Remote Utilization Coordinator Prior Authorizations
GeBBS Consulting
GeBBS Consulting is hiring a Utilization Management Coordinator to support Blue Cross Blue Shield's commercial line of business. The role focuses on managing provider faxes, handling authorizations, and responding to phone calls. Ideal candidates should have at least 1 year of experience in Medical/Clinical Coordination or Healthcare Customer Service, with familiarity in processing prior authorizations and ideally experience with GuidingCare. #J-18808-Ljbffr
- ...We are currently hiring a Utilization Management Coordinator Summary: One of our... ...to handle provider faxes, authorizations, and phone calls for the... ...Experience handling/processing prior authorizations ~... ...GuidingCare Location: Remote If you are...Remote workCurrently hiring
- ...Utilization Management Coordinator Lumen Solutions Group Inc. is a technology consulting Services company... ...Coordinator with experience in Prior Authorization (PA) processing to support healthcare operations in a fast-paced remote environment. This role is primarily...Remote work
$19 per hour
...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director... ...tasks related to processing Utilization Management prior authorization and appeals. JOB RESPONSIBILITIES... ...programsCareer development opportunities Remote Opportunities We are actively...Remote workTemporary workLocal area- ...Senior Primary Care is seeking a Utilization Management Administration Coordinator II focused on non-clinical... ...handling service requests, supporting prior authorization, and maintaining patient records... .... This position offers a remote working option with a competitive...Remote work
- ...ReWorks Solutions is seeking a Utilities Coordinator for a full-time, remote position. This detail-oriented role requires managing and tracking utility data across a portfolio of properties, focusing on accurate data entry, account management, and communication with multiple...Remote workFull timeWork from home
- ...Position: Utilities Coordinator Job Type: Full-Time, Remote Working Hours: US Hours (9am-5pm EST) Overview We are seeking a detail-oriented and highly organized Utilities Coordinator to manage and track utility data across a large portfolio of properties. This role is...Remote workFull timeWork from home
$18 - $20 per hour
...Evolent is seeking a Coordinator for Intake Utilization Management in Montgomery, Alabama. This role involves processing prior authorization requests, ensuring compliance with departmental... ...the ability to work effectively in a remote setting while maintaining productivity...Remote workHourly pay- ...Architecture, Enterprise Transformation. Role: Utilization Management Coordinator Location: Canton, MD (100% Remote) Type: 3 Months Contract About the Role: The... ...will support Government Programs by managing authorization workflows and provider communications in a high...Remote workContract work
$18 - $20 per hour
...Evolent Specialty Services, Inc is seeking a Coordinator, Intake Utilization Management to handle prior authorization requests and support operations. This role includes collaborating with medical and behavioral health teams, ensuring accurate processing of requests,...Remote workHourly payFlexible hours- ...Excellus Health Plan is seeking a Utilization Management Workflow Support professional in East Syracuse, NY. This role focuses on administrative... ...customer service through effective communication and coordination of healthcare processes. The ideal candidate will deliver...Remote work
$18 - $20 per hour
.... What You'll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as... ...a point of contact for processing prior authorization requests in accordance with departmental... ...and prioritizing assignments in a remote environment. - Required To...Remote workImmediate start- ...Supporting the coordination and administrative functions of the utilization review process, the full-time California Utilization... ...will manage incoming authorization requests, collaborate with healthcare... ...guidelines while working remotely. Key Responsibilities: Receive...Remote workFull time
- ...Utilization Management Coordinator ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support... ...Must have Call Center experience Duties: Reviews authorization requests for initial determination and/or triages for...Remote workContract workWork experience placement
- ...POSITION SUMMARY: As an Intake Coordinator at Innovive Health of... ...insurance verifications, obtaining authorizations, and patient eligibility;... ...authorizations are received prior to coordination of care.... ...up with patient caseload and Utilization Review Maintenance. Participate...Remote workWork experience placementWork at officeLocal areaFlexible hours
- ...Managing vendor relationships and coordinating the full lifecycle of Request for Proposals (RFPs) within the Power Utilities division, the full-time Vendor & RFP Coordinator will... ...teams and external partners in a fully remote environment. Key Responsibilities Monitor...Remote workFull timeFor subcontractorWork at office
