Prior Authorization Specialist I
Medimpact Healthcare
MedImpact Healthcare Systems, Inc. is seeking an organized Prior Authorization Coordinator I to join our San Diego team on-site. You will process and finalize PA requests, verify indications, and coordinate with physicians and pharmacies to ensure timely decisions and accurate documentation. The role emphasizes adherence to client guidelines, productivity standards, and collaboration with clinical pharmacists to manage complex PA workflows. #J-18808-Ljbffr Medimpact
- ...access and educating provider offices on reimbursement and patient support programs. You will act as a local SME on payer policy, prior authorization, denials, and coverage criteria, while collaborating with cross-functional teams to plan territory activities and educate...SuggestedLocal area
$50k
...way of patients and their access to therapy. The Benefits Specialist works in a dynamic and compassionate customer service role... ...level benefits Coverage Determination Summary. Coordination of prior authorizations based on payer guidelines and in compliance with law,...SuggestedFull timeTemporary workWork at officeImmediate start$20.98 - $30.12 per hour
...recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts. Handles patient concerns...SuggestedImmediate startRemote work$55k - $60k
...package, and a competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations,... ...various health plans. This role reports to the Manager, Prior Authorization within the Reimbursement Operations Department...SuggestedFull timeContract workRemote work- ...advancement Paid time off Profit sharing Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven experience with insurance verification of commercial and HMO plans...Suggested
- ...accordingly. Maintains open communication with other departments regarding scheduling changes. Properly verifies and obtain prior-authorization when needed. Follows up on any requests and/or messages left on work phone immediately. Coordinates transportation...Work at officeImmediate start
- The Field Reimbursement Specialist is a critical field-based role responsible for providing expert guidance and support to healthcare... ...in payer policies, medical device benefit structures, prior authorization requirements, and government regulations. Provider Support...Work at officeWork from homeRelocationHome officeNight shift
- Inception Fertility - Houston is seeking an Authorization Specialist to deliver a superior patient experience by verifying eligibility and initiating prior authorizations. You will review medical records, contact insurance companies, and complete authorization forms within...
- University of Utah Health is seeking a Prior Authorization/Insurance Verification Specialist to secure outpatient accounts by verifying eligibility, obtaining benefits and prior authorizations before services are rendered. The role collaborates with physicians, nurses,...Remote job
$47.96k - $128.94k
...disorders, has an exciting opportunity for a Pharmacy Tech Authorization Specialist for our offices in Newport News. Employment Type: Full Time... ...to ensure access barriers are overcome. Obtain insurance prior authorizations for oral chemo drugs and retail pharmacy drugs...Full timeWork at office- Trilogy Health Services, located in Louisville, Kentucky, is seeking a Payer Services Specialist. This role involves handling prior authorizations and insurance verifications for potential admissions and therapy services. The chosen candidate will ensure timely authorization...
- Ramey-Estep Homes, Inc. is seeking an Authorization Specialist to secure prior authorizations for medical and behavioral health services. You will verify insurance coverage, review patient histories, and confirm referral details with providers to ensure timely submissions...Work at officeMonday to Friday
- ...to operate remotely within the United States. The role covers patient registration, insurance verification, scheduling, and prior authorizations with increasing independence. You will assist patients, providers, and clients, resolving complex access issues. Strong attention...Remote job
- ...North AL, South IL, and Kentucky. The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on reimbursement... ...this position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the...Full timeWork at officeLocal areaNight shift
$19 per hour
Function: The Authorization Specialist is primarily responsible for securing prior authorizations for medical and behavioral health services by reviewing patient medical history, verifying insurance coverage, and confirming referral details with current and referring providers...Hourly payFull timeWork at officeImmediate startMonday to FridayFlexible hoursShift workWeekend work- BBSS Beyond Blue in Ashland, KY seeks an Insurance Authorization Specialist to ensure accurate, timely pre-authorizations for diagnostic imaging and in-clinic procedures. You will apply payer guidelines, ICD-10/CPT/HCPCS coding, and verify eligibility to minimize delays...
- UM SPECIALIST# UM SPECIALISTWaverly , OH 45690## Qualifications* **Education:** High school diploma or GED required. An Associate’... ...strongly preferred.* **Experience:** 1-3 years of experience in prior authorization, medical billing, utilization review (UR), or patient...
- Koya Medical, Inc. is seeking an Authorizations Specialist to manage prior authorizations, precertifications, predeterminations, and referrals to optimize reimbursement. This full-time remote role reports to the Manager, Prior Authorization within the Reimbursement Operations...Remote jobFull time
$20 - $36 per hour
...Connecting. Growing together. The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit verification research... ...patient access, the role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying and...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to FridayShift work- ...4B 4828 Loop Central Drive Suite 900 Houston, TX 77081, USA Our Authorization Specialist will be responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. This includes utilizing online resources, reviewing...Extra incomeFull timeWork experience placementWork at office
- Stormont Vail Health is seeking a Referral Technician in Topeka, KS to manage referrals and obtain prior authorizations. You will coordinate with providers, insurance carriers, and external facilities to verify benefits and ensure compliant referral processing. The role...Full time
- ...) and durable medical equipment (DME). PN is a covered DME benefit, and the ideal candidate will have expertise in handling prior authorizations (PA), billing, insurance processes, and insurance audit responses for both PN and DME therapies. The right candidate should...Work at officeRemote workFlexible hours
- ...traffic ready for pushback and engine start. # Plans the sequence of arriving traffic, using provided electronic aids, i.e. Aerobahn, prior to arrival at the airport. # The merging of arriving and pushback traffic that will assure all aircraft equitable treatment and...Local areaImmediate start
$19.18 - $30.14 per hour
...Recovery Specialist Associate - Call Center Anticipated End Date: 08/21/2026 Hybrid: This... ...under general supervision. Performs all authorized duties in the processing of overpayments... ...Preferred Skills, Capabilities, and Experiences Prior call center experience strongly...Temporary workWork experience placementWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week$62k
...creating the possibilities of tomorrow. Summary The posiiton can be located in New York or New Jersey. The Experiential Marketing Specialist is responsible engaging and innovating consumer experiences intended to drive wide-scale awareness for all of Liberty Coca-Cola’s...Part timeWork at officeLocal areaFlexible hoursNight shiftWeekend work$42.82 - $58.44 per hour
...Childhood Education or related discipline and completion of a Child Life internship required.Certification as a professional Child Life Specialist; Eligibility for Certification required (standards set by the National Child Life Council Certifying Commission).Experience:At...Internship- 10 years experience as Business Analyst and Data AnalystExcellent communication skillsExperience working with Business Users in understanding requirementsExperience in writing requirements documents and conducting reviews with various stakeholdersDelivery focused techno...
- Sunoco LP is seeking an Associate Specialist Freight Optimization to analyze and design strategies to reduce truck transportation costs, improve service levels, and maximize network efficiency across inbound and outbound freight operations. You will collaborate with carriers...Casual work
$102.5k - $165k
...over 135 years. It's a leading institution, with a heart for the community. Now, you have the opportunity to join us.Angioplasty Specialist - Interventional Cardiology - Days - NYP Brooklyn MethodistBring your passion and professionalism to the Interventional Cardiology...Full timeWork experience placementMonday to FridayFlexible hoursDay shift- JOB SUMMARY:This clinical position exists primarily in programs that serve mentally ill consumers/residents who have co-existing substance abuse disorder and who may also have histories of homelessness and/or HIV infection. Counsels and aids residents/consumers with multiple...Full timeImmediate start
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