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
- ...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 workPolicy
- ...Job Description Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote... ...analytical and requires a strong understanding of payer policies, documentation strategies, and real-world authorization...Remote workPolicyContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
- ...Job Summary: As an Authorization Specialist you are an employee of the Finance Department and a member... ...onsite in Sugarloaf and two days remote. Essential Functions: Completes... ...with HIPAA, complying with practice policies and procedures. Support the Finance...Remote workPolicyWork at office
$13 per hour
...Prior Authorization Specialist Pride Health is hiring a Prior Authorization Specialist to support... ...EST Location: Sumter, SC 29150 or Remote Job Type: Contract Contract Length... ...regulatory requirements, and organizational policies. Collaborate with physicians,...Remote workPolicyContract workLocal area- ...Authorization SpecialistThe Authorization Specialist Sr is responsible for coordinating and securing pre-certifications... ...necessity guidelines, and payer-specific policies. Strong proficiency in EMR... ...Avenue Tampa 33613 Eligible for Remote Work: On SiteJob: Patient Financial...Remote workPolicyWork experience placementWork at officeShift work
- ...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
$25 - $26 per hour
...Authorizations Specialist Department: RCM: Authorizations Employment Type: Full Time Location... ...Specialist Location: REMOTE or HYBRID Entity: Alliance Health... ...documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization...Remote workPolicyFull timeMonday to Friday$24.76 - $33.17 per hour
...Authorization Specialist II The 61st Street Service Corporation, provides administrative and clinical... .... This position is primarily remote, candidates must reside in the Tri-State... ...is responsible for verifying insurance policy benefit information, and securing payer...Remote workPolicyHourly payFull timeWork at officeLocal areaImmediate start$22.99 per hour
...team. In this role, you will act as a key resource in the prior authorization process, ensuring all requests are documented accurately and... ...of authorizations and referrals in accordance with company policies and procedures. Remain up-to-date on healthcare regulations,...Remote workPolicyHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...Network. Summary Obtains benefits and authorizations for surgical procedures, diagnostic... ...are obtained in accordance to network policy (any authorization not falling into policy... ...Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote...Remote workPolicyWork at officeLocal areaMonday to FridayShift workDay shift
- ...Service Authorizations Team Member Are you looking to make a difference in people's lives... ...solving skills Knowledge of insurance policies and experience determining coverage... ...At this time, this role is primarily remote with occasional requirement to work in-...Remote workPolicyFor contractorsCasual work
$17.84 - $28.02 per hour
...Acts as a resource and supports the prior authorization request process to ensure that all... ...authorizations and referrals in accordance with policies and guidelines Supports the... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workPolicyHourly payFull timePart timeH1bWork at officeFlexible hours$38 - $40 per hour
The Bronx is seeking a Priority Authorization Flow Operator to review complex cases where automation... ...requirements, clinical documentation, policy criteria, and data to decide on approval... ...information, or routing. This fully remote role is available to candidates in the Central...Remote jobPolicyHourly pay$20 - $23 per hour
...Medical Prior Authorization Specialist - Hybrid Full Time Clerical South Bend, IN, US Salary Range:... ...obtain prior authorization Following policy and procedures on treatment therapies... ...LOCATION: This is a full-time hybrid/remote position; meaning, there will be required...Remote workPolicyHourly payFull timeTemporary workWork at office- ...Description: Role Summary: The Authorization Specialist role is responsible for all administrative... ...testing and procedures. Follows policy and procedures outlined by management... .... Specific details may vary based on the needs of the organization. #LI-REMOTERemote workPolicyWork 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 health... ...Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices." Coordinate with the...Remote workPolicyHourly payDaily paidFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$25.42 - $30.97 per hour
...Responsible for screening prior-authorization and coordination of... ...ancillary services. Adheres to policies and procedures in order to comply... ...The Prior Authorization Specialist role belongs to the Revenue... ...Financial Counseling. This is a Remote Position. Position:...Remote workPolicyFull timeContract workFixed term contractWork at officeImmediate startFlexible hours- ...Duties and Responsibilities: Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) serves as a... ...person escalation workflows when remote outreach efforts have not produced... ...in accordance with applicable laws and company privacy policies....Remote workPolicyWork at officeLocal area
- Labcorp is seeking a Pre Authorization Specialist to join a remote, United States-based team. You will conduct prior authorizations, verify benefits,... ...clients to expedite reimbursement. You will review medical policies, gather documentation, and document activities in the...Remote jobPolicy
$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- ...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
$45k - $55k
...connects leading pediatric specialists with families to provide best... ...work-life balance. Senior Authorizations Specialist Position Summary:... ...issues. Stay current on payer policies, authorization rules, state... ...and meet deadlines in a remote work environment. General Duties...Remote workPolicyWork at office$26.12 - $37.91 per hour
...Eligibility and Authorization SpecialistJob Class: Management Analyst 2Agency: Direct Care... ...employees play a critical role in developing policies, providing essential services, and... ...opportunity as an Eligibility and Authorization Specialist. As the Eligibility and Authorization...Remote workPolicyHourly payTemporary workPart timeLocal areaShift workDay shift$75 per hour
...management and specialty medication prior authorization workflows, ensuring accurate, payer-... ...requirements, and specialty drug coverage policies. Track authorization status, approval... ...improvement. Work Terms Location, remote. Employment type, hourly. Compensation...Remote workPolicyHourly pay- ...surrounding area** *** This position will be remote/ hybrid once training is complete*** Surgical Authorization Specialist Job Purpose: The Surgical Authorization... ...necessity by reviewing the appropriate medical policies established for each insurance payer....Remote workPolicyWork at officeLocal area
$21 - $28.3 per hour
...Corrects and updates systems with appropriate data per department policies and procedures -Identifies and escalates significant data... ...Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Onsite Work Location 165 Cambridge Street...Remote workPolicyHourly payShift work$26.75 - $30 per hour
...accommodation or an alternative application process. Employment Authorization Specialist - NIH Bethesda, MD, US Salary Range: $26.75 To $30.00... ...an Equal Employment Opportunity (EEO) employer. It is the policy of the GSN to provide equal employment opportunities to all...Remote workPolicyHourly payFull timeContract workTemporary workWork at officeFlexible hours- ...Summary/Objective: The position of Prior Authorization Specialist is a role that requires in depth... ...and service standards while working remotely and onsite as required by departmental... ...and established Prior Authorization policies and procedures. Identifies and appropriately...Remote workPolicyFull timeTemporary workWork experience placementWork at officeRelocation package
- ...Commission (HHSC) is seeking a Program Specialist IV to support PASRR specialized services reviewers,... ...adjudicate requests, and ensure accurate authorization decisions within the IDD Services... ...section. This senior role provides policy clarification to providers, prepares...Policy
$120k - $165k
...mission by establishing and implementing policies, standards, and services that meet... ...innovative management practices. The A&A Specialist III (Mid-Level) supports this mission by... ...confirmed. Job ID 2026-25517 Work Type Remote Pay Range $120,000 - $165,000 Benefits Regular...Remote workPolicyFull timeContract workPart timeFor contractorsWork at officeLocal area
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