Remote Prior Authorization Specialist
Humana
- Remote job
Humana is seeking a detail-oriented UM Administration Coordinator 2 to support the prior authorization process by managing clinical documentation, verifying member eligibility and benefits, and ensuring timely processing of requests. The role emphasizes collaboration in a remote environment, leveraging Microsoft Office and EMR/documentation systems while delivering quality member outcomes within Humana's Medicaid UM team. #J-18808-Ljbffr Humana
- ...Authorization Specialist Are you a detail-oriented healthcare professional looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-paced... ..., reviewing, validating, and creating prior authorization requests across multiple...Remote workWork from home
- ...Baptist Health is looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency in KY or INResearch... ...pre and post billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor....Remote workFull time
- We are looking for a Prior Authorization Specialist to support front-end revenue cycle operations for a long-term contract opportunity. This is a fully remote role but you must reside in Minnesota or Wisconsin. In this role, you will help secure timely coverage approvals...Remote workLong term contract
- 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
- ...unsurpassed! Purpose: The purpose of a Triage Specialist is to perform effective telephone... ...the position will transition to fully remote/work-from-home. Essential Duties and... .... Manage pre-certification and prior authorization requirements for procedures. Monitor and...Remote workFull timeTemporary workWork at officeImmediate startWork from home
$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- ...To support a growing healthcare practice, the full-time Prior Authorization Specialist will obtain prior authorizations and pre-certifications for... ...procedures, and specialty medications while working remotely. Key Responsibilities Obtain prior authorizations and pre...Remote workFull time
- ...Job Title: PA Specialist Work Location: Remote in Austin, TX This role supports the Health Management Delivery Operations (HMDO) Prior Authorization team in processing prior authorization requests. The position is non-clinical and involves ensuring that all assigned...Remote workContract workWork experience placementLocal areaImmediate startFlexible hours
- ...Authorization Specialist The Authorization Specialist is responsible for coordinating and securing... ...Abilities Understanding of pre-certification, prior authorization, and referral... ...Fletcher Ave Tampa 33613 Eligible for Remote Work: Hybrid Remote Job Patient...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...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
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description: New to OU Health? Ask your... ...about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in...Remote workFull timeShift work
- ...Remote Prior Authorization SpecialistLabcorp is seeking a Remote Prior Authorization Specialist to join our team!Work Schedule: Monday – Friday; 8:00am-5:00pm ESTResponsibilitiesReview incoming orders to verify completeness and accuracy of documentation required for prior...Remote workMonday to Friday
- ...Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!... ...Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and... ...all outstanding held revenue related to prior authorizations for insurances assigned....Remote workFull timeTemporary workWork at office
$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- ...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 workContract work
$28.83 - $46.14 per hour
...Location Wage Range: $28.83 - $46.14 per hour. Location: Remote in Washington State only. Posted wage ranges represent... ...of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. ~ Experience...Remote workHourly payContract workFlexible hoursShift work$24.76 - $33.17 per hour
...subspecialties. This position is primarily remote, candidates must reside in the Tri-... ...needs. Job Summary: The Authorization Specialist II is responsible for verifying insurance... ...authorizations for professional services prior to the patient's visit, scheduled...Remote workHourly payFull timeWork at officeLocal areaImmediate start$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 workHourly payFull timeWork at office$20 per hour
*Location:* Fully remote role but *MUST live in the state of Arizona* *Schedule... ...*Description:* The Referral and Authorization specialist is responsible for ensuring patients have... ...or services needed. *Skills:* Prior authorization, customer support, customer...Remote workContract workTemporary workLive inWork at officeMonday to FridayShift work$19.87 - $30.79 per hour
...Reimbursement Specialist 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 authorizations efficiently via...Remote workWork experience placementAll shiftsWeekend work- ...Schedule : Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable distance... ...for a minimum of 7 business days Responsibilities ~ The Prior Authorization Coordinator is responsible for striving to complete either approval...Remote workLocal areaFlexible hoursShift work
$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and...Remote workLocal area
- ...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 workFull timeFlexible hours
$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- ...far exceed the expectations of the medical community, referring physicians, and our customers. Job Summary: The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary...Remote workFor contractorsWork experience placementWork at office
$17 - $31.3 per hour
...Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as an Authorization... ...dynamic and fast-paced role, you will be responsible to obtain prior authorization for both new and existing patients in order...Remote workHourly payDaily paidFull timeTemporary workWork at officeLocal area$19.81 - $28.3 per hour
...Brigham. Job Summary Summary Reviews and processes prior authorization and referral requests for medical services in accordance... ...environment. Additional Job Details (if applicable) Remote Model Requirements Remote M-F Eastern business...Remote workHourly payShift work- ...Carolina Oncology Specialists has been providing compassionate, patient... ...: Job Title: Authorization Specialist Department: Revenue... ...Carolina Oncology Specialists-Remote Reports To:... ...for obtaining and verifying prior authorizations for oncology...Remote workWork at office
$21 per hour
...reputable health insurance company to recruit for an experienced Prior Authorization Clerk to join their team! This is an excellent opportunity... ...New York communities live healthier lives. These are fully remote opportunities open to candidates residing in New York State....Remote workPermanent employmentFull timeTemporary workLocal areaMonday to Friday
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