Remote Medical Necessity and ABA Authorization Specialist
Action Behavior Centers
- Remote job
Action Behavior Centers, a leading ABA therapy provider, seeks a Remote Internal Medical Necessity Specialist to support clinical services and authorization workflows. The role involves documenting patient interactions, coordinating with insurance providers, and ensuring accurate electronic records for multiple ABC locations. The ideal candidate is an RBT with field experience or an RBT in a BCBA pathway, with strong communication, organizational skills, and familiarity with HIPAA-compliant data #J-18808-Ljbffr Action Behavior Centers
$20 - $23 per hour
Workers Compensation Authorization And Verification SpecialistState... ...and Verification Specialist, you will play a... ...applied behavior analysis (ABA) services. Our culture... ...and focus in a remote positionProficient in... ...in Your First 30 Days:Medical, dental, vision insurance...Remote workMedicalHourly payWork at officeMonday to Friday- ...are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The... ...initial and continuing authorizations for ABA and related services... .... This is a fully remote or office/home hybrid... ...information to ensure medical necessity and compliance of utilization...Remote workMedicalWork at officeFlexible hours
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services... ...total rewards package. Remote Eligibility: Candidates... .... Interpret payer medical policies and utilization management... ...teams to obtain medical necessity documentation. General...Remote workMedicalFull timeShift work
- ...financial performance. Prior authorizations are a critical component of... ...a Prior Authorization Specialist (Contract) to support high-... ...procedures and prescription medications. This role focuses on provider... ...exception and medical necessity documentation when required...Remote workMedicalContract work
- ...Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical information and obtain authorizations for ABA and related services. This role supports remote or office/home hybrid work... ...emphasizes attention to medical necessity and HIPAA compliance. The...Remote jobMedicalWork at officeWork from home
- ...Authorization Specialist OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model... ...Review payer guidelines for medically necessity guidelines including frequency and...Remote workMedicalWork at office
- The Prior Authorization Submitter (PAS) at Tobii Dynavox works with insurance payors to obtain medical necessity and prior authorization for durable medical equipment. You will assemble submission packets and file them through online portals, faxes, and mail, then track...Remote jobMedical
- ...Oncology in Fort Worth. This full‑time remote role requires Texas residency and... ....-5:00 p.m. schedule. You will obtain authorizations and pre-certifications to ensure timely... ...experience, with duties including reviewing medical necessity, communicating with #J-18808-Ljbffr...Remote jobMedicalFull timeMonday to Friday
- ...Job Shift: Day Position Title: Prior Authorization Specialist Department: Business Office... ...a retro authorization. Assist with medical necessity documentation and submit medical records... ...Positions is flexible to be in suite, remote or hybrid. General Health care environment...Remote workMedicalFull timeWork at officeFlexible hoursShift work
- Job Description - Authorization Specialist - USFTGP UMSA Front End (26000423) Authorization... ...and pre‑authorizations for medical procedures, outpatient... ..., appeals, or medical necessity determinations. Monitor... ...Blvd Tampa 33606 Eligible for Remote Work On Site Organization...Remote workMedicalFull timeWork at officeMonday to Friday
- ...an experienced, detail-oriented Medical Virtual Biller to join our remote operations team. In this role, you... ...protocols, and excel at securing prior authorizations and clinical letters, we want to... ...Letters of Intent / Medical Necessity (LOIs) alongside clinical documentation...Remote jobMedicalHome office
- ...Authorization Specialist The Authorization Specialist Sr is responsible for... ...procedures, diagnostic testing, and medications to ensure timely patient... ...requirements, medical necessity guidelines, and payer-specific... ...Tampa 33613 Eligible for Remote Work: On Site Job:...Remote workMedicalWork experience placementWork at officeMonday to FridayShift work
$55k - $60k
...program. Job Summary The Prior Authorization Specialist ensures timely payer... ...time, exempt and will work remotely. Essential Duties and Responsibilities... ...to the following: Submit medical records and documentation... ...to determine medical necessity Process authorizations,...Remote workMedicalFull timeContract work$22.05 - $28.3 per hour
