Prior Authorization Specialist / Remote
$22 - $26 per hourBrightSpring Health Services
Our Company
Amerita
Overview
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-5:30pm (EST)
Responsibilities
Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
Knowledgeable to perform all PA functions.
Qualifications
High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
1+ years pharmacy experience
Pharmacy or healthcare-related knowledge
Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
Basic math and analytical skills
Intermediate typing/keyboard skills
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit Follow us onFacebook ( ,LinkedIn ( , andX ( .
Additional Job Information
Percentage of Travel: 0-25%
Salary Range
USD $22.00 - $26.00 / Hour
BrightSpring Health Services, and our family of brands, provides equal employment opportunity
Job LocationsUS-CO-ENGLEWOOD
ID View phone number on click.appcast.io
Line of Business Amerita
Position Type Full-Time
Pay Min USD $22.00/Hr.
Pay Max USD $26.00/Hr.
- ...dedicated professional to work from home in Pennsylvania, focusing on patient medication assistance. This role involves obtaining prior authorizations, researching assistance programs, and communicating with the care team to ensure seamless patient care. Candidates should...Remote workWork from home
Geisinger Health System
New York, NY1 day ago $53k - $71k
...IQVIA is seeking a Bilingual Patient Access Specialist to support patients throughout their... ...patient access to therapy, assisting with prior authorizations, and providing high-quality customer service. The position offers a remote work option, requiring a compliant home...Remote workWork from homeIQVIA
Orlando, FL8 days ago- ...Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key Responsibilities Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery....Remote workFull timeWork at officeWork from home
ReWorks Solutions
New York, NY2 days ago - ...looking to add a Medication Specialist to our Specialty Pharmacy Services... ...patients.ABOUT THE ROLE (Remote, work from home)THE... ...FOLLOWINGReviewing medication authorizations submitted by clientsPerforming... ...information or guidance related to prior authorization...Remote workFull timeWork from home
Visante® Inc.
Saint Paul, MN4 days ago $19.26 - $23 per hour
...Prior Authorization Specialist The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion...Remote workFull timeCasual workWork from homeMonday to FridayShift workMDX Consulting LLC
United States1 day ago$40k - $46k
...Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy. This remote position requires expertise in specialty infusion prior authorization and customer service skills. Candidates must have at least 2 years of relevant experience...Remote workSoleo Health
New York, NY1 day ago- ...Soleo Health Inc is hiring a Prior Authorization Coordinator to support its Specialty Infusion Pharmacy, working remotely from the USA. This position requires specialty infusion prior authorization experience, with responsibilities including managing prior authorizations...Remote work
Soleo Health
Frisco, TX3 days ago - ...care in America’s heartland. Facility: Remote SD (Central Time) Location: Remote, SD... ...appropriate levels of responsibility and authority. Communicates well downward, upward, and... ...in appeals, medical necessity, or prior authorization process. If a graduate of...Remote workFull timePart timeImmediate startWork from homeShift workDay shift
Sanford Health
Sioux Falls, SD3 days ago - ...Soleo Health Inc is seeking a Clinical Review Coordinator for a remote full-time position. You will ensure timely and accurate clinical reviews and approvals while collaborating with various departments. The ideal candidate should have experience in specialty infusion...Remote workFull time
Soleo Health
Frisco, TX1 day ago $16.75 - $21.75 per hour
Cardinal Health is seeking a Senior Coordinator for Prior Authorization, responsible for managing payer approvals for durable medical equipment. This fully remote position requires 3-6 years of healthcare experience, particularly in prior authorization or similar roles...Remote workHourly payCardinal Health
Des Moines, IA4 days ago- ...A health technology company is seeking a prior authorization and eligibility expert to work remotely with ABA healthcare providers. This role involves verifying patient benefits, completing prior authorizations, and collaborating with product teams to improve processes...Remote workFull time
The Voluntary Protection Programs Participants' Association,...
