Remote Prior Authorization Specialist
Arsenault
- Remote job
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 demeanor in a fast-paced call center environment. Ideal candidates have at least 2 years of customer service experience, a high school diploma, and knowledge of medical terminology. Bilingual candidates are preferred. Join us and make a meaningful impact on healthcare quality. #J-18808-Ljbffr Arsenault
- ...Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...Remote workWork from home
- ...The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...specialist is responsible for managing prior authorization (PA) processes while proactively engaging... ...environment. Dedicated home office space for remote work flexibility, as role is assigned/...Remote workFull timeWork at officeWork from homeHome office
- ...Prior Authorization Specialist About Our Company: At Infinx, we are a dynamic and rapidly expanding company dedicated to providing innovative technology... ...as the heart of our mission. Summary Description: This remote Prior Authorization Specialist supports the Patient Access...Remote workWork at officeFlexible hours
$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical necessity and eligibility, in accordance with... ...and proceduresWhat you should expect in this role100% Remote home office.Full-time position.Applications will be accepted...Remote workFull timeHome officeFlexible hours- ...Gainwell Technologies is seeking a Prior Authorization Registered Nurse Consultant - Personal Care Services to review prior authorization requests... ...medical necessity for Medicaid programs. This fully remote role supports providers and stakeholders while aligning with...Remote work
- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Remote workPart time
$22 - $26 per hour
...Pharmacy Prior Authorization SpecialistThis 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...Remote workTemporary workLocal areaMonday to Friday- ...unsurpassed! Purpose: The purpose of a Triage Specialist is to perform effective telephone... ...the position will transition to fully remote/work-from-home. Essential Duties and... .... Manage pre-certification and prior authorization requirements for procedures. Monitor and...Remote workFull timeTemporary workWork at officeImmediate startWork from home
$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... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...To support patient access services, the full-time Prior Authorization Specialist will verify insurance, obtain authorizations, and coordinate financial clearance activities remotely, ensuring compliance with healthcare delivery standards. Key responsibilities Processes...Remote workFull timeWork at office
- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with optimizing a broken system. We're making sure... ..., which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients...Remote workHourly payFull timeFor contractors
- ...Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption of PAHub...Remote workLocal area
- ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Job Description: Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and...Remote workContract work
- ..., the full-time Minnesota Licensed RN Authorization Specialist will conduct complex care coordination... ...Coordinators and customer service personnel in a remote environment. Key responsibilities... ...activities including referral and prior authorization processes Provide...Remote workFull time
- ...Working fully remote, the full-time Patient Access Specialist will review and validate insurance eligibility, manage prior authorizations, and communicate with third-party payers to ensure medical services are authorized and documented accurately. Key responsibilities...Remote workFull timeWork at office
$19.87 - $30.79 per hour
...Reimbursement Specialist 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 authorizations efficiently via...Remote workWork experience placementAll shiftsWeekend work$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work$21 - $28.3 per hour
...verify insurance coverage, obtains pre-authorization for medical procedures, and facilitates... ...insurance coverage and eligibility for patients prior to medical procedures or hospital... ...30 am-5:00 pm EST schedule required for remote role * Quiet, secure, stable, compliant...Remote workHourly pay$80k
Location: This is a remote position, but candidates will happy to work on either... ...Pharmaceuticals is recruiting for two Access Specialist's to join our growing Metabolic team... ..., verify insurance coverage, obtain prior authorizations and support appeals processes. As part...Remote work- ...Working remotely, the part-time Remote Prior Authorization Specialist will manage tasks related to care coordination services, including insurance verifications, prior authorizations, and electronic filing of medical documents. Key responsibilities Process assigned tasks...Remote workPart timeWork at office
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our... ...Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay: $18-22 per hour...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday$28.83 - $46.14 per hour
...EvergreenHealth Denial Management Specialist Wage Range: $28.83 - $46.14 per hour... ...denial management, utilization review or prior authorization in a hospital, provider, or healthcare... ...medical billing and reimbursement Remote in Washington State only Posted wage...Remote workHourly payContract workFlexible hoursShift work$13 per hour
...Prior Authorization Specialist Pride Health is hiring a Prior Authorization Specialist to support our client's healthcare facility in Sumter, SC... ...Schedule: Business Hours EST Location: Sumter, SC 29150 or Remote Job Type: Contract Contract Length: 27 Week/s Pay...Remote workContract workLocal area- ...Reimbursement Specialist UPMC Corporate Pharmacy is hiring a Reimbursement Specialist... ...insurance policy, guidelines, and referral/authorization processes. Maintains up to date... ...payor specific pre-determination and/or prior authorization procedures and documentation...Remote workContract workMonday to Friday
- ...The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding... ...the liaison to therapist and AHCCCS Prior Authorization Department • Tracking and organizing... ...Recent Negative TB Test. This is an in-person position only, no remote options....Remote workWork at office
- ...South Burlington, VT/ Hybrid/ Remote Employment Status: Full-time... ..., the Utilization Review Specialist will use professional discretion... ..., for on file/not on file authorizations. Make determinations for... ...Experience in Utilization Review, Prior Authorization, Claims...Remote workFull timeWork at office
- ...Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!... ...Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and... ...all outstanding held revenue related to prior authorizations for insurances assigned....Remote workFull timeTemporary workWork at office
- ...Prior Authorization SpecialistPHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts.Founded in 2015... ...high-speed internet to meet the needs of remote processing (required)Reliable transportation...Remote workFull timeWork at officeMonday to FridayShift work
- ...Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. Researches and... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
$20 - $24 per hour
...detail-oriented and seasoned Revenue Cycle Specialist to join our growing team! The ideal... ...experience preferred, including prior authorization requirements/processes. Certified Professional... ...providers. Work Location Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull timeWork at office
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