Prior Authorization Coordinator
Virtual Vocations Inc
Coordinating the prior authorization process, the full-time remote Prior Authorization Coordinator will manage documentation, analysis, and reporting related to pharmacy benefits while collaborating with internal teams, vendors, and healthcare providers. Key responsibilities Administer the prior authorization process, providing necessary correspondence and documentation for decision-making and resolution of requests Assist with testing new system benefit setups and maintain up-to-date procedural documentation Provide support for escalated issues and analyze benefit questions for correction and resolution Required qualifications Bachelor's degree in a related field or five years of pharmacy or healthcare operations experience in lieu of a degree Minimum three years of pharmacy operations experience, preferably with prior authorization requests Knowledge of pharmacy benefits management and healthcare delivery systems Proficiency in Microsoft Access, Excel, PowerPoint, and Word Ability to work independently and collaboratively within a team environment
- ...calling at Mercy! The primary responsibility of the ID IV Coordinator is to support the Infectious Disease Department's patients... ...infection site healing. Administrative Oversight: Managing prior authorizations and confirming medication availability with community...SuggestedFull timeWork at office
- ...precision, efficiency, and impeccable timeliness. As an AP Coordinator, you will exercise considerable influence over our... ...documentation and accuracy against contracts and purchase orders prior to payment authorization Liaise with various departments to confirm project...SuggestedFull timeWork at officeLocal areaMonday to Friday
- ...the Manager of Infusion, the Infusion coordinator will engage in acting as the liaison between... ...benefits investigations, obtain authorizations, enroll in copay assistance, review scheduling... .... \n Ensure that all necessary prior authorizations are obtained before a patient...SuggestedFull timeWork at officeMonday to Friday
$48k - $60k
...underserved communities across Chicago. As a Prescription Coordinator, you will play a critical role in ensuring patients have timely... ...(DME). By coordinating medication refills, obtaining prior authorizations, and supporting the 340B drug pricing program, you will directly...SuggestedContract workWork at office- We’re searching for a Surgery Coordinator, someone who’s ready to be part of the best ranked children’s hospital in Texas, and among... ...or funding concerns to the financial counselor or prior-authorization department.Provides status of all surgical appointments daily...SuggestedLocal areaWeekend work
- ...administrative support, work with units to achieve overall goals, coordinate workflow, maintain records, ensure compliance with state... ...manner.Assist in resolving any billing issues, obtaining prior authorization for medications as needed, verifying eligibility, and...Temporary workCasual workRelocation packageFlexible hoursRotating shift
- ...are seeking a Utilization Review (UR) Coordinator to join our team. The UR Coordinator is... ...clinical guidelines, secure insurance authorizations, and manage healthcare costs while maintaining... ...care. Essential Duties: · Prior Authorization & Certification:...Temporary workWork at officeImmediate start
$21.4 - $30.6 per hour
...provide hand on guidance to appropriate financial assistance Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted Track any payer/plan issues and report...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work- ...UR Coordinator The UR Coordinator's primary responsibility is managing, reviewing, and... ...patient resources and obtaining payor authorization as required for all provided services.... ...Collect and compile data needed for prior authorization, concurrent review, discharge...Temporary workWork at officeLocal area
- ...knowledgeable, the full-time remote Utilization Review Coordinator will manage client insurance authorization processes for Spravato and TMS services, ensuring... ...guidelines. Key responsibilities Obtain and manage prior authorizations for Spravato and TMS services from commercial...Full timeRemote work
- ...OPEN POSITION: Position: Scheduling Coordinator I Department: Prior Authorization Location: Cass City, MI Hours: Full Time. Days. No Holidays. Full Benefits. Aspire Rural Health Systems is seeking a Scheduling Coordinator. We're looking for individuals...Full time
- ...To support the pre-service authorization process, the full-time remote Access Coordinator will gather and input insurance information, prepare prior authorizations, and collaborate with healthcare providers to ensure accurate claim submissions. Key responsibilities: Prepares...Full timeRemote work
- ...necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care... ...self-pay patients eligible for enrollment into the MAP and coordinate enrollment with the MAP staff. Work location may vary to...Work at officeMonday to Friday
