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

Remote Prior Authorization Specialist

7505 Caremark, L.L.C.

7505 Caremark, L.L.C. is seeking a Prior Authorization Representative to serve as the initial contact for prior authorization requests from members, providers, and a diverse customer base. The role includes determining if a complex request should be referred to a pharmacist and maintaining complete, timely documentation of approvals and denials. The position requires 1+ year of customer service or call center experience and the ability to work from home with high-speed internet access. #J-18808-Ljbffr

Vacancy posted 5 hours ago
Similar jobs that could be interesting for youBased on the Remote Prior Authorization Specialist in Wausau, WI vacancy
  •  ...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
    17 hours ago
  •  ...improve lives. ABOUT THE ROLE (Remote, work from home) The Medication Access Specialist plays a vital role in Visante's...  ..., handling medication authorizations, managing insurance denials, and...  ...review necessary documentation for prior authorization submissions, escalating... 
    Remote work
    Full time
    Work at office
    Work from home

    Visante® Inc.

    Saint Paul, MN
    2 days ago
  •  ...detail-oriented Utilization Review Specialist, the full-time remote position will involve reviewing clinical...  ...documentation, managing insurance authorizations, and collaborating with providers to...  ...utilization reviews and obtain prior authorizations from insurance companies... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...Somi AI is seeking a Revenue Cycle Specialist. This remote, full-time role will focus on accounts receivable follow-ups, addressing denials...  ...have at least 3 years of AR resolution experience and prior authorization exposure. A solid understanding of billing and... 
    Remote work
    Full time

    Somi AI

    California, MO
    1 day ago
  •  ...A-Line Staffing Solutions is hiring a Pharmacy Tech I - Prior Authorization for a fully remote position in the United States. The role involves handling inbound calls related to prior authorizations and requires candidates to maintain accurate documentation while providing... 
    Remote work

    A-Line Staffing Solutions

    New York, NY
    17 hours ago
  •  ...looking for a full-time Medical Billing Collector. In this remote position, you will process referrals, review patient files,...  ...in intake and medical billing. The role includes obtaining prior authorizations and improving collection rates while interacting with best practices... 
    Remote work
    Full time

    Vital Care Infusion Services

    Dallas, TX
    1 day ago
  •  ...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

    Fremont Economic Development Corporation

    Denver, CO
    4 days ago
  • $16.75 - $21.75 per hour

    Cardinal Health is seeking a Senior Coordinator for Prior Authorization, responsible for managing payer approvals for durable medical equipment. This fully remote position requires 3-6 years of healthcare experience, particularly in prior authorization or similar roles... 
    Remote work
    Hourly pay

    Cardinal Health

    Des Moines, IA
    2 days ago
  • A leading educational institution seeks a dedicated Oncology Prior Authorization Case Manager to handle utilization review and authorization for oncology patients. This remote role requires a bachelor’s degree and at least 2 years of relevant experience, preferably in... 
    Remote work

    University of Miami

    Doral, FL
    2 days ago
  • $20 - $24 per hour

     ...detail-oriented and seasoned Revenue Cycle Specialist to join our growing team! The ideal...  ...experience preferred, including prior authorization requirements/processes. ~ Certified...  ...healthcare providers. Work Location Remote: Colorado (Denver preferred), Delaware... 
    Remote work
    Hourly pay
    Full time
    Work at office

    CardioOne

    Denver, CO
    2 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
    2 days ago
  • $17 - $18 per hour

     ...soon as possible. Requests health plan authorizations/information as required; either...  ...equipment up to 50 lbs. This position is remote and requires a distraction free environment...  ...United States is not permitted without prior authorization. Teammate Benefits As... 
    Remote work
    Hourly pay
    Temporary work
    Work at office
    Local area
    Immediate start
    Work from home
    Home office
    Flexible hours

    Accendra Health

    Denver, CO
    4 days ago
  • $18 - $22 per hour

     ...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our...  ...Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay: $18-22 per hour... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Monday to Friday

    Riverhills Neuroscience

    Norwood, OH
    2 days ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health is hiring a Senior Coordinator for Prior Authorization in Madison, Wisconsin. The role involves obtaining payer approvals for...  ...including medical coverage and 401k plans. This is a fully remote position with a focus on customer service operations. #J-188... 
    Remote work
    Hourly pay

