Remote Prior Authorization Specialist
Mass General Brigham (Enterprise Services)
Mass General Brigham Incorporated is seeking a detail-oriented staff member to review and process prior authorization and referrals for medical services, ensuring eligibility, coordination of benefits, and medical necessity in line with HIPAA standards. You will document outcomes and payer communications in the electronic health record, collaborate with clinicians to assign proper CPT codes, and guide patients to financial counseling when needed. #J-18808-Ljbffr
- ...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 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
- ...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
$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$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- ...University Medical Billing (UMB) is a fully remote department that serves 1,800 providers across Utah and surrounding states. We seek an experienced Prior Authorization Representative to verify benefits, calculate patient estimates, and obtain prior authorizations before...Remote work
- ...Patient Access Case Manager to guide cases through insurance authorization and appeals. You will collaborate with Interventional Spine team... ...to navigate reimbursement challenges. The role supports a remote work model with preference for Central Time Zone; relocation and...Remote workRelocation
- ...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
- ...Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team. Work schedule is Monday–Friday, 8:00am–5:00pm EST. Responsibilities include AP submission, benefit verification, and billing inquiries in a remote setting. Minimum qualifications include a...Remote workMonday to Friday
- ...Riverhills Neuroscience is seeking a Prior Authorization Specialist to support the Billing department in Norwood. The role requires 1–2 years of medical... ...The schedule is hybrid, with 2 days in-office and 3 days remote after training. Offered benefits include 401k with company...Remote workWork at office
- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Remote workPart time
$21 - $26 per hour
...AmeritaThis role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.Schedule: Monday - Friday 9:30am...Remote workTemporary workMonday to Friday$90k - $110k
...Position Overview\n We are seeking a dedicated and compassionate Remote Mental Health Counselor to join our team at New Man... ...adjustments as necessary to optimize their care. \n Perform prior authorization reviews to validate the necessity of proposed treatments in...Remote jobFull timeTemporary work- ...Labcorp is seeking a Pre Authorization Specialist to join a remote, United States–based team. You will conduct prior authorizations, verify benefits, and communicate with patients, health plans, and clients to expedite reimbursement. You will review medical policies...Remote work
- ...Working remotely on a full-time basis, the Prior Authorization Specialist will manage prior authorization requests, verify benefits, and support billing inquiries while ensuring compliance with payer requirements and medical policies. Key responsibilities Initiate and...Remote workFull time
- ...To support care coordination services, the Remote Prior Authorization Specialist will process tasks related to insurance verifications, prior authorizations, and electronic filing while working part-time in a remote capacity with a schedule aligned to the Alaska time zone...Remote workPart timeWork at office
- ...Job Description Position Title Prior Authorization Specialist II Department Pre-visit Services Remote Eligibility Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment. SHIFT SHIFT: M-F, Days. Will need to be on-site...Remote workFull timeShift work
- A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote work
$90k - $110k
...compassionate and supportive work setting, we are seeking a dedicated Remote Mental Health Counselor to join Thrive Counseling and... ...appropriateness and effectiveness of care. \n Conduct prior authorization reviews in alignment with regulatory guidelines to determine...Remote jobFull timeTemporary workFor contractors$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- ...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
- ...Prior Authorization Specialist DeCoach Recovery is a leading addiction treatment center dedicated to providing compassionate care and effective... ...requests, resolving issues and denials. This position can become remote once training is completed. Minimum Qualifications:...Remote workCurrently hiringWork 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- ...Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!Competitive... ...and Duties• Initiates renewal authorization requests with insurance companies and government... ...all outstanding held revenue related to prior authorizations for insurances assigned.•...Remote workFull timeWork at office
$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- ...Access Specialist United States (EST only) Access Specialist II - Metabolic - East... ...Company: Cycle Vita Location: This is a remote position, but candidates will be located... ..., verify insurance coverage, obtain prior authorizations and support appeals processes. As part...Remote work
$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- ...: To help specialty practices thrive. POSITION SUMMARY: The prior authorization (also called “preauthorization” and “precertification”) position... ...as assigned. WORK LOCATION: This is a full-time hybrid/remote position; meaning, there will be required onsite training and...Remote workFull timeTemporary workWork at office
- ...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
- ...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
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