- ...Description: Job purpose: Oversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies... ..., by managing a team of prior authorization specialist and coordinating with healthcare providers and insurance companies to...Work at office
$44k - $54k
...Intake Coordinator The Intake Coordinator functions as a liaison to referral sources by responding to Company referrals and facilitating... ...which may include notification of insurance providers for prior authorization and services covered. Assists prospective clients and...Work experience placementWork at officeMonday to Friday- ...Prior Authorization Processor MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact... ...dollar requests to supervisor according to guidelines. Coordinates notifications to members, physicians, and pharmacies as...Full timeLocal areaRemote workMonday to FridayNight shiftWeekend work
- ...All Locations Working Schedule: Monday-Friday, 8:00am - 4:30pm Location: Amherst, NY Position Summary: Ensure that prior authorizations are complete, accurate and current in order for patients to receive their medications in a timely manner that does not delay...Work at officeLocal areaRemote workMonday to FridayShift work
- ...general supervision of a licensed provider, the Insurance Authorization Coordinator must be detail oriented with excellent phone diction and outstanding... ...schedule in advance to determine pre‑certification and prior authorization requirements. Be familiar with Medicare and...Full timeWork at office
$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, pharmacies, members, etc providing professional and courteous phone assistance...Hourly payContract workRemote work$20 - $36 per hour
...transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. *Employees in jobs labeled with 'SCA' must support a...Hourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayFlexible hoursShift workAfternoon shift$19.43 - $32.98 per hour
...support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.... ...Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and...Hourly payFull timePart timeWork at officeRemote workFlexible hours$25 per hour
...RoleWe're looking for an Insurance & Intake Coordinator -- an "Infusion Guide" -- who is passionate... ...am - 4:30pm. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations. The Infusion Guide role is perfect for...Full timeWork at officeLocal areaFlexible hours$21 per hour
...CoordinatorSage Infusion is looking for a process-oriented Intake Coordinators to join a fast-paced healthcare startup. At Sage, we've... ...up with them for any missing documentation needed for prior authorizations and clinical guidelines.Contacts patients to advise them we...Hourly payFull timeWork at office- ...impactful patient care. Your path to a rewarding career starts here! Authorization Coordinator at Baylor Scott & White Surgical Hospital Fort Worth: Authorization and Referrals Obtain necessary prior authorizations for the procedure. Track and follow up on pending authorizations...Temporary workWork at officeLocal areaFlexible hours
- ...Authorization Coordinator The Authorization Coordinator is a fast-paced position that requires exceptional attention to detail and a thorough... ...authorization requirements. The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance...
$20.43 - $25.53 per hour
...Dental Coordinator Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally... ...health history, concerns, and objectives Conduct all prior authorizations across any designated clinics Explain the treatment plan...Hourly payWork at officeFlexible hoursWeekend workAfternoon shift$70k - $85k
...and the team we’re building to get there. We look forward to meeting you! USA Clinics Group Is Looking For An Insurance And Prior Authorization Manager To Join Our Team! The Insurance And Prior Authorization Manager Will Collaborate With Physicians, SVP Of Revenue Cycle...Full timeMonday to Friday- A leading sports management company in New York is seeking a Prior Authorization Coordinator to facilitate insurance authorization processes for clients. This role includes verifying coverage, submitting requests, and educating clients about the process. Strong communication...Remote workFlexible hours
- ...Case Management Coordinator Our client, a Retail Pharmacy company, is looking for a Case Management Coordinator for their Cutler... ...to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition...Temporary workWork at officeRemote workMonday to Friday
- ...Guidance & Assistance, Inc., (SGA), is searching for a Surgical Coordinator for a Contract assignment with one of our premier... ...centers. Obtain physician and facility pre-certifications and prior authorizations. Verify insurance eligibility, benefits, referrals,...Contract workWork at office
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