Prior Authorization Specialist
Virtual Vocations Inc
Working remotely in a full-time capacity, the Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with healthcare delivery standards while managing financial clearance activities. Key responsibilities Prioritizes and processes incoming prior authorization requests, authorizing specified services as per departmental guidelines Collaborates with patients, providers, and departments to obtain necessary information and payer permissions prior to scheduled services Maintains knowledge of insurance requirements and manages communication with stakeholders to facilitate the financial clearance process Required qualifications High school diploma or GED required; Associate's Degree or higher preferred 4-5 years of office experience in a high-volume data entry, customer service call center, or healthcare setting Experience with insurance verification, prior authorization, and financial clearance processes Knowledge of medical terminology and ICD-9/CPT coding is helpful Bilingual candidates are preferred
$29.62 - $45.31 per hour
...inspire and retain the best people, we must empower them. Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workShift work$47.13k - $70.72k
...Park Nicollet is looking to hire an Authorization Specialist to join our team! Come join us as a Partner for Good and help us make an impact on... ...completing insurance verification, obtaining and documenting prior authorization approvals from insurance companies for...SuggestedFull timeWork at officeLocal area$58.86k
...to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary Reviews and processes prior authorization and referral requests for medical services in accordance with organizational policies and payer requirements. Ensures insurance...SuggestedHourly payFull timeRemote workShift work- We are searching for a Front Office Specialist I - TCP Cypress-- someone to coordinate and... ...Completes paperwork and documentation for authorized referrals within two (2) business days.... ...emergencies or have self-referred without prior authorization. Texas Children’s...SuggestedWork at officeLocal area
$34.92k - $57.55k
...Offer $16.79 Maximum Offer $27.67 Now Hiring: Patient Visit Specialist Summary: Presbyterian is seeking a dedicated Patient... ...radiologic procedures, recognizing payor requirements, and securing prior authorizations, certifications, and referrals as needed. If you're...SuggestedFull timeTemporary workWork at officeLocal areaImmediate startShift work$46.38k - $59.9k
...research and problem/dispute resolution. Job Summary This Specialist role for the Wound Care Rare Disease Program is part of the... ...customer’s insurance medical policy, submit or route for prior authorization and perform final biller tasks to release orders - all...Hourly payFull timeContract workTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours$38.48k - $50.44k
...A Brief Overview Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling...Work experience placementReliefWork at officeMonday to FridayShift workDay shift$52k - $62.4k
...Home Health & Hospice Prior Authorization Specialist $25–$30/hour | Full-Time | Remote Put Your Insurance Prior Authorization Expertise to Work From Home Puget Sound Home Health & Hospice is seeking an experienced Insurance Prior Authorization Specialist to...Full timeWork at officeRemote workWork from home- ...hiring for an Administrative Operations Specialist - Receptionist to help make a... ...flow, collecting payments, and verifying authorizations. Responsibilities include answering and... ...or out or via phone call. Check for prior authorizations for services and assist...Full timeWork at office
$40 - $50 per hour
...Jack Dorsey . Position: Healthcare Administrative Specialist Type: Contract Compensation: $40–$50/hour... ...front-end operations . Design efficient processes for prior authorizations and utilization support using real-world tools....Full timeContract workSummer workWork at officeRemote work- ...cycle by managing initial and mid-stay authorizations, payor notifications, and daily billing... ...proactively managing these worklogs, this specialist ensures steady revenue flow, minimizes... ...outcome to ensure coverage is active prior to service delivery. Managing and submitting...Full timeWork experience placementWork at officeLocal area
$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...Immediate startRemote work- ...Role ItselfPosition Summary: The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient... ...Outpatient behavioral health treatment.Follow up on prior authorization submissions that need further information...Work at office
- ...clinical support services, drug manufacturer program assistance, prior authorizations, procurement, and other tasks. Requires ability to work... ...healthcare providers. The Senior Pharmacy Technician Specialist mentors more junior pharmacy technicians, effectively utilizes...
$20 - $23 per hour
...Providing excellent customer service to our patients and our teammates, understanding demographics Insurance verification Prior authorization & referral Collecting deductibles, co-pays & co-insurance, balancing cash drawer and reconcile end of day Answering...Hourly payFull timeWork at officeMonday to FridayFlexible hoursDay shift$17.37 - $23.89 per hour
...Prior Authorization Specialist Requisition ID#: 20412 Location: Williamsville, NY Specialty: Oncology Work Type : Full-Time Shift: First Shift Job Details Scheduled Work Hours: 7:30 AM - 4:30 PM Regular Work Week: Monday through Friday...Full timeMonday to FridayShift workWeekend workDay shift- ...Insurance Authorization Specialist Fulltime - ONSITE Jacksonville, FL (NO REMOTE WORK AVAILABLE) Help Patients Access the Care They Deserve At... ...administrative role Familiarity with TMS, behavioral health, or prior authorization processes Why You'll Love Working at Serenity...Full timeRemote workFlexible hours
- ...Patient Experience Specialist – ProgressiveHealth of Indiana, LLC – Newburgh, IN Deaconess Gateway OP, 10455 Orthopaedic Dr, Newburgh... ...patient’s insurance in advance to ensure that necessary prior authorizations by payors have been obtained Educating patients confidently...Full timeH1bWork at officeWork visaShift workDay shiftWeekday work
- ...is partnering with our client to hire a Patient Access Specialist who is passionate about providing exceptional service while... ....Verify insurance eligibility, benefits, referrals, and authorization requirements prior to scheduled services.Discuss patient financial...Hourly payLocal area
$28.83 - $46.14 per hour
...or equivalent combination of education and experience. ~5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. ~ Experience in healthcare billing and reimbursement. ~ Experience with EMR...Hourly payContract workRemote workFlexible hoursShift work$20 per hour
...scheduled 8 hour shift) *Description:* The Referral and Authorization specialist is responsible for ensuring patients have been cleared for... ...care and other items or services needed. *Skills:* Prior authorization, customer support, customer services, Customer...Contract workTemporary workLive inWork at officeRemote workMonday to FridayShift work- ...The Revenue Cycle Specialist is responsible for the revenue cycle of the Jackson Clinic professional billing process to ensure appropriate... ..., and provider coding. Assists various offices with prior authorizations for surgeries, procedures, special medication...Work at office
$23 - $27 per hour
...Revenue Cycle Specialist This position is a hybrid schedule: Three days in the office/clinic and two days working from home.... ...requirements are met Reviews claims to ensure eligibility, prior authorizations and proper signatures Submits claims in an organized...Contract workWork at officeLocal areaWork from homeFlexible hours- 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
- ...providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and...Remote work
- ...Prior Authorization Specialist REPORTS TO: Connie Seals-Davidson POSITION SUMMARY : Responsible for essential administrative tasks in relation to Prior Authorization Submittal. QUALIFICATIONS: Must demonstrate excellent interpersonal skills; both written...Work at office
$20 - $22 per hour
...Medicare/Medicaid Claims Specialist 3-5+ years of experience understanding Medicare/Medicaid requirements Pay Range: $20–$22/hr... ...Ensure compliance with Medicare's Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and prior authorization...Local area- ...contacting patients with test results, triaging phone calls, entering orders, scheduling appointments. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for patients being referred for...Work at office
$500 per month
...Job Title Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include...Relocation package$23 - $25 per hour
...and making a difference in the lives of those who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement...Hourly payFull timeTemporary workPart timeShift workWeekend work
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