Prior Authorization Specialist
Ascertain
Ascertain is hiring a Prior Authorization Assistant to support our AI-powered authorization workflow across multiple healthcare specialties. You will manually process high-volume authorizations while guiding automated submissions and collaborating with leadership and product teams to improve the process. This role blends hands-on operational work with emerging AI-driven tools, offering exposure to providers, payors, and cross-functional teams as workflows evolve within Ascertain’s platform. #J-18808-Ljbffr
$25.42 - $30.97 per hour
...POSITION SUMMARY: Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is...SuggestedFull timeContract workWork at officeImmediate startRemote workFlexible hours- ...About the Role We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically...Suggested
- ...Responsibilities The Authorization Representative will need to cover authorizations for all services (CT, MRI, echo, surgery, minor procedures... ...up required along with reporting of authorization status. Prior Authorization and Eligibility Initiate, submit, and track prior...Suggested
$22.39 - $28.29 per hour
Referrals Specialist I The 61st Street Service Corporation, provides administrative and clinical... ...referrals for professional services prior to the patient's visit. This position may also be required to obtain prior authorizations for scheduled services, as needed. Job...SuggestedRemote jobHourly payFull timeWork at officeLocal area$18.99 - $29.22 per hour
Precertification Specialist Join RCCA and make a meaningful impact on the patient journey. As a fully remote Precertification Specialist... ..., you will be responsible for obtaining and managing prior authorizations to ensure patients receive timely access to the care and...SuggestedFull timeTemporary workRemote workFlexible hours$18 - $24 per hour
...status, deductibles, copays, out-of-pocket requirements, visit limitations, and other applicable benefit information. Identify prior authorization requirements and ensure authorization needs are initiated or appropriately routed before services are provided. Understand...Remote jobHourly pay- Centene Corporation is seeking a dedicated professional to support the prior authorization request process and assist the utilization management team in Florida. The role ensures timely authorization determinations, documents medical information, and verifies insurance...Remote jobHourly payFull time
- ...LinkedIn, Facebook, Instagram, X and YouTube. The Virtual Access Specialist acts as a non-clinical virtual resource that is available... ...published criteria and documentation for coverage, coding, prior authorization, and appeal processes. Demonstrated understanding of the...Temporary workLocal areaRemote work
- IVX Health is seeking a Prior Authorization Appeals Specialist to resolve complex pre-service denials and appeals. You will work with providers, payers, and internal teams to navigate payer requirements and assemble supporting documentation for timely reconsiderations....Remote job
$20 - $21.96 per hour
...and Wyoming. Overview Due to growth we are adding an Intake Specialist to our team! Under direction from the Assoc. Manager,... ...and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist...Remote workFlexible hoursShift work$23.27 - $28.3 per hour
Prior Authorization Specialist (Remote - Select States Only) TRA Medical Imaging Remote | Full-Time | Monday-Friday | $23.27-$28.30 per hour Applicants must reside in one of the following states to be considered: Alabama, Arizona, Georgia, Idaho, North Carolina, Texas...Remote jobHourly payFull timeWork at officeImmediate startMonday to FridayShift workWeekend work- ...Description: _ Baptist Health is looking for a Revenue Cycle Specialist to join our team! _ _ This is a remote work position that... ...well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds...Remote work
- MedImpact Healthcare Systems, Inc. is seeking a Prior Authorization Operations team member to process PA requests per client standards. You will use multiple business applications to analyze, enter data, and determine approvals based on clinical guidelines and client rules...
- Jobgether in the United States is seeking a detail-oriented healthcare administrator to manage prior authorization cases from initial clinical review through payer portal submission. You will coordinate with clinicians and insurance portals, ensuring accurate documentation...
- Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...Remote job
- ...Demonstrates knowledge of breastfeeding learning principles. Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. BLS - Basic Life Support AHA - American Heart Association Upon Hire IBCLC - International Board...16 hoursWork at officeLocal areaShift workDay shift
$18.92 - $23.46 per hour
...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. Communicate...Full timeContract workTemporary workLocal areaImmediate startRemote workFlexible hours- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...
$58.53k - $87.8k
...relationship-driven, and highly organized Provider Engagement Specialist to join the Provider Engagement team supporting the Tulare... ...for provider issues, including but not limited to UM, prior authorization, claims, encounter data, eligibility, provider rosters and...Remote jobMonday to FridayAfternoon shiftEarly shift- ...healthcare, medical, or call center environment (Required) Knowledgeable in medical terminology, insurance verification, or prior authorization is a strong plus A compassionate communicator — you make people feel safe and well-taken-care-of Detail-oriented and accurate...Full timeRemote workWork from homeFlexible hours
$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-5:3...Remote jobMonday to FridayShift work- Medtronic, unité Neuromodulation, recherche un Coordonnateur des autorisations préalables pour soutenir l’accès des patients aux thérapies Neuromodulation. Poste à distance, sans déplacement, avec collaboration virtuelle avec les cabinets, payeurs et équipes internes. Le...Remote jobFull time
- Alteva RCM is seeking a Prior Authorization Specialist to manage the authorization process for surgical cases across multiple surgeons and healthcare clients. You will prepare, submit, track, and follow up on requests, ensuring timely authorizations before service dates...
- ...practice management. Position Summary : The Patient Access Specialist will focus on providing payer coverage support to customers... ...from the initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline...Work experience placement
- ...Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption.... ...you secure matters Responsibilities Submit and track prior authorization requests to insurance companies daily Communicate...Hourly pay
- Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...Remote job
- Quadax is seeking a detail‑oriented professional to support prior authorization workflows for health plans. The role combines remote work with an initial onsite training period in Middleburg Heights, OH, ensuring compliance with SOPs and KPI targets. Applicants must reside...Remote job
- ...operations, handle phone inquiries, and schedule and pre-register patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while maintaining high service standards. The position emphasizes...Remote job
$25 - $27 per hour
Harlem Cardiology on Madison Avenue in New York City seeks a skilled medical biller and insurance authorization specialist to obtain prior authorizations for procedures. Join a dedicated cardiology team delivering cardiovascular care to East Harlem residents; compensation...Hourly payFull time- ...in the healthcare field? Concordia is seeking a dedicated Authorization Specialist to manage insurance authorizations for our high-volume home... ...this fast-paced role, you will be responsible for obtaining prior and subsequent authorizations for services from various payers...Full timeWork at officeMonday to Friday
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