Remote Pharmacy Prior Authorization Specialist
RXinsider LTD.
- Remote job
VYTLOne is seeking a Prior Authorization Specialist for TMH Specialty Pharmacy to verify insurance eligibility and obtain benefits before medication delivery. You will communicate with payers, clinical partners, and patients to facilitate authorization, maintain clear records, and ensure compliance with PHI and HIPAA policies. Required: High School Diploma, registered pharmacy technician with state board standing, and 2+ years in retail pharmacy or medical billing; 340B knowledge preferred. #J-18808-Ljbffr RXinsider LTD.
$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under direction... ...insurance companies in triaging prior authorizations for patients of the...Remote workFlexible hoursShift work- ...intelligent data management, pharmacy optimization, and value-... ...Overview: The Intake Specialist is responsible for... ...required elements are obtained prior to benefits investigation and authorization Conduct welcome calls to... ...: N/A Location: Remote with limited travel to client...Remote workWork at office
- ...The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...Remote work
$33.28k - $41.6k
...clientele includes physician groups, hospitals, pharmacies, and dental groups. We are in search of... ...inclusion as the heart of our mission. Location: Remote Summary Description: This remote Prior Authorization Specialist supports the Patient Access Onshore...Remote workFull timeWork at officeFlexible hours$40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40... ...home infusion and specialty pharmacy services. We are accredited... ...Qualifications Required: Prior experience in home infusion... ...holidays. Opportunity for remote work based on qualifications...Remote workHourly payFull time- ...Medication Access Specialist We are relentless in solving... ...pharmacydesigning pharmacy footprints that meet... ...providing integrated remote support to patients, pharmacists... ..., handling medication authorizations, managing insurance... ...documentation for prior authorization...Remote workFull timeWork at office
- ...Acute Clearance Specialist Soleo Health is seeking an Acute Clearance Specialist... ...to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...pharmacy experience required, including prior authorizations, benefit verifications, running test...Remote jobFull timeContract workImmediate startMonday to Friday
- ...Staffing Solutions seeks an experienced Pharmacist to perform criteria-based clinical reviews and issue prior authorization determinations for PBM programs in a fully remote role across the continental U.S. This contract-to-hire position supports high-volume provider...Remote jobContract work
- ...Pharmacy Prior Authorization Specialist Provide technical and administrative support to the Fee-For-Service (FFS) Medicaid department, primarily by... ...Diego Headquarters or other company location (or from a remote location with management approval based on business...Remote workFull timeLocal areaMonday to FridayNight shiftWeekend work
$75 per hour
Gridnaut Recruiting is hiring a remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist contractor (pay $75/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: Remote contractor engagement supporting a leading AI lab.; Subject...Remote workHourly payContract workFor contractors- ...PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with... ...will have expertise in handling prior authorizations (PA), billing, insurance processes, and... ...This position offers flexibility for remote or hybrid work arrangements, with a competitive...Remote workWork at officeFlexible hours
$75 per hour
...evaluates and validates AI tools that automate pharmacy benefit management and specialty medication prior authorization workflows, ensuring accurate, payer-compliant decisions... ...model improvement. Work Terms Location, remote. Employment type, hourly. Compensation...Remote workHourly pay- ...seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...submission, and follow up of payer authorization requests. Responsibilities... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate startMonday to Friday
- ...Authorization SpecialistAre you a detail-oriented healthcare professional looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-paced, collaborative team! In this... ...validating, and creating prior authorization requests across...Remote workWork from home
- ...Pharmacy Careers is seeking a Remote Pharmacovigilance / Drug Safety Pharmacist to join our global safety team. Based from home, you will collect, evaluate, and document adverse-event reports for marketed and investigational products from pharmacists across settings....Remote workWork from home
- ...Pharmacy Careers is seeking a Remote Pharmacovigilance / Drug Safety Pharmacist to contribute to global patient safety from home. The role welcomes pharmacists from hospital, ambulatory, community, or managed care backgrounds with strong documentation skills. You will...Remote workWork from homeFlexible hours
$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$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical necessity and eligibility, in accordance with... ...and proceduresWhat you should expect in this role100% Remote home office.Full-time position.Applications will be accepted...Remote workFull timeHome officeFlexible hours- 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
- ...A healthcare services provider is seeking a Prior Authorization Specialist to coordinate patient care and manage prior authorizations. The role involves... ...a proactive work style. This position offers the flexibility of remote work in a fast-paced environment. #J-18808-Ljbffr...Remote work
$23 - $27 per hour
...Soleo Health is actively seeking an Acute Clearance Specialist to join our Specialty Infusion Pharmacy. This full-time role offers remote work opportunities within the USA and focuses on supporting patient benefit verification and insurance management. Ideal candidates...Remote workHourly payFull time$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- ...Innovative Renal Care is seeking a Remote Prior Authorization Specialist to support dialysis clinics by processing prior authorizations, referrals, appeals, and renewals. You will collaborate with clinics, patients, and payers to secure and maintain required approvals...Remote workWork at office
- ...Pharmacy Careers is seeking a Remote Pharmacovigilance Pharmacist to contribute to global patient safety from home. The role accepts pharmacists from hospital, ambulatory, community, or managed care backgrounds with strong documentation skills. Responsibilities include...Remote work
- ...To support patient care, the full-time Pre-Authorization Specialist will identify prior authorization requirements by insurance providers, process and complete... ...to the ordering provider's office while working remotely. Key responsibilities Analyze information to complete...Remote workFull timeWork at office
- ...To support patient care, the fully remote Precertification Specialist will obtain and manage prior authorizations, ensuring compliance with insurance requirements and facilitating timely access to treatment. Key responsibilities Ensures timely acquisition and management...Remote work
- ...Pharmacy Careers is recruiting a Remote Pharmacovigilance Pharmacist to support global patient safety from home. You will collect and assess adverse events for marketed and investigational products, and collaborate with safety physicians and regulatory teams to ensure...Remote workFlexible hours
- ...Mass General Brigham Incorporated is seeking a detail-oriented staff member to review and process prior authorization and referrals for medical services, ensuring eligibility, coordination of benefits, and medical necessity in line with HIPAA standards. You will document...Remote work
- ...Fremont Economic Development Corporation is looking for a Prior Authorization Specialist to enhance patient care by ensuring timely access to healthcare... ...and communication skills. This position allows remote work for residents of several states and offers competitive...Remote work
- ...Labcorp is seeking a Pre Authorization Specialist to join a remote, United States–based team. You will conduct prior authorizations, verify benefits, and communicate with patients, health plans, and clients to expedite reimbursement. You will review medical policies, gather...Remote work
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