Prior Authorization Specialist / Remote
$21 - $26 per hourAmerita
Overview This 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. Our Company Amerita Overview This 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 - 6:30pm CST We Offer: Competitive Pay Health, Dental, Vision & Life Insurance Company-Paid Short & Long-Term Disability Flexible Schedules & Paid Time Off Tuition Reimbursement Employee Discount Program & DailyPay 401k Pet Insurance Responsibilities Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines. Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions. Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols. Knowledgeable to perform all PA functions. Qualifications High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy 1+ years pharmacy experience Pharmacy or healthcare-related knowledge Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication Basic math and analytical skills Intermediate typing/keyboard skills About Our Line Of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit . Follow us on Facebook , LinkedIn , and X . Additional Job Information Percentage of Travel: 0-25% Salary Range USD $21.00 - $26.00 / Hour #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- ...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
$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- ...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
- ...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
- ...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
$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$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- ...Prior Authorization Specialist DeliverHealth is seeking an experienced Prior Authorization (PA) Specialist to support the continuous improvement of InstaAuth, DeliverHealth's AI-powered and agentic Prior Authorization platform. The primary responsibility of this...Remote work
$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$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...healthcare operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior...Remote workHourly payPart timeFor contractorsWork at officeFlexible hours- ...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
- ...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
- ...Silna Health Prior Authorization And Benefits Verifications Expert Silna Health attacks the root cause of denied claims: the fragmented,... ...position, which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients...Remote workHourly payFull timeFor contractors
- ...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
- Abax Health is seeking a Patient Access Concierge to operate remotely within the United States. The role covers patient registration, insurance verification, scheduling, and prior authorizations with increasing independence. You will assist patients, providers, and clients...Remote job
$13 per hour
...Prior Authorization Specialist Pride Health is hiring a Prior Authorization Specialist to support our client's healthcare facility in Sumter, SC... ...Schedule: Business Hours EST Location: Sumter, SC 29150 or Remote Job Type: Contract Contract Length: 27 Week/s Pay...Remote workContract workLocal area- ...The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding... ...the liaison to therapist and AHCCCS Prior Authorization Department • Tracking and organizing... ...Recent Negative TB Test. This is an in-person position only, no remote options....Remote workWork at office
$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!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
- ...Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption of PAHub...Remote workLocal area
$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- 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
- Fremont Economic Development Corporation is looking for a Prior Authorization Specialist to enhance patient care by ensuring timely access to healthcare... ...and communication skills. This position allows remote work for residents of several states and offers competitive...Remote job
$17.75 - $19.5 per hour
...informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday - Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization &...Remote workHourly payTemporary workCasual workInternshipMonday to FridayFlexible hours- ...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
$19.81 - $28.3 per hour
...Brigham. Job Summary Summary Reviews and processes prior authorization and referral requests for medical services in accordance... ...environment. Additional Job Details (if applicable) Remote Model Requirements Remote M-F Eastern business...Remote workHourly payShift work
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