Remote Clinical Admin and Prior Authorization Specialist
Alliance Health in
- Remote job
Alliance Health is seeking an Administrative Clinical Support Specialist I for a full-time remote role based in North Carolina. The role handles clinical data transfer, pre-review screening of prior authorization requests, discharge documentation, and administrative supports to meet deadlines. The position requires a High School diploma with several years of related administrative experience in healthcare settings, plus HIPAA compliance and strong MS Office skills. #J-18808-Ljbffr Alliance Health in
- ...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
- ...looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency... .... Obtains predeterminations, prior authorizations, and retro authorizations when... ...growing family focused on supporting clinical excellence, teamwork and...Remote workFull time
- ...healthcare practice, the full-time Prior Authorization Specialist will obtain prior authorizations and... ...specialty medications while working remotely. Key Responsibilities Obtain prior... ...requirements, and submit necessary clinical documentation to insurance carriers...Remote workFull time
- ...ICD-10-CM/PCS and the 3M Encoder, and will collaborate with the CDI team, Coding Manager, Business Office and Case Management.This remote role requires strong medical terminology knowledge, hospital coding experience, and the ability to work independently while maintaining...Remote 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
...responsible for all core functions in the Prior Authorization (PA) Department Coordinate and... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote... ...serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- UnitedHealthcare in Las Vegas offers a full-time Clinical Administrative Coordinator role with a hybrid schedule (onsite and remote). The office is at 2716 N Tenaya Way, Las... ...center tasks, care coordination, and prior authorizations, requiring healthcare experience and...Remote workFull timeWork at officeShift work
- ...Rep I, Clinical Services The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing... ...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...Remote work
- ...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...Remote workContract workWork experience placementLocal areaImmediate startFlexible hours
$13.5 per hour
...Representative Job Type: Full-Time / Remote Work Location: Remote Schedule:... ...Referral Navigator Representative to support authorization and referral operations in a remote... ...authorization process to ensure referrals and prior authorization requests are processed...Remote workWeekly payFull timeContract workShift work- ...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
- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care... ...collaboration between clinical teams, administrative staff,... ...with TMS, behavioral health, or prior authorization processes...Remote workFull timeFlexible hours
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description... ...and total rewards package. Remote Eligibility: Candidates must reside... ...determinations. Coordinate with clinical teams to obtain medical necessity documentation...Remote workFull timeShift 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- ...Flagler Health Is Building The Clinical Operating System For Modern Musculoskeletal... ...operations and improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations...Remote workContract work
- ...Remote Authorization Specialist New England Life Care (NELC) is one of the fastest growing home infusion... ...for obtaining and maintaining prior authorization status for NELC patient... ...authorization specialist works closely with the clinical review department to obtain...Remote workTemporary workLocal areaMonday to Friday
- ...Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist... ...service data provided by the biller/clinical team for completeness and accuracy... ...Process Outsourcing (BPO) and remote talent solutions, dedicated to propelling...Remote workFreelanceWorldwide
$22 per hour
...Insurance Reimbursement Specialist to support insurance... ...benefits, prepares pre-authorization requests. Document... ...communication between insurers, clinics and patients to... ...and medical device prior authorization (preferred... ...in-person training, remote working may be an option...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work$18 - $32 per hour
...National Remote Clinical Support Team Member Optum is a global organization that delivers care, aided by technology to help millions... ...Responsibilities: Lead insurance verification and prior authorization coordination by partnering with patients, payers, and clinical...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayShift work$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering... ...pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay... ...entities, review organizations, and clinical contacts for effective communication...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday- ...Authorization Specialist The Authorization Specialist is responsible for coordinating... ...of pre-certification, prior authorization, and referral... ...to accurately document clinical, insurance, and authorization... ...Tampa 33613 Eligible for Remote Work: Hybrid Remote Job:...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside... ...business days Responsibilities ~ The Prior Authorization Coordinator is responsible for striving... ..., and compliance with best-in-class clinical standards. We are committed to enhancing...Remote workLocal areaFlexible hoursShift 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... ...field.1 or more years of experience in Clinical Laboratory Revenue Cycle Management (RCM)...Remote workMonday to Friday
- ...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
$28.83 - $46.14 per hour
...Title Denial Management Specialist Job Description Wage... ...management, utilization review or prior authorization in a hospital, provider, or... ...billing and reimbursement Remote in Washington State only... ..., collaborates with clinical and operational departments...Remote workHourly payContract workFlexible hoursShift work$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- ...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
$20 per hour
...Support Representative (AI Patient Access Specialist) Job Description The Client... ...to verify insurance coverage, manage prior authorizations, and ensure that all information is captured... ...evolve. Comfort working in a remote environment with AI-driven tools and multiple...Remote workContract workTemporary workInternshipWork at office$17 - $31.3 per hour
...Authorization Specialist We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...dynamic and fast-paced role, you will be responsible to obtain prior authorization information for both new and existing...Remote workDaily paidFull timeWork at officeMonday to FridayShift work$16 - $31.44 per hour
...Patient Access Specialist $2000 Sign On Bonus For External Candidates You'll enjoy... ...approved scripting Obtains referral, authorization, and pre-certification information and... ...Qualifications: ~1+ years of experience with prior authorizations ~ Experience with...Remote workDaily paidFull timePart timeWork experience placementLive inWork at officeRelocation packageMonday to FridayShift work
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