program - Required or...Hourly payFull timeLocal areaShift 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- ...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
- ...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
- ...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
- ...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
$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...healthcare operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior...Remote workHourly payPart timeFor contractorsWork at officeFlexible hours- ...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
- ...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
- ...business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with... ...strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader....Remote workInternship
$80k
...Location: This is a remote position, but candidates will happy... ...recruiting for two Access Specialist's to join our growing... ...insurance coverage, obtain prior authorizations and support appeals processes... ...Triage orders to Specialty Pharmacies including follow-up calls/emails...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
- ...The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding... ...the liaison to therapist and AHCCCS Prior Authorization Department • Tracking and organizing... ...TB Test. This is an in-person position only, no remote options. #J-18808-Ljbffr...Remote workWork at office
- ...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
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