Remote PASRR Policy & Authorization Specialist
Texas Health and Human Services
- Remote job
Texas Health and Human Services Commission in Austin seeks a Program Specialist V to support PASRR specialized services review, adjudication, and authorization. You will interpret policies, assist providers, and ensure timely processing of claims related to PASRR services. The role emphasizes collaboration, accuracy, and policy clarity, with telework eligibility and a focus on specialized services authorization. Strong analytical and communication skills are essential. #J-18808-Ljbffr Texas Health and Human Services
- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist II will manage documentation, verify member insurance coverage, and assist... ...and referrals in accordance with policies Supports the authorization review process by...Remote workPolicyFull time
$26 per hour
...healthcare. Responsibilities The Authorization Representative will need to cover... ...resource for payer authorization requirements, policies, portals, and workflows. Maintain... ...The pay range for this role is: 26 - 26 USD per hour (Remote (United States))Remote workPolicyHourly pay$24.76 - $33.17 per hour
...Authorization Specialist II #Full Time #Remote The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors... ...Specialist II is responsible for verifying insurance policy benefit information, and securing payer required...Remote workPolicyHourly payFull timeWork at officeLocal areaImmediate start- Carolina Oncology Specialists has been providing compassionate, patient... ...Description: Job Title: Authorization Specialist Department:... ...Carolina Oncology Specialists-Remote Reports To: Authorization... ...requirements, and organizational policies Identify trends in...Remote workPolicyFull timeWork at office
- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with... ...a strong understanding of insurance policies and ABA billing processes ~2+ years of... ...includes benefits and equity in the company Remote role Best of all, a chance to make an...Remote workPolicyHourly payFull timeFor contractors
$150k - $160k
...establishing and implementing policies, standards, and services... ...management practices. The A&A Specialist III (Mid-Level) supports... ...required. Assessment and Authorization Duties: Oversee assessments... ...2026-27285 Work Type Remote Pay Range $150,000 - $1...Remote workPolicyFull timeContract workPart timeFor contractorsWork at office$24 - $28 per hour
...Prior Authorization Specialist Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step therapy requirements, and paperwork so the patient... ...role is: 24 - 28 USD per hour (Remote) 24 - 28 USD per hour (Sandy HQ...Remote workPolicyHourly payLocal areaMonday to Friday$68.79k - $80.85k
...Title: Prior Authorization Specialist Reports to: Director, Pharmacy Operations Classification... ...Contributor Location: MA (Remote) Job description revision number and... ...Follow all applicable departmental and CPC Policies and Procedures (as they pertain to operations...Remote workPolicyFull time$21 - $27 per hour
...CardioOne Prior-Authorization Specialist The next generation of independent cardiology is being built... ...comply with insurance company policies, guidelines, and healthcare regulations... ...Fraud and Abuse laws. Work Location: Remote: Colorado (Denver preferred), Delaware...Remote workPolicyHourly payFull timeWork at office- CareOregon, Inc. seeks an Authorization Assistant I to provide clerical and technical support focused on health authorization... ..., accurate processing in compliance with HIPAA and policy standards. This is a remote, entry-to-mid level position with bonus potential. #J-...Remote jobPolicy
- Lumicera is seeking a Specialist III, Prior Authorization to coordinate the day-to-day operations of the Prior Authorization team under supervision.... ...Cover My Meds, while driving workflow improvements and ensuring compliance with company policies. #J-18808-Ljbffr LumiceraRemote jobPolicy
$19.81 - $28.3 per hour
...Mass General Brigham Authorization Specialist Mass General Brigham relies on a wide range of professionals... ...in accordance with organizational policies and payer requirements. Ensures... ...30 AM- 5 PM EST schedule required for remote role A quiet, secure, stable, HIPAA...Remote workPolicyHourly payShift work- CardioOne is seeking an experienced Prior-Authorization Specialist to join our telework-ready Revenue Cycle Management team. You will obtain and... ...for procedures and tests, ensuring compliance with insurer policies and healthcare regulations, while collaborating with...Remote jobPolicy
- ...Prior Authorization Specialist (Remote) Hot Job Fully Remote • Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL 33309 Overview... ...regulations, including HIPAA Comply with departmental policies regarding safety, attendance, and dress code Overtime,...Remote workPolicyFull timeTemporary workPart timeShift workWeekend work
