Remote Prior Authorization Specialist
Boston Medical Center
- Remote job
Boston Medical Center is seeking a Prior Authorization Specialist I to join the Insurance Verification team in a remote, part-time capacity. The role focuses on screening prior authorizations, coordinating referrals, and ensuring timely financial clearance for inpatient, outpatient, and ancillary services. The successful candidate will verify eligibility, navigate payer requirements, and support clinicians to maximize hospital reimbursement while maintaining high accuracy. #J-18808-Ljbffr Boston Medical Center
- ...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 workFull timeLive inWork from homeMonday to Friday
- ...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 workWork from home
- ...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 workWork at officeWork from homeHome office
- ...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
- ...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 workFull time
- ...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
$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 workMonday to FridayShift work- ...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
- ...Working remotely, the full-time Remote Authorization Specialist will be responsible for obtaining and maintaining prior authorization status for patient medications and therapies, collaborating with clinical and billing departments to ensure compliance with payer requirements...Remote workFull time
- ...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
- ...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 workFull time
$22.74 - $27.79 per hour
...Appeals Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the... ...supporting documentation (payer forms, medical records, prior authorization details, clinical justification). Ensure appeals are submitted...Remote workHourly payWork at officeWork from homeHome officeNight shift- ...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 workFull time
- ...Prior Authorization Specialist The Prior Authorization Specialist provides essential clinical and administrative support by coordinating patient care activities, managing prior authorizations, and ensuring accurate documentation across systems. This role works closely...Remote work
- ...To support patient care, the full-time Pre-Authorization Specialist will identify prior authorization requirements, process and complete prior authorizations... ...regarding approvals or denials, all while working remotely during standard day shifts. Key responsibilities Analyze...Remote workFull timeDay shift
- ...Working remotely in a full-time temporary capacity, the Prescription Prior Authorization Specialist will manage the submission of prior authorizations to ensure patients' prescriptions are covered by insurance, while addressing patient inquiries and maintaining accurate...Remote workFull timeTemporary workWork at office
- ...Providing exceptional customer service, the fixed-term Eligibility Specialist will verify benefits and eligibility for patients, manage... ...inquiries, including insurance verification and prior authorizations Conduct payer research and maintain accurate documentation...Remote workFixed term contract
- ...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 workTemporary workWork at office
- ...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 workTemporary workWork at officeLocal areaMonday to Friday
- ...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 workContract work
- ...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
$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 workHourly payFull timeTemporary workWork at officeMonday to Friday$70k - $90k
...Revenue Cycle Specialist MyOme's mission is to provide clinically actionable genetic... ...denials across the full category spectrum — prior authorization, medical necessity, timely filing,... ..., and Benefits: Location: Remote in the US Compensation: Annual salary...Remote workImmediate start- ...providers. Job Overview The Intake Specialist is responsible for managing... ...all required elements are obtained prior to benefits investigation and authorization Patient & Provider Communication... ...Life, 401k, Paid Time Off. Location Remote with limited travel to client locations...Remote workWork at office
- ...Leadership Team Member. Determine if an authorization from payer is required for pre-... ...Knowledge of multiple specialty and prior authorization processes preferred. Knowledge... ...requirements Ability to work effectively in a remote environment PHYSICAL DEMANDS: Note...Remote workWork at officeImmediate start
$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- ...Valid8 Financial, Inc. is seeking a Prior Authorization Specialist for a remote position covering Washington, Idaho, and Oregon. The role requires extensive EPIC experience and deep knowledge of Idaho payors, with duties including verifications, submitting and tracking...Remote work
- ...Prior Authorization Specialist I - Patient Access Services 830A-5P The Prior Authorization Specialist role belongs to the Revenue Cycle Patient... ...case management and Patient Financial Counseling. This is a Remote Position. Essential Responsibilities / Duties:...Remote workWork at officeImmediate start
- ...inquiry requests, including insurance benefit verification, prior authorization, denials and appeals, and other reimbursement issues from patients... .... Here are some of the exciting perks UBC offers: ~ Remote opportunities ~ Competitive salaries ~ Growth...Remote workPermanent employmentTemporary workFixed term contractLocal areaFlexible hours
$53 per hour
...A-Line Staffing Solutions is seeking a Pharmacist – Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent employment. Responsibilities include reviewing prior authorization requests, ensuring regulatory compliance, and maintaining...Remote workHourly payPermanent employmentFull timeTemporary work
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