Remote Registered Nurse Prior Authorization Specialist
Spectraforce Technologies
Spectraforce Technologies is seeking a Remote Registered Nurse II for an 8+ month assignment. The role involves clinical criteria prior authorization setup based on client policies, requiring an active RN license and PBM experience. Responsibilities include crafting questions for prescribers, composing denial rationales, and consultative support regarding setup requirements. Strong proficiency in Microsoft Office, especially Excel, is essential. The ideal candidate should possess problem-solving and collaborative skills to enhance service efficiency. #J-18808-Ljbffr
- ...seeking a Utilization Review Specialist (LVN) to conduct medical... ...necessity for services requiring prior authorization. This role involves liaising... ...a Licensed Vocational Nurse certification and extensive... ...utilization review. Flexibility for remote work is provided for Texas...Remote workHourly pay
- ...dedicated professional to work from home in Pennsylvania, focusing on patient medication assistance. This role involves obtaining prior authorizations, researching assistance programs, and communicating with the care team to ensure seamless patient care. Candidates should...Remote workWork from home
$53k - $71k
...IQVIA is seeking a Bilingual Patient Access Specialist to support patients throughout their... ...patient access to therapy, assisting with prior authorizations, and providing high-quality customer service. The position offers a remote work option, requiring a compliant home...Remote workWork from home- ...Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key Responsibilities Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery....Remote workFull timeWork at officeWork from home
- ...insurance benefits via online portals and phone calls Obtain prior authorizations and referrals as required by payer plans, with ongoing... ...financially cleared prior to the date of service. Schedule Hybrid/Remote, Full-time, 40 hours per week. Monday–Friday with hours...Remote workFull timeWork from homeHome officeMonday to Friday
- ...looking to add a Medication Specialist to our Specialty Pharmacy Services... ...patients.ABOUT THE ROLE (Remote, work from home)THE... ...FOLLOWINGReviewing medication authorizations submitted by clientsPerforming... ...information or guidance related to prior authorization...Remote workFull timeWork from home
- ...Soleo Health Inc is seeking a Clinical Review Coordinator for a remote full-time position. You will ensure timely and accurate clinical reviews and approvals while collaborating with various departments. The ideal candidate should have experience in specialty infusion...Remote workFull time
$19.26 - $23 per hour
...Prior Authorization Specialist The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion...Remote workFull timeCasual workWork from homeMonday to FridayShift work- ...Soleo Health Inc is hiring a Prior Authorization Coordinator to support its Specialty Infusion Pharmacy, working remotely from the USA. This position requires specialty infusion prior authorization experience, with responsibilities including managing prior authorizations...Remote work
- ...A health technology company is seeking a prior authorization and eligibility expert to work remotely with ABA healthcare providers. This role involves verifying patient benefits, completing prior authorizations, and collaborating with product teams to improve processes...Remote workFull time
$40k - $46k
...Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy. This remote position requires expertise in specialty infusion prior authorization and customer service skills. Candidates must have at least 2 years of relevant experience...Remote work$23 - $25 per hour
...Boulder Care**, located in Portland, Oregon, is looking for a Prior Authorization Specialist. In this role, you will ensure patients receive timely medication approvals by obtaining insurance prior authorizations and troubleshooting submissions with healthcare providers...Remote workHourly pay- ...Lumen Solutions Group Inc. is seeking a Prior Authorization Specialist for a 3-month remote contract. This role involves supporting the Utilization Management team by processing authorizations, handling provider inquiries, and coordinating administrative tasks. The ideal...Remote workContract work
- ...America’s heartland. Facility: Remote SD (Central Time) Location:... ...levels of responsibility and authority. Communicates well downward,... ...from a nationally accredited nursing program preferred, including,... ..., medical necessity, or prior authorization process. If...Remote workFull timePart timeImmediate startWork from homeShift workDay shift
- Silna Health, Inc. is seeking a prior authorization and benefits verifications expert in New York, NY. You'll collaborate with ABA and mental... ...strong understanding of insurance policies. This full-time remote role offers a competitive hourly rate with potential for permanent...Remote workHourly payPermanent employmentFull time
- ...is seeking a detail-oriented professional for a critical role in financial clearance. The position involves securing necessary authorizations for patient admissions and maintaining positive provider relationships. The ideal candidate will possess strong communication skills...Remote work
- ...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 workFull timeRelocation package
- ...is looking for a qualified candidate to manage outpatient account authorizations primarily through remote work. This role includes insurance verification, calculating patient estimates, and securing prior authorizations before services are rendered. Candidates should...Remote work
$21 - $22 per hour
...New England Life Care is hiring a Remote Authorization Specialist in Canton, MA. The ideal candidate should have at least three years of authorization... ..., and will be responsible for obtaining and maintaining prior authorization status for patient medications/therapies. This...Remote workHourly payFull time- 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
- ...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 workFull time
$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 workHourly pay- ...This role involves direct communication with nursing and medical staff, advocating for patients, and... ...in medical insurance verification and authorization, along with a high school degree or equivalent. The role is remote and offers a range of benefits, including medical...Remote workFull time
- ...A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves... ...include health insurance and paid time off, and the position is remote with varying shifts as needed. #J-18808-Ljbffr...Remote workShift work
- ...Elevance Health is seeking an Authorization Representative II to manage prior authorization requests at BioPlus Specialty Pharmacy. This role requires a... ...requires in-office work 1-2 days a week but may consider remote options for those within commuting distance. #J-18808...Remote workWork at office2 days per week1 day per week
$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... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$22 - $28.6 per hour
...a Part-time Infusion Intake Specialist to join our Team. The Infusion... ...and insurance information prior to their scheduled infusion... ...or injection. Ensures needed authorizations have been obtained and are in... .... This team primarily works remotely from home supporting our...Remote workHourly payPart timeWork at officeLocal areaWork from home- 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
- ...A healthcare organization seeks a Scheduling and Prior Authorization Representative to manage scheduling tasks for surgeries and procedures. This full-time remote role requires effective communication and customer service skills, along with knowledge of hospital processes...Remote workFull time
$22 - $26 per hour
...initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...functions. Qualifications High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy 1+...Remote workMonday to FridayShift work
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