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

Remote Prior Authorization Specialist

Mass General Brigham

Somerville, MA
  • 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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Prior Authorization Specialist in Somerville, MA vacancy
  •  ...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 work
    Hourly pay
    Work at office
    Work from home
    Home office

    Verisma

    United States
    1 day ago
  • $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 work
    Full time
    Contract work
    Summer work
    Work at office

    Mercor

    Remote
    21 hours ago
  • 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 job
    Work from home

    Verisma

    New York, NY
    1 day 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
    3 days ago
  • $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 work
    Hourly pay
    Part time
    For contractors
    Work at office
    Flexible hours

    24-MAG LLC

    New York, NY
    1 day 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
    2 days ago
  • $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 work
    Hourly pay
    Full time
    Work at office

    CardioOne

    Denver, CO
    3 days ago
  •  ...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 work
    Work at office

    Carolina Oncology Specialists

    United States
    1 day ago
  • $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 work
    Flexible hours
    Shift work

    Navitus Health Solutions

    United States
    2 days ago
  •  ...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 work
    Freelance
    Worldwide

    1840 & Company

    United States
    21 hours ago
  •  ...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

    US Tech Solutions

    United States
    4 days ago
  • $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 work
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work at office
    Monday to Friday
    Shift work

    Maven Wise

    Santa Clarita, CA
    1 day ago
  •  ...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 work
    Work at office

    PEOPLES HEALTH CARE CONNECTION LLC

    Tucson, AZ
    1 day ago
  • $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 work
    Hourly pay
    Full time
    Monday to Friday
    Shift work
    Weekend work

    Mass General Brigham

    Wellesley, MA
    2 days ago
  • 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

    Mass General Brigham Incorporated

    Somerville, MA
    3 days ago
  • $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 work
    Full time
    Contract work

    Koya Medical, Inc.

    Brooklyn, NY
    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 job

    Fremont Economic Development Corporation

    Denver, CO
    1 day ago
  • 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

    Socket.dev

    Farmington Hills, MI
    1 day ago
  • $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 work
    Full time
    Temporary work
    Work at office
    Monday to Friday

    Riverhillsneuro

    Cincinnati, OH
    21 hours ago
  •  ...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 work
    Hourly pay
    Full time
    For contractors

    Silna Health

    United States
    21 hours ago
  • $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

    Mass General Brigham

    Somerville, MA
    21 hours ago
  •  ...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 work
    Local area
    Flexible hours
    Shift work

    BrightSpring Health Services

    United States
    3 days ago
  • $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 work
    Work experience placement
    All shifts
    Weekend work

    Virginia Commonwealth University Health Systems

    Richmond, VA
    3 days ago
  •  ...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 work
    Local area

    RXinsider

    New York, NY
    1 day ago
  • $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 work
    Hourly pay
    Daily paid
    Full time
    Temporary work
    Work at office

    Minnesota Jobs

    United States
    1 day ago
  •  ...| 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 work
    Full time
    Work at office
    Shift work

    Logan Health

    Brooklyn, NY
    2 days ago
  •  ...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

    RWJBarnabas Health

    New Brunswick, NJ
    3 days ago
  • 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

    RXinsider LTD.

    New York, NY
    2 days ago
  • 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

    Abax Health

    Brooklyn, NY
    1 day ago
  •  ...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 work
    Full time
    Temporary work
    Work at office

    Medical Services Company

    Toledo, OH
    2 days ago

Do you want to receive more vacancies?

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