- ...Providing administrative support for utilization reviews, the full-time remote Utilization Review Coordinator will assist nurses, coordinate specialist referrals, and document actions in accordance with company protocols. Key Responsibilities Coordinate scheduling of...Remote workFull timeWork at office
- ...for you! Position Summary: As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services. You... .... Following an offer of employment, and prior to reporting to work, all applicants will be...Remote workLocal area
$17 - $19 per hour
$17-$19 per hour Remote, RI Contract Location: Fully remote Duration: 12... ...months contract Job Description: Prior Authorization Specialist takes in-bound calls from providers... ...where needed. Responsibilities: Utilizing multiple software systems to complete...Remote workHourly payContract work- ...nTech Workforce has an immediate 23374 Utilization Management Coordinator Terms of Employment: Contract,... ...Extension) This position is 100% remote. Candidates must reside in MD, DC,... ...provider phone inquiries to ensure authorizations are created accurately and timely....Remote workContract workTemporary workImmediate start
- ...America Location: Florida - Remote WHY JOIN FCS At Florida Cancer... ...00 locations in our network. Utilizing innovative clinical research,... ...trials with FCS participation prior to approval. Through our... ...issues are addressed. Obtain authorizations for all internal services from...Remote workPrivate practiceWork at officeMonday to Friday
- ...motivated candidate to join our talented Team. Job Title: Utilization Management Coordinator I Job Location: Baltimore, MD Purpose:... ...administrative support which may include benefit verification, authorization creation and management, claims inquiries, and case...Remote workWork experience placementWork at office
- ...Job Description The PAVE Coordinator is responsible for initiating Pre-Authorization request to the payer for the claims... ...regarding insurance eligibility; prior authorization process and requirements... .... Case Management, and Utilization Review to facilitate the sending...Remote workWork at office
$20.94 - $29.27 per hour
...important part, every day. Obtains authorization numbers from insurance companies, reviews all prior authorization requests for... ...diagnosis and treatment plan utilizing appropriate compendiums and... ...medication treatment coverage. Coordinates process for authorization...Remote workWork at officeImmediate startRelocation packageMonday to FridayShift workDay shift$20 - $30 per hour
...delivering exceptional care, utilizing state-of-the-art facilities,... ...Department/Location: Remote FLSA Status: Exempt Travel Requirement... ...to project/anticipate authorizations. Provide recommendations regarding... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation...Remote work$20.38 - $36.44 per hour
...The Senior Retail Medication Prior Authorization Coordinator is responsible for reviewing and processing... ...period and then will become fully remote. Candidates must reside near Everett... ...and authorization requirements Utilize internal systems to facilitate faster...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLive inWork at officeLocal areaMonday to Friday- ...Day Will Look Like: As a Utility Coordinator, you'll review construction... ...for major request items prior to scheduled due dates. •... ...eligibility for hybrid and remote work options for some employees... ...be collected through secure, authorized channels. If ever in doubt,...Remote workFull timePart timeFor contractorsWork experience placementLocal areaRelocationFlexible hours
$18 - $20 per hour
...Utilization Review Coordinator Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office and/or virtual setting A training program to...Remote workWork at officeFlexible hours- ...Utilization Review Coordinator Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...Follow Rapid Response protocol established by client to authorize initial PT, initial diagnostics and initial referrals to...Remote workTemporary workFor contractorsWork at officeLocal area
$40k - $52.3k
...Humana is seeking an UM Administration Coordinator 2 responsible for providing administrative support in utilization management. This role involves performing moderately... ...healthcare and working knowledge of MS Office. Remote working is possible, and the position offers a...Remote work$16.88 - $33.22 per hour
...Correspondence UM Coordinator - National Remote Join to apply for the Correspondence UM Coordinator... ...follows-up on all assigned inventory, utilizing on-line systems and procedures,... ...certification 2+ years of experience with prior authorization or claims ICD-9/ICD-10 and CPT...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLive inWork at officeLocal areaShift workNight shiftDay shift
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