Prior Authorization Specialist
$20.31 per hourGundersen Health System
Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, Scheduled Weekly Hours: 40 We’re not just filling positions, we’re building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything. We are looking for a Prior Authorization Specialist to join our team! In this role you will work with hospital departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled from insurance. Attention to detail, strong communication, and computer and phone skills are important! Job Specifics: Full time, 1.0 FTE - 40 hours/week Monday-Friday, hours between 7 am -5 pm, 8-hour shifts Remote eligible after training in-person in Onalaska, WI Specialize in prior authorization for Physical Therapy/Occupational Therapy What You Need: High School Diploma or equivalency 1-2 years' experience in healthcare with insurance or prior authorization experience required Excellent problem-solving abilities and strong attention to detail Strong communication skills, both verbal and written Coding experience and certifications is a plus! What You'll Get: Starting pay of $20.31/hour + more for experience! Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more Career Growth/CDC - Growth opportunities and access to Emplify Health’s Career Development Center to help you navigate your career Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future. Equal Opportunity Employer #J-18808-Ljbffr
- ...sure it never breaks. Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into decisions made in minutes,...SuggestedHourly payFull timeFor contractorsRemote work
$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...SuggestedRemote workMonday to FridayShift work- ...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...Suggested
$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$17.75 - $19.5 per hour
...informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday – Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization & Benefits...SuggestedHourly payTemporary workCasual workInternshipRemote workMonday to FridayFlexible hours- ...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...
- ...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...
$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...Remote jobHourly payFull timeWork at officeLocal area- ...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 compliance while improving the PA program....Remote work
$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...Full timeTemporary workRemote workFlexible hours$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$14.28 per hour
...and wellness services one person at a time. Registration Specialist Full-time Harrisburg and Elizabethville, PA Monday - Friday... ...to specific doctor(s) to support things like lab work, prior authorization requests for meds, etc. Requirements High School Diploma...Full timeWork at officeMonday to FridayAfternoon shift1 day per week- 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
- 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...
$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- 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...
$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- ...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
- ...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
$17.84 - $28.02 per hour
Position Purpose: Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate...Hourly payFull timePart timeH1bLive inWork at officeRemote 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- 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
- 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
- Process referrals and prior authorizations, ensuring accurate, timely documentation. Monitor denials, manage referrals, and communicate decisions to providers and patients. Who You Are: Bring 1-3 years of medical insurance knowledge and medical terminology skills. Proficient...Remote jobWork at office
- The Cigna Group is seeking a remote call center specialist to respond to phone and fax inquiries and facilitate prior authorization requests. Applicants should have 1+ year of call center customer service experience, solid communication and organizational skills, and be...Remote job
- The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to obtain initial and renewal authorizations for Specialty Pharmacy and/or Specialty Infusion services. You will collaborate with clinicians to assemble documentation per formulary guidelines...Remote job
- ...the Role We're seeking a Prosci-certified Change Management Specialist to support a significant Epic Revenue Cycle transformation... ...financial assistance, digital payments, follow-up/denials, and prior authorization — leveraging new Epic AI capabilities (Emmie for patient...Remote workFlexible hours
- ...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
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