Remote Prior Authorization Specialist
Mass General Brigham
- Remote job
Mass General Brigham is seeking a detail-oriented authorization specialist to review and process prior authorization and referrals for medical services in line with payer requirements. The role ensures eligibility, COB coordination, site-of-care compliance, and medical necessity by collecting and submitting complete documentation within HIPAA standards. Key duties include ensuring timely CPT codes, coordinating with clinicians, and updating statuses in the electronic health record. #J-18808-Ljbffr Mass General Brigham
- ...filing), order and referral management, insurance verifications, prior authorizations, and completing patient medical forms. The Care Coordination... ...Supervisor. This position may be onsite, hybrid and/or remote allowing you to work from your own home office environment....Remote workHourly payWork at officeWork from homeHome office
$40 - $50 per hour
...Position: Healthcare Administrative Specialist Type: Contract Compensation... ...: $40–$50/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support using real-...Remote workFull timeContract workSummer workWork at office- 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
$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$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- ...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
$20 - $24 per hour
...CardioOne Revenue Cycle Specialist The next generation of independent cardiology is... ...imaging experience preferred including prior authorization requirements/processes. ~ Certified... ...healthcare providers. Work Location: Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull timeWork at office- ...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
$20 - $21.96 per hour
...8am to 5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION: Lumicera... ...Due to growth we are adding an Intake Specialist to our team! Under direction from... ...and insurance companies in triaging prior authorizations for patients of the specialty pharmacy...Remote workFlexible hoursShift work- ...Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of... ...a global leader in Business Process Outsourcing (BPO) and remote talent solutions, dedicated to propelling businesses forward...Remote workFreelanceWorldwide
- ...providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and...Remote work
$22 per hour
...for an Insurance Reimbursement Specialist to support insurance... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...completion of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding... ...the liaison to therapist and AHCCCS Prior Authorization Department • Tracking and organizing... ...Recent Negative TB Test. This is an in-person position only, no remote options....Remote workWork at office
$19.37 - $27.71 per hour
...full-time, 40-hour Practice Specialist to join our Sports Medicine... ...related issues for staff. Manage authorizations in collaboration with... ...or takes messages related to prior authorizations, provider questions... ...are strongly preferred. Remote Type: Onsite Work Location:...Remote workHourly payFull timeMonday to FridayShift workWeekend work- Mass General Brigham Incorporated is seeking a Prior Authorization Specialist to process and coordinate medical service authorizations from initiation to final decision. The role requires attention to detail, strong communication, and knowledge of medical terminology and...Remote job
$55k - $60k
...competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by... .... This role reports to the Manager, Prior Authorization within the Reimbursement... ...is full time, exempt and will work remotely. Essential Duties and Responsibilities...Remote workFull timeContract work- 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 job
- Socket.dev is seeking an Infusion Prior Authorization Specialist to ensure all pre-service accounts are financially cleared before the date of service. You will verify insurance information, validate benefits, and obtain required authorizations to initiate the patient...Remote job
$18 per hour
...those facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training. Key Benefits for Full-Time Employees...Remote workFull timeTemporary workWork at officeMonday to Friday- ...Silna Health Prior Authorization And Benefits Verifications Expert Silna Health attacks the root cause of denied claims: the fragmented,... ...position, which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients...Remote workHourly payFull timeFor contractors
$28.3 per hour
...part of Mass General Brigham.Job SummaryReviews and processes prior authorization and referral requests for medical services in accordance... ...part of a team.Ability to work in a fast-paced environment.Remote Model RequirementsRemoteM-F Eastern business hours requiredEmployees...Remote 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
$19.87 - $30.79 per hour
***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 workWork experience placementAll shiftsWeekend 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
$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 information for both new and existing...Remote workHourly payDaily paidFull timeTemporary workWork at office- ...| Work Together | Strive for Excellence. Join Our Prior Authorization Team at Logan Health! Location: Remote (see approved states) Schedule: Variable Shift – 8... ...looking for a detail-oriented Prior Authorization Specialist to ensure a smooth and efficient process for obtaining...Remote workFull timeWork at officeShift work
- ...Brunswick, NJ. You will help ensure accurate demographic, referral, authorization, and registration data while coordinating scheduling for... ...physician services. Responsibilities include insurance verification, prior authorizations, pre-certification, screening for financial...Remote job
- Agadia Health Systems, Inc. is seeking a PAHub & Prior Authorization Specialist to serve as a trusted consultant for customers and internal teams. You will bridge product functionality with customer operations, implementation, and training to maximize value and adoption...Remote job
- Abax Health is seeking a Patient Access Concierge to operate remotely within the United States. The role covers patient registration, insurance verification, scheduling, and prior authorizations with increasing independence. You will assist patients, providers, and clients...Remote job
- ...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
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