Remote Prior Authorization Specialist
Boston Medical Center
- Remote job
Boston Medical Center is seeking a Prior Authorization Specialist I to join the Insurance Verification team in a remote, part-time capacity. The role focuses on screening prior authorizations, coordinating referrals, and ensuring timely financial clearance for inpatient, outpatient, and ancillary services. The successful candidate will verify eligibility, navigate payer requirements, and support clinicians to maximize hospital reimbursement while maintaining high accuracy. #J-18808-Ljbffr Boston Medical Center
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...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $17/hour Work Schedule: This is a full-time role requiring 40 hours per week. Candidates must be flexible to work Saturday shifts as part of the weekly schedule. Operational...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work- ...for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management... .... Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM –...Remote workFull timeLive inWork from homeMonday to Friday
- ...DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...is responsible for managing prior authorization (PA) processes while proactively engaging... ...environment. Dedicated home office space for remote work flexibility, as role is assigned/...Remote workWork at officeWork from homeHome office
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$22 - $26 per hour
...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. Shift: Monday-Friday 8:30am-5...Remote workMonday to FridayShift work- ...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
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...a competitive benefits program. Job Summary The Prior Authorization Specialist ensures timely payer approvals by managing authorizations... ...Department. The role is full time, exempt and will work remotely. Essential Duties and Responsibilities The essential...Remote workFull timeContract workWork at office- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in...Remote workFull timeShift work
- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory...Remote work
- ...orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and...Remote workContract work
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...A-Line Staffing Solutions is seeking a Pharmacist – Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent employment. Responsibilities include reviewing prior authorization requests, ensuring regulatory compliance, and maintaining...Remote workHourly payPermanent employmentFull timeTemporary work$18 - $22 per hour
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...for an Insurance Reimbursement Specialist to support insurance... ...Verify benefits, prepares pre-authorization requests.Document approvals and... ...insurance and medical device prior authorization (preferred)3+ years... ...completion of in-person training, remote working may be an option.*$22...Remote workHourly payFull timeContract workWork at office$22.99 per hour
...provider disputes, evaluate reconsideration requests, and manage authorization modifications while navigating core healthcare systems such as... ...requests from healthcare facilities. Process and modify prior authorizations accurately within specialized healthcare management...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work$24 - $26 per hour
...are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent and adult mental... ...and coverage requirements. Complete prior authorizations, pre-certifications,... ...Ability to work independently in a remote setting. Eligibility for DCF and AHCA...Remote workFull timeMonday to Friday$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$20 - $21.96 per hour
...8am to 5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION: Lumicera... ...Due to growth we are adding an Intake Specialist to our team! Under direction from... ...and insurance companies in triaging prior authorizations for patients of the specialty pharmacy...Remote workFlexible hoursShift work- ...DESCRIPTION We are seeking a detail-oriented and motivated Prior Authorizations Specialist to join our team and help us ensure that our patients... ...to Commute: West Lake Hills, TX 78746 (Required) Work Location: Hybrid remote in West Lake Hills, TX 78746Remote workFull timePrivate practiceWork at officeMonday to Friday
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Cigna Health and Life Insurance Company is seeking a Prior Authorization Representative to handle member and provider inquiries by phone or fax, process medication prior authorizations, and use multiple applications to retrieve information. The role emphasizes empathetic...Remote jobHourly payWork from home- ...LanceSoft is seeking a Pharmacist with PBM or Prior Authorization experience for a remote, full-time role. You will review and complete criteria for prior authorization per policy and procedure, ensuring accuracy and compliance. Requirements include a PharmD or B.Pharm...Remote workFull time
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...Experience – Preferred: 2 years in Healthcare/Medical – Working with prior authorizations Skills - Required: Excellent verbal and written... ...operates in a hybrid work environment, with a combination of remote and in-office work. The following conditions apply: Remote...Remote workFull timeLocal areaHome officeShift 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$22.05 - $28.3 per hour
...of Mass General Brigham. Job Summary Reviews and processes prior authorization and referral requests for medical services in accordance with... ...(if applicable) M-F 8:30 AM- 5 PM EST schedule required for remote role A quiet, secure, stable, HIPAA-compliant workstation is...Remote workHourly payShift work$24 - $28 per hour
...team, or through a community cause you personally care about Prior Authorization Specialist Behind every approved infusion treatment is a Prior... ...together. The pay range for this role is: 24 - 28 USD per hour(Remote) About Pure Infusion Pure Infusion is a fast-growing...Remote workHourly payLocal areaMonday to Friday- ...Authorization Specialist OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician... ...for medically necessity guidelines including frequency and prior testing requirements. Required Qualifications...Remote workWork at office
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