Remote Prior Authorization Specialist — Financial Clearance
Direct Jobs
- Remote job
Direct Jobs is seeking a Remote Prior Authorization Specialist for BJC at the Commons, focused on obtaining authorizations and maintaining strong relationships with providers. The role involves validating patient data and requires a high degree of accuracy and communication. Preferred candidates will have experience with EPIC and insurance verification processes, along with a commitment to exceptional customer service. Training is conducted on-site initially, with ongoing remote work thereafter. #J-18808-Ljbffr Direct Jobs
- ...Health is seeking a Clearance Specialist to support our Specialty... ...Pharmacy and work Remotely (USA). Join us in... ...and follow up of payer authorization requests.... ...Calculate estimated patient financial responsibility based... ...follow-up, and secure prior authorization, pre-determination...Remote jobFinancialFull timeContract workImmediate start
- ...is seeking an Acute Clearance Specialist to support our Specialty... ...Pharmacy and work Remotely (USA). Join us in... ...and follow up of payer authorization requests.... ...Calculate estimated patient financial responsibility based... ...follow-up, and secure prior authorization, pre-determination...Remote jobFinancialFull timeContract workImmediate startMonday to Friday
- ...are seeking a detail-oriented and motivated Prior Authorization Specialist to join our team in a fully remote capacity, on a temporary basis. This role is... ..., Humana, Aetna, and United Healthcare. Financial Clearance: Aim to achieve a 95% financial clearance rate...Remote workFinancialTemporary workLocal area
- ...Coding/Credentialing Specialist possesses medical billing... ...functions. Various Financial and Productivity... ...therapist and AHCCCS Prior Authorization Department • Tracking... ...1 AZDPS Finger Print Clearance Card, CPR and First Aid... ...person position only, no remote options. #J-18808-...Remote workFinancialWork at office
- ...communities. Position: Navy ERP Specialist (Active DOD Clearance Required) How You Will Make an Impact... ..., leveraging deep knowledge of NWCF financial processes and Navy ERP (SAP)... ...(Preferred but Not Required): Prior Navy, Marine Corps, or DoD civilian/...Remote workFinancialCivilian Contractor
- ...Registration/Charge Entry Specialist Under limited... ...necessary authorizations. This role is... ...patient demographic, financial, and clinical... ...pre-certifications prior to scheduled medical... ...operates in a remote home office environment... ...portals and clearance software. Security...Remote workFinancialHourly payFull timePart timeWork at officeHome officeMonday to FridayWeekend work
- ...our future each day. Job Title Preregistration Specialist Department Financial Clearance Location WFH Remote - position based out of Penn Medicine Bala Cynwyd... ...information to payer to obtain proper authorization/pre‑certification. Identify potential quality and...Remote workFinancialWork at officeWork from home
$25.42 - $30.97 per hour
...Responsible for screening prior-authorization and coordination of specialized... .... The Prior Authorization Specialist role belongs to the... ...responsible for coordinating all financial clearance activities by navigating... ...Counseling. This is a Remote Position. Position : Prior...Remote workFinancialHourly payFull timeFixed term contractWork at officeImmediate start$19.2 - $24.6 per hour
Specialist II, Financial Clearance, Pt. Access - St. Peter's Hospital - Full-Time Days Purpose: Uses specialized knowledge to support key areas of... .... Minimum of five (5) years of financial clearance / authorization experience in an acute care setting. Experienced in complex...Remote jobFinancialHourly payFull timeLocal areaWork from homeShift workDay shift$29 - $37 per hour
...Financial Clearance Analyst (Hybrid) Purpose of Position: Review, analyze, develop, recommend... ...of insurance verification and prior authorization requirements. Monitor and track denials... ...core hours: 8a-5p, potential for hybrid remote. Organization: Cape Cod Healthcare...Remote workFinancialHourly payFull time$21.53 - $28.98 per hour
...Israel Lahey Health in Cambridge is seeking a Financial Clearance Representative to support Hem/onc Prior Authorization workflows for the Infusion Clinic. This position... ...companies on patient accounts, with primarily remote work. Candidates must have a high school diploma...Remote jobFinancialHourly pay- ...Advanced Imaging Authorization Specialist – Full-Time Position – Raleigh Location... ...our Raleigh office and two remote workdays. In-office days... ...benefits to determine patient financial responsibility... ...medical insurance, billing, or prior authorizations strongly preferred...Remote workFinancialFull timeWork at office3 days per week
- ...Description Description: Soleo Health is seeking a Clearance Specialist to work hybrid in Chesterfield, MO . This... ...and eligibility, calculating patient financials, calculating expected reimbursement, prior authorization submissions, denials, and appeals. Join us in...FinancialFull timeContract workImmediate startMonday to Friday
$21.53 - $28.98 per hour
...position will support Hem/onc Prior Authorization work flows for the Infusion... ...are M-F, 8-4:30. Primarily remote with on-site, as needed.... ...information necessary for proper financial reimbursement for high-... ...to determine the financial clearance status of specific patient...Remote workFinancialHourly payShift work$20 - $24 per hour
