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$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...SuggestedWork experience placementReliefWork at officeMonday to FridayShift workDay shift- 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...SuggestedHourly payFull timeContract workTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours$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...Hourly payFull timeRemote 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...Full timeWork at officeLocal area- ...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$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$80 per hour
...OpportunityWe are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization workflows, documentation review,...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours- ...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
- ...Job Summary: The Revenue Cycle Specialist is responsible for analyzing data for Key Performance Indicator (KPI) monitoring and... ...in payer plan updates to include: admission notifications, prior authorizations, insurance card changes, plan selection, and contract requirements...Contract workWork experience placementFlexible hours
- ...Radiology is looking for an Insurance Specialist to join our team. We are challenging the... ...expertise in insurance pre-certification and authorization of services by calling insurance... ...workload to ensure all patients are contacted prior to their exam and those with largest...Full timeWork at officeImmediate start
$51.8k - $85k
...As an Underwriting Specialist at Oxford Risk Management Group, you will be required to execute critical thinking and should... ...Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting...Hourly pay$17 - $21.5 per hour
...MTK Healthcare is Hiring - Prior Authorization Specialist Position Details Position: Prior Authorization Specialist Facility: Hopedale Medical Complex Location: Hopedale, IL 61747 Job Type: Contract Duration: 13 Weeks...Hourly payContract workWork at officeShift work$19.5 - $21.5 per hour
...Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed to improving the lives of all who entrust us with their care and those who we entrust to provide it. We strive to be the premier provider of complex mobility solutions...Hourly payWork experience placementWork at office$23 - $25 per hour
...Job Duties Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Minneapolis (near the Edina area). Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office....Hourly payFull timeWork at officeRemote workMonday to FridayFlexible hoursShift work2 days per week1 day per week$22 - $24 per hour
...Prior Authorization Specialist Location: Hempstead, NY Schedule: Full-time, on-site Compensation: $22-$24 per hour, based on experience We are seeking an organized and dependable Prior Authorization Specialist to join our healthcare team. The ideal candidate...Hourly payFull timeWork at office- ...Prior Authorization SpecialistJoin our team as a Prior Authorization Specialist! Are you detail-oriented, organized, and passionate about helping patients access the care they need? WCHS is seeking a FT Prior Authorization Specialist to support our team by coordinating...Work at officeLocal areaImmediate start
$18.13 - $21.78 per hour
...Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian...Hourly payWork at officeFlexible hoursWeekend workAfternoon shift$21.38 - $44.4 per hour
...Revenue Cycle Specialist This is a non-exempt on-site role, located at our New Providence CBO location. Compensation Range: $21.38... ...School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment...$24 - $28 per hour
...Position Summary: The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless patient care and timely treatment. This position requires a solid understanding of medical benefits,...Hourly payLocal area$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- ...The Willis Knighton Department of Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our team. This individual will work directly with our Outpatient Infusion Units under the supervision of the Pharmacy Director and act as a liaison between patients...Work at officeShift work
- ***Must have BOTH a current VA Pharmacy and PTCB License*** The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior...Work experience placementRemote workAll shiftsWeekend work
$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- ...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...
$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- ...Access Specialist Opportunity Northeastern Vermont Regional Hospital is seeking an Access Specialist to join our team. Join our... ...& Financial Processing - Verify insurance coverage, obtain prior authorizations, collect copays, and secure all required legal and...Shift workNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Specialist. Be the first to apply!
- junk removal specialist United States
- correspondence specialist United States
- measurement specialist United States
- disclosure specialist United States
- partnership specialist United States
- partner success specialist United States
- absence management specialist United States
- continuous improvement specialist United States
- loss prevention specialist United States
- hospitality specialist United States


