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
- ...CVS Health Corporation is seeking a Prior Authorization Representative to work from home in the United States. This role handles initial contact... ...should have customer service experience, be able to work remotely with reliable internet, and ideally possess pharmacy/...Remote workWork from homeNight shiftWeekend work
- ...CVS Health is hiring a Representative I to be the first point of contact for Prior Authorization requests from members, providers, and a diverse customer base. You will determine if complex requests should be escalated to a pharmacist and maintain detailed documentation...Remote workWork from homeNight shift
$21.68 - $23.99 per hour
...Prior Authorization Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you'll have the opportunity...Remote workHourly payWork at officeWork from homeHome officeNight shift$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- ...A healthcare services provider is seeking a Prior Authorization Specialist to coordinate patient care and manage prior authorizations. The role involves... ...a proactive work style. This position offers the flexibility of remote work in a fast-paced environment. #J-18808-Ljbffr...Remote work
- ...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 work
- ...Prior Authorization Specialist About Our Company: At Infinx, we are a dynamic and rapidly expanding company dedicated to providing innovative technology... ...as the heart of our mission. Summary Description: This remote Prior Authorization Specialist supports the Patient Access...Remote workWork at officeFlexible hours
$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- ...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
- ...pharmacy member appeals and grievances, the full-time remote Appeals and Grievance Specialist will ensure compliance with regulatory requirements... ...Experience with Medicare medical and/or pharmacy prior authorization processes Comprehensive knowledge of CMS, MassHealth...Remote workFull time
- ...Working remotely, the part-time Remote Prior Authorization Specialist will manage tasks related to care coordination services, including insurance verifications, prior authorizations, and electronic filing of medical documents. Key responsibilities Process assigned tasks...Remote workPart timeWork at office
- ...To support patient access services, the full-time Prior Authorization Specialist will verify insurance, obtain authorizations, and coordinate financial clearance activities remotely, ensuring compliance with healthcare delivery standards. Key responsibilities Processes...Remote workFull timeWork at office
$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$46.37k - $60.86k
...Hi, we're Oscar. We're hiring a Specialist, Admin Complaints, Grievances & Appeals to... ...Team Lead. Work Location: This is a remote position, open to candidates who reside... ...complex event timelines involving prior authorizations, claims processing, and system-based adjudication...Remote jobFull timeWork at office- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with optimizing a broken system. We're making sure... ..., 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
$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...provide sponsorship at this moment". Job Title: Intake Specialist Location: 100% Remote Duration: 6-Month Contract Pay Rate: $16 19.9... ...to the appropriate analyst. Determine whether prior authorization or pre-certification is required. Verify member...Remote workContract workWork at office
- ...Job Description Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote, part-time opportunity working 10-20 hours/week where candidates will leverage their prior authorization expertise to evaluate...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$21 - $28.3 per hour
...verify insurance coverage, obtains pre-authorization for medical procedures, and facilitates... ...insurance coverage and eligibility for patients prior to medical procedures or hospital... ...30 am-5:00 pm EST schedule required for remote role * Quiet, secure, stable, compliant...Remote workHourly pay- ...Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. Researches and... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
- ...Prior Authorization SpecialistPHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts.Founded in 2015... ...high-speed internet to meet the needs of remote processing (required)Reliable transportation...Remote workFull timeWork at officeMonday to FridayShift work
- ...Intake Specialist In this remote position, the Intake Specialist communicates with callers who are referred to or interested in counseling... ...prescription/refill requests, including completing prior authorizations for medications when necessary Maintains compliance...Remote workLocal area
- ...Job Overview: The Intake Specialist is responsible for managing incoming... ...all required elements are obtained prior to benefits investigation and authorization Patient & Provider... ...Paid Time Off. Location: Remote with limited travel to client locations...Remote workWork at office
- ...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
$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$20 - $24 per hour
...detail-oriented and seasoned Revenue Cycle Specialist to join our growing team! The ideal... ...experience preferred, including prior authorization requirements/processes. Certified Professional... ...providers. Work Location Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull 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
$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
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