Medicare Prior Authorization Specialist
Virtual Vocations Inc
To support Medicare coverage determination operations, the full-time Medicare Prior Authorization Specialist will manage incoming documentation, create case reviews using multiple software systems, and maintain accurate records while working remotely with rotating weekend shifts. Key responsibilities Review and route incoming fax documents to appropriate work queues Create and maintain Medicare prior authorization case reviews while ensuring documentation accuracy Meet government-mandated turnaround times and productivity standards Required qualifications High School Diploma or equivalent Minimum of 1 year of medical insurance and prior authorization experience Data entry experience of at least 1 year Ability to work in a fast-paced production environment Experience using multiple software applications simultaneously Virtual Vocations Inc
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medicare Prior Authorization Specialist in New York, NY vacancy
$25.42 - $30.97 per hour
...POSITION SUMMARY: Responsible for screening prior-authorization and coordination of specialized... ...redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle... ...websites (i.e Blue Cross Blue Shield, Medicare, etc.) Customer service experience...SuggestedFull timeContract workWork at officeImmediate startRemote workFlexible hoursBoston Medical Center
New York, NY1 day ago- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...Suggested
$220k - $245k
...to join our multi-disciplinary clinical team as an Obesity Specialist. In this role, you will be at the forefront of our new program... ...and in a timely manner. Collaborate with nursing staff on prior authorizations and care coordination. Qualifications: Licensure: Licensed...SuggestedFull timeRemote workMonday to FridayFlexible hours- ...Demonstrates knowledge of breastfeeding learning principles. Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. BLS - Basic Life Support AHA - American Heart Association Upon Hire IBCLC - International Board...Suggested16 hoursWork at officeLocal areaShift workDay shift
- 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...SuggestedRemote job
- Boston Medical Center is seeking a dedicated Prior Authorization Specialist I to join the Revenue Cycle Patient Access team. The role focuses on financial clearance, including demographic validation, insurance verification, referrals, and precertifications to ensure timely...Remote jobWork at office
$14.28 per hour
...and wellness services one person at a time. Registration Specialist Full-time Harrisburg and Elizabethville, PA Monday - Friday... ...to specific doctor(s) to support things like lab work, prior authorization requests for meds, etc. Requirements High School Diploma...Full timeWork at officeMonday to FridayAfternoon shift1 day per week- 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 job
$33.2 - $36.94 per hour
...healthcare related field or customer service oriented position. Experience Preferred: 2 years in Healthcare/Medical Working with prior authorizations Skills - Required: Excellent verbal and written communication skills. Strong customer service orientation. Basic computer...Full timeLocal areaRemote workHome officeShift work- ...operations, handle phone inquiries, and schedule and pre-register patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while maintaining high service standards. The position emphasizes...Remote job
- 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...Full timeTemporary workWork at officeRemote work
- 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...Fixed term contract
- ...Opportunity for advancement Paid time off Profit sharing Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven experience with insurance verification of commercial and HMO plans and...
- ...the patients they serve. Job Description: Role Summary: The Authorization Specialist role is responsible for all administrative aspects of... ...for medically necessity guidelines including frequency and prior testing requirements. EDUCATION & EXPERIENCE: High School...Work at officeRemote work
- ...Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption.... ...you secure matters Responsibilities Submit and track prior authorization requests to insurance companies daily Communicate...Hourly pay
$20.39 - $34.71 per hour
Position Purpose Works with the utilization management team and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline Documents some complex authorization requests and obtain accurate...Hourly payFull timePart timeH1bWork at officeRemote workFlexible hours- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance...
$20 per hour
...Wyoming. Overview Navitus Health Solutions is seeking a Specialist I, Prior Authorization to join our team! The Specialist I, Prior Authorization... ...authorization request status Develop and maintain knowledge of Medicare D, Medicaid, and/or Exchange programs Participate in ad...Remote workFlexible hours- The Intake Specialist supports the full intake cycle for prospective ABA therapy clients,... ...initial documentation, and supporting authorization workflows to move families from referral... ...Assist in the preparation and submission of prior authorization requests for ABA services...Work at officeWork from homeHome office
- University of Utah Health is seeking a detail-oriented Insurance Verification & Prior Authorization Specialist to secure outpatient services by verifying benefits, calculating patient estimates and obtaining prior authorizations. This role collaborates with physicians,...Remote job
- Sullivan County Community Hospital is seeking a Prior Authorization Representative to join our well‑established Revenue Cycle team in Sullivan, IN. The role focuses on verifying insurance, documenting payer policies, and ensuring prior authorizations are processed quickly...
- Cencora is seeking a Field Reimbursement Specialist to educate provider offices on insurance and coverage issues for specialty medications... .... A bachelor’s degree is preferred, with strong knowledge of pharmacy benefits and prior authorizations. #J-18808-Ljbffr MWI Animal HealthRemote jobNight shift
- ...independently manage patient access activities including registration, insurance verification, appointment scheduling, and prior authorizations with minimal oversight. You will resolve advanced insurance and scheduling issues, mentor newer team members, and help improve...Remote job
- ...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 will have a High School Diploma, experience in...Remote jobWork from home
- Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work remotely in the USA. The role focuses on maintaining prior authorizations, copay assistance, and verifying ongoing insurance coverage for services. You will have...Remote jobMonday to Friday
- ...Pharmaceutical products, seeks an accomplished Patient Access Specialist TITLE: Patient Access Specialist LOCATION: Hybrid (2 Days... ...orphan medications by helping navigate insurance coverage, prior authorization requirements, pharmacy claims, refills, and medication...Temporary workWork at officeLocal areaRemote workMonday to Friday
$34.92k - $57.55k
...Offer $27.67 Now Hiring: Patient Visit Specialist Summary: Presbyterian is seeking a... ...payor requirements, and securing prior authorizations, certifications, and referrals as needed... ...580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care)...Full timeTemporary workWork at officeLocal areaImmediate startShift work- ...the Role We're seeking a Prosci-certified Change Management Specialist to support a significant Epic Revenue Cycle transformation... ...financial assistance, digital payments, follow-up/denials, and prior authorization — leveraging new Epic AI capabilities (Emmie for patient...Remote workFlexible hours
$16 - $31.44 per hour
Patient Access Specialist $2000 Sign On Bonus For External Candidates You'll enjoy the flexibility... ...approved scripting Obtains referral, authorization, and pre-certification information and... ...: 1+ years of experience with prior authorizations Experience with using Microsoft...Remote jobDaily paidFull timePart timeWork experience placementLive inWork at officeRelocation packageMonday to FridayShift work$18.99 - $28.51 per hour
Patient Access Specialist II- Practice Operations- Remote Opportunity Job Category : Office/Clerical/Admin. Requisition Number :... ...medical scheduling, registration, insurance verification, or prior authorization processes Experience mentoring or supporting new team...Remote jobHourly payFull timeWork experience placementWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare Prior Authorization Specialist. Be the first to apply!
Related searches
- addiction specialist New York, NY
- youth engagement specialist New York, NY
- mathematics specialist New York, NY
- configuration specialist New York, NY
- enterprise solutions specialist New York, NY
- member outreach specialist New York, NY
- vetting specialist New York, NY
- occupancy specialist New York, NY
- creative specialist New York, NY
- pc specialist New York, NY