Remote Prior Authorization Specialist
Cigna
- Remote job
The Cigna Group is seeking a Prior Authorization Representative to handle member and provider inquiries by phone, streamline prior authorization requests, and navigate multiple systems to deliver accurate results. Training and ongoing support will emphasize HIPAA compliance and high-quality service. Candidates should have at least 1 year in a call centre role, strong communication skills, and the ability to work flexible hours. #J-18808-Ljbffr Cigna Health and Life Insurance Company
- ...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
$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 requiring 40 hours per week. Candidates must be flexible to work Saturday shifts as part of the weekly schedule. Operational...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work- ...A-Line Staffing Solutions is hiring licensed pharmacists for Remote Prior Authorization roles. These full-time, 40-hour/week positions are work-from-home opportunities with November start dates and various scheduling options to fit availability. Ideal candidates hold...Remote workFull timeWork from home
- ...DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...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 workWork at officeWork from homeHome office
- ...Managing insurance authorizations for mental health and substance use treatment,... ...Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support... ...necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
$22 - $26 per hour
...This 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 process. Shift: Monday-Friday 8:30am-5...Remote workMonday to FridayShift work- ...To support a growing healthcare team, the full-time Prior Authorization Specialist will determine authorization requirements for outpatient services... ...follow up with healthcare providers, all while working remotely. Key responsibilities Determine if payer authorization...Remote workFull time
- ...for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management... .... Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM –...Remote workFull timeLive inWork from homeMonday to Friday
$26 per hour
...healthcare. Responsibilities The Authorization Representative will need to cover... ...with reporting of authorization status. Prior Authorization and Eligibility Initiate... ...The pay range for this role is: 26 - 26 USD per hour (Remote (United States))Remote workHourly pay- ...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
- ...Coding Specialist Full-Time (80 hours a pay period) | Revenue Integrity Schedule... ...upon hire Work Arrangement: Hybrid/Remote options available following successful... ...Financial Services, clinical departments, and Prior Authorization teams to resolve documentation and...Remote workFull timeTemporary workMonday to Friday
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–Friday, 9 AM–5 PM... ...UR) Specialist to manage insurance authorizations for adolescent and adult mental health... ...requirements. Complete prior authorizations, pre-certifications,...Remote workFull timeMonday to Friday- ...Good Shepherd Health Care System is seeking a Remote Patient Access Scheduling Representative to ensure efficient daily operations... ...patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while...Remote work
- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory...Remote work
- ...life of claims, the full-time Revenue Cycle Management Specialist will manage payer authorizations, claim submissions, and resolution of denials while ensuring... ...role. Key Responsibilities Obtain and validate prior authorizations and verify member eligibility and benefits...Remote workFull time
$53 per hour
...A-Line Staffing Solutions is seeking a Pharmacist – Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent employment. Responsibilities include reviewing prior authorization requests, ensuring regulatory compliance, and maintaining...Remote workHourly payPermanent employmentFull timeTemporary 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- The Cigna Group is hiring a Prior Authorization Representative (PAR) to review and respond to member and provider inquiries and assist with medication prior authorizations. The role emphasizes clear, empathetic communication and HIPAA-compliant documentation. Work-from-...Remote jobWork from home
$19.87 - $30.79 per hour
***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...Remote workWork experience placementAll shiftsWeekend work$90k - $120k
...0 To $120,000.00 Annually Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the...Remote workFull timeLocal area- Geisinger is seeking a Prior Authorization Specialist to work from home in Pennsylvania. You will obtain prior authorizations for medications, determine coverage with payers, and liaise with insurance companies, departments, and patients. You will serve as a subject matter...Remote jobWork from home
$21 per hour
...reputable health insurance company to recruit for an experienced Prior Authorization Clerk to join their team! This is an excellent opportunity... ...New York communities live healthier lives. These are fully remote opportunities open to candidates residing in New York State....Remote workPermanent employmentFull timeTemporary workLocal areaMonday to Friday- ...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
- ...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
- 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
$18.99 - $28.51 per hour
...Patient Access Specialist II- Practice Operations- Remote Opportunity Job Category : Office/Clerical/Admin. Requisition Number : PATIE009915 Posted... ..., registration, insurance verification, or prior authorization processes Experience mentoring or supporting new team...Remote workHourly payFull timeWork experience placementWork at office- ...LanceSoft is seeking a Pharmacist with PBM or Prior Authorization experience for a remote, full-time role. You will review and complete criteria for prior authorization per policy and procedure, ensuring accuracy and compliance. Requirements include a PharmD or B.Pharm...Remote workFull time
$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- ## Prior Authorization Specialist IIApply: WFH State of Oklahoma: Full time: Posted Today: R0069712## **Position Title:**Prior Authorization Specialist... ...our competitive wages and total rewards package.*****Remote Eligibility:** Candidates must reside and work full-time in...Remote workFull timeWork from homeShift work
$24.5 - $37 per hour
...In this role, you will be providing expertise in the area of prior authorization and will be responsible for implementing the Inspire Prior... ...: Bachelor's degree. Medical device experience. #LI-Remote The salary for this position will be offered at a level consistent...Remote workHourly payFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work
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