...teams drive groundbreaking medical discoveries and invite all applicants... ...Reviews and processes prior authorization and referral requests for... ...compliance, and medical necessity by gathering and submitting... ...PM EST schedule required for remote role A quiet, secure,...Remote workMedicalHourly payShift work- ...strong background in prior authorizations? We are seeking a highly organized... ...Prior Authorization Specialist to join our national Utilization... ...eligibility, gathering medical documentation, and routing requests... ...Type: Full-Time | 100% Remote Schedule: Monday – Friday...Remote workMedicalFull timeLive inWork from homeMonday to Friday
- Authorization SpecialistTherapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA... ...! As an Authorization Specialist, you will play a vital role... ...clinical notes, letters of medical necessity, and supporting documentation...MedicalTemporary work
$17 per hour
...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $17/hour Work Schedule: This is a full-time role... ...outbound/inbound calling activities as required Work with medical platforms and authorization systems to process...Remote workMedicalFull timeWork from homeMonday to FridayFlexible hoursShift work- ...the organization, the full-time Prior Authorization Specialist will manage authorizations, precertifications... ..., and referrals while working remotely and ensuring timely payer approvals through... .... Key responsibilities Submit medical records and documentation to payers for...Remote workMedicalFull time
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in... ...0pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay:... ...and 4% Company Match ~ Comprehensive Medical, Dental, and Vision insurance ~ Long...Remote workMedicalHourly payFull timeTemporary workWork at officeMonday to Friday- ...Seeking a dedicated ABA Authorization Specialist for a full-time hybrid or remote role, who will manage insurance authorizations, provide excellent customer service, and ensure efficient access to services for clients and families. Key responsibilities Answer telephones...Remote workFull timeWork at office
- Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and proper...Remote jobMedical
- Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations,... ...payers, providers, and patients, ensuring compliance with medical policies while maintaining documentation and meeting...Remote jobMedical
- ...services provider is seeking a Prior Authorization Specialist to coordinate patient care and manage... ...Applicants should have experience in medical assistance or prior authorization processes... ...position offers the flexibility of remote work in a fast-paced environment. #J-1...Remote jobMedical
- Randstad USA is seeking an experienced Prior Authorization Specialist to join our national Utilization Management team. 100% remote role with a Monday-Friday schedule, 8:00 AM... ...queues, verify eligibility, gather medical documentation, and route requests to clinical...Remote jobMedicalMonday to Friday
- ...licensed clinician to review ABA services and health status across... ...the care continuum, ensuring medical appropriateness and alignment... .... The role involves prior authorization reviews, data analysis to... ...CST is required, with flexible remote/hybrid options. #J-18808-Ljbffr...Remote workMedicalFlexible hours
- ...and Responsibilities: Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) serves as a... ...documentation for on-going coverage of durable medical equipment. ~ Review and obtain... ...person escalation workflows when remote outreach efforts have not produced...Remote workMedicalWork at officeLocal area
- Boston Medical Center is seeking a dedicated Prior Authorization Specialist I to join the Revenue Cycle Patient Access team. The role focuses on financial clearance, including demographic validation, insurance verification, referrals, and precertifications to ensure timely...Remote jobMedicalWork at office
- Boston Medical Center is seeking a Prior Authorization Specialist I to join the Insurance Verification team in a remote, part-time capacity. The role focuses on screening prior authorizations, coordinating referrals, and ensuring timely financial clearance for inpatient...Remote jobMedicalPart time
$25.42 - $30.97 per hour
...Responsible for screening prior-authorization and coordination of... ...specialized services requests in the medical care management program,... ...needed. The Prior Authorization Specialist role belongs to the Revenue... ...Counseling. This is a Remote Position. Position: Prior authorization...Remote workMedicalFull timeContract workWork at officeImmediate startFlexible hours- Boston Medical Center seeks a Part Time Prior Authorization Specialist I to manage pre-authorization workflows, eligibility verification, and referrals. This remote role collaborates with providers, case management, and patient financial counselors to ensure timely access...Remote jobMedicalPart time
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