- Community Care Cooperative (C3) seeks a Prior Authorization Specialist to process and submit prior authorizations for FQHCs through CPC/C3. The... ...support, and patient assistance programs, while upholding CPC policies and delivering professional service. #J-18808-Ljbffr...Remote jobPolicy
- Manage pre-service authorization denials and coordinate reconsiderations, appeals, peer-to-peer reviews, and payer exception requests within applicable timeframes. Interpret payer policies, medical necessity criteria, and coverage requirements to determine appropriate resolution...Remote jobPolicy
$50k - $70k
...be a part of our great team! *Fully Remote Position* ABOUT THIS POSITION We are recruiting for a Prior Authorization Specialist to join our team. In this role, you will... ...with applicable quality system procedures/policies and make suggestions for continuous...Remote workPolicyWork experience placementWork at officeLocal areaFlexible hours- ...Speech-Language Pathologist for a fully remote Utilization Specialty Therapist role. This... ...utilization review and therapy prior authorization, with a Monday-Friday schedule. Responsibilities... ...include reviewing requests, ensuring policy compliance, maintaining required...Remote jobPolicyContract workMonday to Friday
- ...quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer... ...resolving issues while adhering to organizational policies, and maintaining a professional demeanor in a...Remote jobPolicy
- ...Job Shift: Day Position Title: Prior Authorization Specialist Department: Business Office Supervisor... ...implementing prior authorization workflow, policies, and procedures. Principal Functions... ...Positions is flexible to be in suite, remote or hybrid. General Health care...Remote workPolicyFull timeWork at officeFlexible hoursShift work
- ...Our Medical Device client is seeking an Authorization Specialist for Medical Device claims. This role... ...flexible hours - Monday and Fridays are remote Senior Prior Authorization Specialist... ...provided at Texas Neurology Follows policy and procedures outlined by management...Remote workPolicyPermanent employmentContract workMonday to FridayFlexible hours
- Job Description - Authorization Specialist - USFTGP UMSA Front End (26000423) Authorization Specialist... ...payer guidelines and organizational policies. Collect, review, and submit relevant... ...Davis Blvd Tampa 33606 Eligible for Remote Work: On Site Organization Academic Medical...Remote workPolicyFull timeWork at officeMonday to Friday
- Prior Authorizations Specialist CNC Management Solutions LLC West Lake Hills, Texas, United States About... ...providers. Stay updated on insurance policies and guidelines to ensure compliance.... ...8746 (Required) Work Location Hybrid remote in West Lake Hills, TX 78746 #J-18808...Remote workPolicyFull timePrivate practiceWork at officeMonday to Friday
$21 per hour
...company to recruit for an experienced Prior Authorization Clerk to join their team! This is an... ...communities live healthier lives. These are fully remote opportunities open to candidates... ...law, it is the purpose of this policy to effectuate these principles and mandates...Remote workPolicyPermanent employmentFull timeTemporary workLocal areaMonday to Friday- ...Authorization Specialist (Remote) Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment provider... ...their knowledge of how insurance verifications, medical policies, and insurance requirements/guidelines operate. Responsibilities...Remote jobPolicyWork at office
- ...writer with clinical experience. The Authorization Escalation specialist are responsible for the successful... ...approval. Comfortable working with remote teams in multiple states. Understands... ...Complies with departmental organizational policies and procedures and adheres to...Remote workPolicy
- ...Employment Type: Full-time, Hybrid 2 days remote Schedule: Monday - Friday About Us... ...grow. Job Overview The Verification/Authorization Specialist is responsible for conducting detailed... ...in accordance with company policies and payer guidelines. Authorizations...Remote workPolicyFull timeWork at officeMonday to Friday
- ...position WITHOUT the possibility of working remote. NOTE: Please provide a written cover... ...work in-person as a local. The Prior Authorization Specialist is responsible for obtaining insurance... ...system. Ensure compliance with payer policies, healthcare regulations,...Remote workPolicyWork at officeLocal area
- ...reports to the Director, Clinical Pharmacy Programs. The Prior Authorization (PA) Specialist supports the clinical team by initiating, processing, and... ...of all PA activity in accordance with company policies and payer requirements. Ensure all work is performed in...Remote jobPolicyWork at office
- ...our customers. Job Summary The Prior Authorization Specialist is responsible for all aspects of the... ...Adheres to the Employee Handbook and Policies and Procedures All other duties assigned... ...Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Remote JobsRemote workPolicyFor contractorsWork experience placementWork at office
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