Remote Authorization Specialist III - Pre-Auth & Appeals
61st Street Service Corporation
- Remote job
61st Street Service Corporation provides administrative and clinical support for ColumbiaDoctors, a large multi-specialty practice in the Northeast. This Authorization Specialist III role is primarily remote for residents in NY/NJ/CT, with occasional office visits in NY or NJ for training. The position entails verifying benefits, obtaining pre-authorizations for professional services, and assisting management with daily tasks, staff training, and quality audits. #J-18808-Ljbffr 61st Street Service Corporation
$28.72 - $36.92 per hour
...posted here as they become available. Authorization Specialist III #Full Time #Remote The 61st Street Service Corporation... ...for obtaining accurate and timely pre-authorizations for professional... ...authorizations status or denials. Submits appeals in the event of denial of prior...Remote jobHourly payFull timeWork at officeLocal areaImmediate start$150k - $160k
...innovative management practices. The A&A Specialist III (Mid-Level) supports this mission by... ...metrics as required. Assessment and Authorization Duties: Oversee assessments of existing... ...Job ID 2026-27285 Work Type Remote Pay Range $150,000 - $160,000 Benefits...Remote workFull timeContract workPart timeFor contractorsWork at office- ...Authorization Specialist The Authorization Specialist is responsible... ...securing insurance pre-certifications and pre... ...peer-to-peer reviews, appeals, or medical necessity... ...experience to include auth/pre-cert. Knowledge of... ...Tampa 33606 Eligible for Remote Work: On Site Job:...Remote workFull timeWork at officeMonday to FridayShift work
$750 per month
Overview Due to growth, we are adding a Specialist III, Prior Authorization to our team. Under direction from the Supervisor, Prior Authorization, and... ...assistance Referral Bonus Program - up to $750! #LI-Remote Navitus Health Solutions is an Equal Opportunity Employer...Remote workFlexible hours- ...the possibility of working remote. NOTE: Please provide a... ...person as a local. The Prior Authorization Specialist is responsible for... ...information to insurance. If no auth is required, documents... ...been approved. Work pre and post-service appeals, schedule per peer to peers...Remote workWork at officeLocal area
- Lumicera in Columbus, OH is seeking a Specialist III, Prior Authorization to coordinate and lead the Prior Authorization team. This role focuses on coaching teammates, achieving KPI targets, and supporting providers and patients. You will train staff on protocols, use tools...Remote job
- Lumicera is seeking a Specialist III, Prior Authorization to coordinate daily operations of the Prior Authorization team in a dynamic healthcare setting... ...professionals to optimize outcomes and compliance. Remote-friendly with strong team leadership expectations. #J-1...Remote job
- A U.S.-based medical office is seeking an experienced Pre-Authorization & Referral Coordinator to manage insurance verifications, authorizations, and referral coordination. This full-time remote role requires over 2 years of experience in a U.S. medical setting, strong...Remote jobFull timeWork at office
$60.78k
...Appeals and Grievances Specialist IIJob Category: Customer Service Department: Appeals & Grievances... ...requirements. This position reviews pre-service authorizations, concurrent and post-service (... ...on weekends, holidays, a hybrid remote schedule, occasional flexibility...Remote workFull timeLocal areaShift workWeekend work$47.84k - $62.4k
...Our partner is looking for an Appeals Specialist based in the United States.... ...-contracted providers, and authorized representatives. Ensure... ...retirement savings plan. ~ Fully remote working arrangement within... ...on legitimate interest and pre-contractual measures under...Remote workHourly payFull time- ...Authorization Specialist The Authorization Specialist is responsible for coordinating... ...and securing insurance pre-certifications and pre-... ...office experience to include auth/pre-cert. Knowledge of medical... ...Dr. Tampa 33612 Eligible for Remote Work: On Site Job...Remote workWork experience placementWork at officeShift work
- ...Authorization Specialist Senior The Authorization Specialist Sr is responsible... ...for coordinating and securing pre-certifications and... ...office experience to include auth/pre-cert. Knowledge of medical... ...00 Tampa 33609 Eligible for Remote Work: On Site Job Patient...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...DescriptionAECOM is seeking a Proposal Specialist III to support transportation... ...and presentations from pre-RFP positioning through interviews... ...a combination of both remote and in-office work schedules,... ...compliance with delegation of authority guidelines, capture planning...Remote workDaily paidWork at officeLocal areaWorldwideFlexible hours
- ...Type: Full-time, Hybrid 2 days remote Schedule: Monday - Friday... ...Overview The Verification/Authorization Specialist is responsible for conducting... ...guidelines. Authorizations Obtain pre-authorizations and referrals... ...complex cases, including appeals, escalations, and exceptions...Remote workFull timeWork at officeMonday to Friday
- Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyze utilization data from health plans' claims as required. Maintain optimal patient, referring physician, and insurance company satisfaction. Key Responsibilities: Obtain...Remote jobWork at office
- ...customers. Job Summary The Prior Authorization Specialist is responsible for all... ...companies to obtain the necessary pre-certifications,... ...recertifications and referrals. Appeals denials and/or set-up peer to... ...notice from the Department of Labor. #J-18808-Ljbffr Remote JobsRemote workFor contractorsWork experience placementWork at office
$45.06k - $47.31k
...Education Working Title: PROGRAM SPECIALIST III-DOE - 48001821 Office of... ...policy interpretation, appeal consideration, and judgments... ...in program rules or statutory authority and draft proposed language or... ...abilities as well as responses to pre-qualifying questions must be...Remote workFull timeContract workWork experience placementWork at officeLocal areaMonday to FridayFlexible hours$92.7k - $118.45k
...seeking a highly talented Proposal Specialist III to work in collaboration with... ...for proposals (RFP), and pre-qualification efforts. This... ...offers the flexibility of a remote work schedule and can be based... ...compliance with delegation of authority guidelines, capture planning...Remote workDaily paidWork at officeLocal areaWorldwideRelocation packageFlexible hours$20 - $24 per hour
Pre-Authorization Specialist | Englewood, CO Reporting to Manager, Revenue Cycle Operations Employment Type: Full Time This role is 100% in-office... ...teams to resolve authorization-related denials and appeals. Communication & Coordination: Maintain strong relationships...Hourly payFull timeTemporary workPart timeWork at office$56.27k - $69.9k
Pay Plan Title: Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status... ...6,270 - $69,898 Office Location: Remote within North Carolina POSTING... ...catchment as required. Must be legally authorized to work in the United States without...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$35 - $65 per hour
...CDI Specialist III - REMOTE This Jobot Job is hosted by: Daylen Quichocho Are you a fit? Easy Apply now by clicking the Apply button... ...Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories...Remote workHourly payLocal area$26 per hour
...healthcare. Responsibilities The Authorization Representative will need to cover... ...services or lost reimbursement. Denials and Appeals Review authorization-related... ...The pay range for this role is: 26 - 26 USD per hour (Remote (United States))Remote workHourly pay$30.7k - $66.5k
...provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and... ...Duties • Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,...Remote workFull timeContract workWork at office- Diverse Lynx LLC is seeking a detail-oriented Prior Authorization Specialist to support provider enablement activities in a remote, work-from-home environment. The role focuses on pre-authorization processes and administrative support in healthcare operations. Ideal candidates...Remote jobFull timeWork from homeShift workWeekend work
- Carolina Oncology Specialists has been providing compassionate, patient... ...Description: Job Title: Authorization Specialist Department:... ...Carolina Oncology Specialists-Remote Reports To: Authorization... ...issues or denials Submit appeals and provide supporting documentation...Remote workFull timeWork at office
- ...while growing 30% MoM. Role: Prior Authorizations Specialist We are looking to hire a talented ABA... ...Intake Team. This role is full-time, remote, and based on North American Hours of... ...(including ECHO enrollment and prior auth workflows) Manage escalations from...Remote workFull timeMonday to FridayShift work
$29.7 - $31.8 per hour
## Acute Coding Appeals SpecialistApply: Remote - Nationwide: Full time: Posted Today: R052289**Thank you... ...experienceThe Acute Coding Appeals Specialist integrates medical coding principles... ...limited to individuals who reside and are authorized to work within the United States....Remote workFull timeTemporary workWork at officeLocal area$41.6k - $49.92k
...career. About This Role: The Revenue Cycle Authorizations Specialist I is responsible for obtaining and... ...and issues related to coverage, pre-authorizations, forms, and benefit inquiries... ...to general RCM benchmarks. Previous remote work experience preferred. Must be able...Remote workFull timeWork experience placementWork at office$20.31 per hour
...little empathy changes everything. Prior Authorization Specialist We are looking for a Prior... ...insurance companies to obtain the necessary pre-certifications and authorizations for services... ...between 7 am -5 pm, 8-hour shifts Remote eligible after training in-person in...Remote workFull timeMonday to FridayShift work$21 - $27 per hour
...an experienced, detail-oriented Prior-Authorization Specialist to join our team at CardioOne. You will... ...for verification and investigation of pre-certification, authorization, and referral... ...and Abuse laws. Work Location: Remote: Colorado (Denver preferred), Delaware,...Remote workHourly payFull timeWork at office
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