    Cardinal Health

    Madison, WI
    2 days ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health is seeking a Senior Coordinator, Prior Authorization to manage payer approvals for durable medical equipment. Candidates should...  ...a strong attention to detail. The position offers a fully remote work environment with competitive hourly pay ranging from $1... 
    Remote work
    Hourly pay

    Cardinal Health

    Dover, DE
    1 day ago
  •  ...Cardinal Health is seeking a Senior Coordinator for Prior Authorization in Lincoln, Nebraska. This fully remote position focuses on obtaining and documenting payer approvals for durable medical equipment (DME) orders. Candidates should have 3-6 years of payer-facing experience... 
    Remote work

    Cardinal Health

    Lincoln, NE
    2 days ago
  •  ...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

    Phoenix Virtual Solutions LLC

    Phoenix, AZ
    2 days ago
  •  ...Working remotely on a full-time basis, the Remote Authorization Specialist will obtain and maintain prior authorization for patient medications and therapies while collaborating with clinical and billing departments to ensure compliance with payer requirements. Key responsibilities... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    4 days ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health is looking for a Senior Coordinator for Prior Authorization, responsible for managing payer approvals for durable medical equipment orders. This fully remote position requires strong healthcare experience, excellent phone communication skills, and a detail... 
    Remote work
    Hourly pay

    Cardinal Health

    Frankfort, KY
    2 days ago
  • $35.11k

     ...Authorization Specialist - TGMG Phy Practice Plan The Authorization Specialist is responsible for coordinating...  ...: Understanding of pre-certification, prior authorization, and referral...  ...Fletcher Ave Tampa 33613 Eligible for Remote Work: Hybrid Remote Job: Patient Financial... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Monday to Friday
    Shift work

    USF Health

    Tampa, FL
    6 days ago
  • $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 work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Shift work

    Providence Health & Service

    Oregon, WI
    2 days ago
  •  ...Specialty-Pharmacy in Houston, TX is looking for a Pharmacy Prior Authorization Specialist. This full-time position focuses on ensuring patients...  ...Candidates should have at least 1 year of relevant experience. Remote work may be possible after initial training. The company... 
    Remote work
    Full time
    Relocation package

    CareMed Specialty Pharmacy

    Houston, TX
    17 hours ago
  •  ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They Deserve At Serenity Healthcare...  ...Familiarity with TMS, behavioral health, or prior authorization processes Benefits Why... 
    Remote work
    Full time
    Flexible hours

    Serenity Mental Health Centers

    Jacksonville, FL
    3 days ago
  •  ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Job Description: Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and... 
    Remote work
    Contract work

    US Tech Solutions

    Providence, RI
    2 days ago
  • $23.49 - $30.53 per hour

     ...In Colorado for This Fully Remote Position. Location:...  ...appropriate monitoring and authorization of medications for UCHealth...  ...Technicians, Medication Access Specialists (MAS), Clinical Nurses, and...  ...year of experience performing prior authorizations or refill... 
    Remote work
    Full time
    Temporary work
    Internship
    Work at office
    Local area
    Flexible hours
    Shift work

    UCHealth

    Aurora, CO
    17 hours ago
  •  ...Prior Authorization Specialist Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote, part-time opportunity working 10-20 hours/week where candidates will leverage their prior authorization expertise... 
    Remote work
    Contract work
    Part time
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    Insight Global

    Palo Alto, CA
    2 days ago
  •  ...Job Summary We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient...  ...fully trained, this position offers the opportunity to be remote. Outstanding employees in this role are detailed,... 
    Remote work
    Work at office
    Flexible hours

    Goodman Campbell

    Carmel, IN
    17 hours ago
  • ***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

    Richmond, VA
    2 days ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health is seeking a Senior Coordinator, Prior Authorization, responsible for obtaining and tracking payer approvals for durable medical equipment orders. This fully remote role involves submitting prior authorization requests and conducting phone follow-ups to... 
    Remote work
    Hourly pay
    Flexible hours

    Cardinal Health

    Baton Rouge, LA
    2 days ago
  •  ...Working remotely in a full-time capacity, the Prior Authorizations Specialist will manage the process of obtaining pre-certifications and pre-authorizations for procedures and medications while coordinating patient appointments and ensuring compliance with insurance requirements... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    17 hours ago

Do you want to receive more vacancies?

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