Remote DME Authorization & Appeals Specialist
Sarnova
- Remote job
Sarnova is seeking a remote Authorization & Appeals Specialist responsible for processing DME referrals and verifying patient eligibility. In this role, you will coordinate equipment delivery while ensuring accurate data entry and effective communication with patients and healthcare providers. Familiarity with insurance processes and strong administrative skills are necessary for timely responses to referrals and appeals. Ideal candidates should possess at least a high school diploma and 2 years of experience in the insurance field. #J-18808-Ljbffr Sarnova
- ...Responsibilities: Patient Authorization Coordinator-Field Specialist (PAC Field Specialist)... ...tasks daily. Assist in the appeals process for denied re-... ...escalation workflows when remote outreach efforts have not... ...working in physician offices, DME, respiratory care,...Remote workWork at officeLocal area
$28 - $35 per hour
...Location: Remote (U.S.) Preferred Location: Candidates based in or near Beachwood, OH... ...direct hire opportunity for a Denials & Appeals Specialist. This is a remote revenue cycle role... ...payer interactions within healthcare, DME, specialty therapies, medical billing, or...Remote workHourly payWork at officeLocal area$29.7 - $31.8 per hour
...based on experience The Acute Coding Appeals Specialist integrates medical coding principles... ...and client experiences. ~ This is a remote position; however, candidates must be... ...limited to individuals who reside and are authorized to work within the United States....Remote workTemporary workWork at officeLocal area- ...resolution process for medical and pharmacy member appeals and grievances, the full-time remote Appeals and Grievance Specialist will ensure compliance with regulatory... ...with Medicare medical and/or pharmacy prior authorization processes Comprehensive knowledge of CMS,...Remote workFull time
- ...About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Prior Authorization Specialist takes in-bound... ...requests. Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed....Remote workContract work
- ...Submits, tracks, and manages prior authorization requests for medical and ancillary procedures... ..., and insurance payers to file appeals or facilitate a P2P. Reviews patient medical... ...previous experience as a Prior Authorization Specialist, with expertise in medical billing,...Remote workWork at office
$23 - $28 per hour
...Insurance Prior Authorization Specialist Join Our Team as an Insurance Prior Authorization Specialist... ...Home Health & Hospice. On-site or remote in PST or MST time zones only. Benefits... ...-date requirements to obtain/initiate appeals for denied authorizations Interface...Remote workHourly payContract workWork at office- ...PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for... ...Verbally assist providers in navigating appeals processing Ensures all pertinent... ...high-speed internet to meet the needs of remote processing (required) Reliable transportation...Remote workFull timeWork at officeMonday to FridayShift work
- ...Actalent is actively screening for multiple 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...Remote work
$13 per hour
...Pride Health is hiring a Prior Authorization Specialist to support our client's healthcare facility... ...EST Location: Sumter, SC 29150 or Remote Job Type: Contract Contract Length... ...denial determinations and coordinate appeals when appropriate. Maintain...Remote workContract workLocal area- ...Radiology Authorization Specialist Reporting to the Radiology Authorization Supervisor, the Radiology Authorization Specialist is responsible... ..., letters of medical necessity, provider-initiated appeals, etc.). Follows-up with patients in the case of denied coverage...Remote workWork experience placementWork at office
- ...Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!... ...Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and... ...verification is required • Knowledge of the HME/DME industry is preferred...Remote workFull timeTemporary workWork at office
$60.78k
...Appeals And Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances... ...This position reviews pre-service authorizations, concurrent and post-service (retroactive... ..., on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workFull timeLocal areaShift workWeekend work- ...Prior Authorization Specialist Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step... ...authorization requirements, and payer-preferred medications. Manage appeals and denials, escalating cases when necessary, and follow...Remote workHourly payLocal areaMonday to Friday
- ...Description: Role Summary: The Authorization Specialist role is responsible for all administrative... ...request and or medically necessary appeals. Review payer guidelines for... ...OneOncology. Specific details may vary based on the needs of the organization. #LI-REMOTERemote workWork at office
$24.5 - $37 per hour
...providing expertise in the area of prior authorization and will be responsible for implementing... ...requests, along with all related appeals through to EMR. Participate in updating... ...degree. Medical device experience. #LI-Remote The salary for this position will be...Remote workHourly payFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work- Alliance Health System is seeking an Authorizations Specialist to obtain prior authorizations for treatments, working remotely or in a hybrid setup. The role reports to the Director... ..., maintaining payer files, and initiating appeals when needed. #J-18808-Ljbffr Alliance...Remote job
- ...is seeking a Healthcare Associate for a remote, full-time role with a fixed schedule (9... ...candidate should already know the prior authorization world and be able to step in immediately... ...up and deadlines, and support denials or appeals as needed. #J-18808-Ljbffr Neolytix LLCRemote jobFull timeImmediate start
$25 - $26 per hour
Authorizations Specialist Department: RCM: Authorizations Employment Type: Full Time Location: Bloomfield... ...Authorizations Specialist Location: REMOTE or HYBRID Entity: Alliance Health... ...successfully obtain authorizations Initiate appeals for denied or modified authorizations...Remote workFull timeMonday to Friday$19 - $20 per hour
...Amber Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA: Non-Exempt... ...Function Responsible for preparing appeal summaries and prior authorizations,... ...traverse conferences, meetings, and remote events Constantly operates a...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday- ...ISTA Personnel Solutions is recruiting on behalf of a US-based healthcare and wellness company for an Authorizations Specialist role, fully remote. The ideal candidate will manage insurance authorizations, verify benefits, and align with payer requirements while coordinating...Remote work
$17 per hour
...Prior Authorization Specialist Remote (Work from Home) Full-Time $17/hour Work Schedule This is a full-time role requiring 40 hours per week Candidates must be flexible to work Saturday shifts as part of the weekly schedule Operational Hours: Monday...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work$21.68 - $23.99 per hour
...Prior Authorization Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you'll have the opportunity...Remote workHourly payWork at officeWork from homeHome officeNight shift- ...Healthfirst is seeking a Grievance Specialist to join its Appeals & Grievances team in a fully remote position. You will manage and resolve member complaints across Medicare, Medicaid, and other Healthfirst programs, coordinating with internal teams and external partners...Remote work
$31.25 - $33.65 per hour
...Appeals Specialist Remote GeneDx delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable...Remote workWork at officeWork from homeHome office- ...Workday is seeking a Grievance & Appeal Specialist to address appeals within required timeframes and ensure contractual obligations are met... ...Procedures to ensure compliance with regulatory standards. This remote position requires strong communication, confidentiality, and...Remote work
- ...To support efficient service access, the full-time ABA Authorization Specialist will manage insurance authorizations and coordinate intake processes while working in a hybrid or remote environment. Key responsibilities Provide excellent customer service to professional...Remote workFull timeWork at office
$22.99 per hour
We are seeking dedicated remote professionals residing in Florida to join our utilization management team. In this work-from-home role... ..., and benefit details using system tools. Ensure all authorization requests are addressed accurately and within contractual timelines...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeMonday to FridayShift work- ...Job Title: Authorization Specialist II - J00904 Address: Various, FL Job Description: Process authorization requests accurately and efficiently... ...teams regarding authorization status. Critical Information: Remote Shift: Standard business hours Environment: Office-based...Remote workFull timeWork at officeShift work
- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They Deserve At Serenity Healthcare, we believe that care should be compassionate, effective, and accessible. As an Insurance Authorization...Remote workFull time
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