...and seasoned Revenue Cycle Specialist to join our growing team! The... ...preferred, including prior authorization requirements/processes. ~... ...EOB/ERA data and impact on financial responsibility. ~ A passion... ...providers. Work Location Remote: Colorado (Denver preferred...Remote workFinancialHourly payFull timeWork at office$28.83 - $46.14 per hour
...denial management, utilization review or prior authorization in a hospital, provider, or healthcare... ...medical billing and reimbursement Remote in Washington State only Posted... ...accountability for final appeal determinations and financial outcomes of assigned denials,...Remote workFinancialHourly payContract workFlexible hoursShift work- ...Medication Access Specialist We are relentless in solving... ...delivers measurable financial gains, operational... ...lives. About The Role (Remote, Work From Home) The... ..., handling medication authorizations, managing insurance... ...necessary documentation for prior authorization...Remote workFinancialFull timeWork at officeWork from home
$15.9 - $17 per hour
...possible. Requests health plan authorizations/information as required;... ...to 50 lbs. This position is remote and requires a distraction free... ...States is not permitted without prior authorization. Teammate... ...benefits Mental, physical, and financial well‑being programs Accendra...Remote workFinancialHourly payTemporary workWork at officeLocal areaImmediate startHome officeFlexible hours- Revenue Integrity Specialist I Remote position - requires residency in Kentucky or Indiana.... ...‑billing. Obtain predeterminations, prior authorizations, and retroauthorizations as required... ...as registration, patient accounting, financial services, or managed care. Knowledge...Remote workFinancialLocal area
$18.92 - $23.46 per hour
...assistance programs include mental health, financial and legal. ~ Rewards programs... ...Summary: Perform duties to initiate authorizations, focusing on accuracy, timeliness, and... ...opportunities are included to complete and submit prior authorizations timely for payer...Remote workFinancialFull timeContract workTemporary workLocal areaFlexible hours$20.5 - $22.5 per hour
...Referral Specialist Remote position – schedule Monday to Friday, 8:00... ...(k) with company match and financial planning and wellness resources... ..., obtains/reviews pre‑authorization/pre‑certification, and coordinates... ...and case‑related concerns prior to a patient’s appointment....Remote workFinancialWork at officeLocal areaMonday to FridayFlexible hours$116k - $166.75k
...engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of... ...market payor coverage, co-pay options, prior authorization requirements, formulary placement, and... ...patients can access the products and what financial considerations may be involved....Remote workFinancialTemporary workWork at officeLocal areaWorldwideFlexible hours- ...Central Intake Admissions Specialist works with a sense of urgency... ...appropriateness and financial viability. The Central Intake... ...or consideration. Obtain prior authorizations and verify payer requirements... ...environmental issues. Flexibility for remote work according to...Remote workFinancialWork at officeImmediate startFlexible hours
$16 - $31.44 per hour
...Patient Access Specialist $2000 Sign On Bonus For External Candidates... ...Obtains referral, authorization, and pre-certification information... ...1+ years of experience with prior authorizations ~ Experience... ...insurance reimbursement and financial verification ~ Ability to...Remote jobFinancialDaily paidFull timePart timeWork experience placementLive inWork at officeRelocation packageMonday to FridayShift work$18.92 - $23.46 per hour
...programs include mental health, financial and legal. Rewards programs... ...Perform duties to initiate authorizations, focusing on accuracy, timeliness... ...to complete and submit prior authorizations timely for payer... ...This position is full‑time and remote. The salary range for this...Remote workFinancialFull timeContract workTemporary workLocal areaFlexible hours- ...Referral Specialist - USFTGP Transplant Abdominal Clinic... ...Knowledge of Referral and Authorization Processes Understanding... ...insurance requirements, and prior authorization procedures... ...33606 Eligible for Remote Work: On Site Job: Patient Financial Services Organization: Academic...Remote workFinancialFull timeMonday to FridayShift work
- ...a Clinical Insurance Reviewer to work remotely in the Southern Nevada area only. The Clinical... ...for clinical staff Obtains insurance authorization and pre‑certification for imaging,... ...drugs and pharmaceutical supplies and financial resources Maintains a good working knowledge...Remote jobFinancialWork at office
- ...work delivers measurable financial gains, operational... ...ABOUT THE POSITION (Fully Remote) (Requires... ...The Medication Access Specialist Supervisor is an essential... ...also review medication authorizations, conduct benefits investigations... ...documentation, submit prior authorizations, and...Remote workFinancialFull timeWork at office
$21 - $28.3 per hour
...Mass General Brigham Financial Operations Specialist Mass General Brigham relies on a wide range of professionals to advance our mission. As a... ...7-100%) Hearing Constantly (67-100%) Work Details Remote Type: Onsite Work Location: 165 Cambridge Street Scheduled...Remote workFinancialHourly payShift work$24.11 - $36.17 per hour
...Medication Access Specialist Lead - Specialty Pharmacy... ...does not offer a hybrid or remote option Summary: Leads... ...year of experience performing prior authorizations or refill renewals. Employees... ...experience, organizational growth, financial goals and tenure. The bonus...Remote workFinancialFull timeTemporary workLocal areaFlexible hoursShift work
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