Remote LPN: Prior Authorization Specialist
Randstad USA
- Remote job
Randstad USA is hiring a Licensed Practical Nurse/Licensed Vocational Nurse to support the Commercial Prior Authorization team. This 100% remote, non-patient-facing role processes and communicates prior authorization requests and determinations with physicians, pharmacies, and members. You’ll work closely with healthcare professionals to meet productivity and quality targets while maintaining strict documentation standards and cross-team collaboration from a home office. #J-18808-Ljbffr Randstad USA
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
- Intake Specialist (LPN) In-office preferred | Remote considered We are seeking an experienced Licensed Practical Nurse (LPN) to join our team as... ...* Knowledge of Medicare, Medicaid, and insurance authorization processes * Strong organizational and time-management...Remote workWork at officeLocal area
- ...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
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
$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$30.5 - $41 per hour
...is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to join our Device Clinic team. If you have strong clinical and... ...performing limited patient assessments. Processing and scheduling remote device checks. Handle telephone triage of incoming calls to...Remote workWork at officeLocal areaMonday to FridayWeekend work$25.98 - $27.87 per hour
...Licensed Practical Nurse (LPN/LVN) Location: 100% Remote - Work from Home, U.S. Patient-Facing: No Schedule: 8 hour shift within hours... ...Summary: The Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN) will support the Commercial Prior Authorization...Remote workWork from homeMonday to FridayShift work$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- 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 jobWork from home
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description: New to OU Health? Ask your... ...about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in...Remote workFull timeShift 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- ...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
- ...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
$18.99 per hour
...healthcare professional looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-paced, collaborative team! In this... ...for receiving, reviewing, validating, and creating prior authorization requests across multiple Medicaid lines...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeMonday to FridayShift work- ...Job Title:Licensed Vocational Nurse - LPN Job Description Provide processing and communication of Commercial Prior Authorizations for Pharmacy benefits. Review criteria-based... ...program criteria. ***Critical Information*** Remote, work from home in the USA. Work hours...Remote workFull timeWork at officeWork from home
- ~ Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. ~ Researches... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
- ...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
- ...Schedule : Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable distance... ...for a minimum of 7 business days Responsibilities ~ The Prior Authorization Coordinator is responsible for striving to complete either approval...Remote workLocal areaFlexible hoursShift work
- ...Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and...Remote workLocal area
- ...PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts. About the Company... ...to reliable, high-speed internet to meet the needs of remote processing (required) Reliable transportation and ability...Remote workFull timeWork at officeMonday to FridayShift work
- ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Job Description: Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and...Remote workContract work
$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$17 - $31.3 per hour
...Authorization Specialist We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...dynamic and fast-paced role, you will be responsible to obtain prior authorization for both new and existing patients in order...Remote workHourly payDaily paidFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$18 - $22 per hour
...Prior Authorization SpecialistFor over two decades, Riverhills Neuroscience has been a pioneer... ...0pm, Hybrid, 2 days in office, 3 days remote after full in office training.Pay: $18... ...ParkingResponsibilities:As a Prior Authorization Specialist at Riverhills Neuroscience, you will...Remote workFull 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$25 - $28 per hour
...Job Description Job Description Medical Assistant / LPN (Remote Prior Authorization) Position Title: MA / LPN Pay Rate: $25.00 - $28.00 / hour (based on experience) Position Type: 3 to 6-Month Contract (Potential for Extension) Location: Remote (Candidate...Remote jobContract workLocal areaWork from homeMonday to Friday- ...Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!... ...Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and... ...all outstanding held revenue related to prior authorizations for insurances assigned....Remote workFull timeTemporary workWork at office
- 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
- ...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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote LPN: Prior Authorization Specialist. Be the first to apply!