New York, NY2 days ago - ...Job Title: Authorization Specialist Company: Senior Care Solutions | Medicare Home Health Location:... ...Type: Full Time (Hybrid – in‑office and remote work) About Us Senior Care Solutions is... ...of care. Key Responsibilities Obtain prior authorizations for Medicare and other...Remote workFull timeWork at office
Senior Care Solutions Inc
Boca Raton, FL2 days ago - ...A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves... ...include health insurance and paid time off, and the position is remote with varying shifts as needed. #J-18808-Ljbffr...Remote workShift work
Santa Barbara Cottage Hospital
New York, NY1 day ago $23 - $25 per hour
...Boulder Care**, located in Portland, Oregon, is looking for a Prior Authorization Specialist. In this role, you will ensure patients receive timely medication approvals by obtaining insurance prior authorizations and troubleshooting submissions with healthcare providers...Remote workHourly payBoulder Care
Portland, OR1 day ago- A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote work
Arsenault
Houston, TX4 days ago $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... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift workProvidence Health & Service
Oregon, WI4 days ago- ...Virginia Commonwealth University Health is looking for a Reimbursement Specialist to improve revenue collection for high-cost medications requiring prior authorization. This position involves managing prior authorizations, coordinating Patient Assistance Programs, and...Remote workFull time
Virginia Commonwealth University Health
Richmond, VA2 days ago - ...A healthcare organization seeks a Scheduling and Prior Authorization Representative to manage scheduling tasks for surgeries and procedures. This full-time remote role requires effective communication and customer service skills, along with knowledge of hospital processes...Remote workFull time
Santa Barbara Cottage Hospital
New York, NY2 days ago - ...Specialty-Pharmacy in Houston, TX is looking for a Pharmacy Prior Authorization Specialist. This full-time position focuses on ensuring patients... ...Candidates should have at least 1 year of relevant experience. Remote work may be possible after initial training. The company...Remote workFull timeRelocation package
CareMed Specialty Pharmacy
Houston, TX1 day ago - ...improve lives.ABOUT THE POSITION (Remote)The Medication Access Specialist plays a vital role in Visante's managed... ...by handling medication authorizations, conducting benefits investigations... ...assistance programs. They gather prior authorization details, support coverage...Remote workFull timeWork at office
Visante® Inc.
Saint Paul, MN4 days ago - Silna Health, Inc. is seeking a prior authorization and benefits verifications expert in New York, NY. You'll collaborate with ABA and mental... ...strong understanding of insurance policies. This full-time remote role offers a competitive hourly rate with potential for permanent...Remote workHourly payPermanent employmentFull time
Silna Health, Inc.
New York, NY2 days ago - ...Qualified candidates must have a minimum of three years experience in medical insurance verification and authorization, along with a high school degree or equivalent. The role is remote and offers a range of benefits, including medical, dental, and 401(k). #J-18808-Ljbffr...Remote workFull time
The US Oncology Network
Norfolk, VA10 hours ago - ...Massachusetts Licensed Inpatient UM Specialist will manage authorization requests, communicate with providers... ...and maintain compliance in a fully remote contract role. Key responsibilities... ...experience in healthcare administration, prior authorization, or utilization...Remote workContract workWork at office
Virtual Vocations Inc
United States9 hours ago - ...Job Title: Prior Authorization Specialist Location: 100% Remote (Must work EST hours) Duration: 3-Month Contract Position Summary: We are seeking a Utilization Management Coordinator to support the Utilization Management team with authorization processing, provider...Remote workContract work
Lumen Solutions Group Inc.
United States5 days ago - A leading educational institution seeks a dedicated Oncology Prior Authorization Case Manager to handle utilization review and authorization for oncology patients. This remote role requires a bachelor’s degree and at least 2 years of relevant experience, preferably in...Remote work
University of Miami
Doral, FL4 days ago - ...high-quality customer service, the fixed-term Eligibility Specialist will verify benefits and eligibility for patients, assist with... ...inquiries, including insurance verification and prior authorizations Conduct payer research and maintain accurate documentation...Remote workFixed term contract
Virtual Vocations Inc
United States4 days ago - ...Job Summary We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient... ...fully trained, this position offers the opportunity to be remote. Outstanding employees in this role are detailed, accurate...Remote workFull timeWork at officeFlexible hours
Goodman Campbell Brain and Spine
Carmel, IN8 days ago $22 - $28.6 per hour
...a Part-time Infusion Intake Specialist to join our Team. The Infusion... ...and insurance information prior to their scheduled infusion... ...or injection. Ensures needed authorizations have been obtained and are in... .... This team primarily works remotely from home supporting our...Remote workHourly payPart timeWork at officeLocal areaWork from homeWashgi
Seattle, WA4 days ago- ...Advanced Imaging Authorization Specialist – Full-Time Position – Raleigh Location-Hybrid Schedule... ...per week in our Raleigh office and two remote workdays. In-office days follow a rotating... ...in medical insurance, billing, or prior authorizations strongly preferred Orthopaedic...Remote workFull timeWork at office3 days per week
Raleigh Orthopaedic
Raleigh, NC3 days ago - ...The ZHealth Specialist I is an entry-level, internally facing execution role responsible for performing assigned work accurately... ...assigned work within internal service areas such as prior authorization, remote coding, research, and administrative clerical functions/support...Remote work
ZHealth Publishing
Nashville, TN4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Specialist / Remote. Be the first to apply!
- bank reconciliation specialist United States
- remote outreach specialist United States
- deployment specialist United States
- retina specialist United States
- member experience specialist United States
- strategic sourcing specialist United States
- demo specialist United States
- cash reconciliation specialist United States
- invoice specialist United States
- privacy specialist United States