Remote Health Authorization Specialist
CareOregon, Inc.
- Remote job
CareOregon, Inc. seeks an Authorization Assistant I to provide clerical and technical support focused on health authorization processes. The role supports members, providers, and internal teams, handling eligibility checks and insurer verifications. Responsibilities include documenting actions, loading providers into QNXT and ensuring timely, accurate processing in compliance with HIPAA and policy standards. This is a remote, entry-to-mid level position with bonus potential. #J-18808-Ljbffr CareOregon, Inc.
- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with optimizing a broken system. We're making sure it... ...position, 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
- ...About Alpaca Health Alpaca Health enables clinicians to become entrepreneurs, starting... ...while growing 30% MoM. Role: Prior Authorizations Specialist We are looking to hire a talented... ...Intake Team. This role is full-time, remote, and based on North American Hours of...Remote workFull timeMonday to FridayShift work
- Moda Health in Oregon is seeking a Healthcare Services associate to support the Medical Management team. You will review referrals, determine prior authorization requirements, and educate members and providers on processes. This is a FT work-from-home role. The position...Remote jobWork at officeWork from home
$68.79k - $80.85k
...Title: Prior Authorization Specialist Reports to: Director, Pharmacy Operations Classification... ...Contributor Location: MA (Remote) Job description revision number and... ...organization governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage...Remote workFull time- Valor Health is seeking a Prior Authorization Specialist to obtain pre-certifications and pre-authorizations for procedures. The role focuses on developing and implementing prior authorization workflows and ensuring timely approvals. You will contact insurance carriers...Remote job
$20.31 per hour
Prior Authorization Specialist Love + medicine is who we are, it's what we do, it's why people want to... ..., we’re building careers. At Emplify Health, we care for our teams, while they care... ...between 7 am -5 pm, 8-hour shifts Remote eligible after training in-person in Onalaska...Remote workFull timeLocal areaWork from homeMonday to FridayShift work- Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy in a fully remote role across the United States. The ideal candidate has at least 2 years... ...infusion experience, including prior authorizations, benefit verifications, and HCPC calculations...Remote job
- Medical Associates Health Plans is seeking a CMA or Pharmacy Tech to join as a full-time Prior Authorization Specialist in Dubuque, IA. The role supports authorization workflows, communicates with payers, and collaborates with providers to obtain necessary documentation...Remote jobFull timeWork from homeMonday to FridayFlexible hours
$55.46k
Naukri Mitra is seeking a Remote Health Insurance Authorization Specialist to manage the prior authorization process from start to finish. You will secure approvals for procedures, services, and medications by working with payers and providers. The role emphasizes accuracy...Remote job- UnityPoint Health is seeking a Referral and Authorization Coordinator - Infusion Services to manage new referrals, coordinate authorizations, and ensure timely access to infusion therapies across our ambulatory infusion enterprise. You will enter referral data into the...Remote job
- Quadax is seeking a detail‑oriented professional to support prior authorization workflows for health plans. The role combines remote work with an initial onsite training period in Middleburg Heights, OH, ensuring compliance with SOPs and KPI targets. Applicants must reside...Remote job
- Soleo Health is seeking a Clearance Specialist to process referrals, verify patient eligibility, adjudicate test... ...pocket costs. The role supports payer authorizations, prepares submissions, and follows up on approvals, working remotely in the USA. Ideal candidates have at...Remote job
- Banner Health seeks a PAS Authorization Representative to verify insurance, obtain authorizations, and document details in Host systems. This remote role supports multiple service lines and emphasizes accuracy and timely submissions. The position requires at least three...Remote jobWeekly pay
- CareOregon, Inc. is seeking an Authorization Assistant I (Temporary) to provide technical and clerical support across focus areas such as physical health and Medicaid. The role involves verifying eligibility, insurers, and providers, and ensuring timely processing per...Remote jobTemporary work
- Gundersen Health System is hiring a Prior Authorization Specialist in Wisconsin. The role supports VA Hub prior authorization processes, with a schedule of 40... ...week and a training-in-person period in Onalaska, WI. Remote eligibility opens after training, offering a hybrid...Remote job
- Baystate Health is hiring for a remote role serving Massachusetts and Connecticut. You will process referrals and prior authorizations, ensuring accurate documentation while monitoring denials and communicating decisions to providers and patients. The position requires...Remote jobWork at office
- CareOregon, Inc. seeks an Authorization Assistant I - Temporary to provide technical and clerical support for one focus area such as physical health, behavioral health, or Medicaid. You will process requests from members, providers, vendors, and internal customers while...Remote jobTemporary work
$21 - $27 per hour
...patient outcomes. Backed by WindRose Health Investors and leading healthcare executives... ...an experienced, detail-oriented Prior-Authorization Specialist to join our team at CardioOne. You... ...Fraud and Abuse laws. Work Location: Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull timeWork at office- Lumicera Health Partners is seeking a Specialist III, Prior Authorization to coordinate and lead the Prior Authorization team. The role focuses on optimizing workflows, coaching teammates, and ensuring quality outcomes for providers and patients. You will train staff on...Remote job
- ...Description Park Nicollet is looking to hire an Authorization Specialist to join our team! Come join us as a... ...registration and/or any electronic health record Ability to work cohesively and... ...or any other federal, state or local protected class. #J-18808-Ljbffr Remote JobsRemote workWork at officeLocal area
- ...Training is onsite for 1 week. Then will be remote. Schedule: Monday - Friday 8:30 AM - 5:... ...is one of the largest nonprofit health care organizations in the United States,... ...enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order...Remote workMonday to FridayFlexible hours
$20 - $23 per hour
...Workers Compensation Authorization And Verification Specialist At Ivy Health, we're "All About the People"! As a Workers Compensation (WC) Authorization and... ...pm EST ~ Ability to self-motivate and focus in a remote position ~ Proficient in Microsoft applications...Remote workHourly payWork at officeMonday to Friday- Essential Duties and Responsibilities: Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) serves as a field extension of the Patient... ...Assist with in person escalation workflows when remote outreach efforts have not produced results Coordinate with...Remote workWork at officeLocal area
- Galaxy Personal Care Services LLC seeks an experienced RN to perform OASIS auditing and prior authorization support for home health operations. You will review assessments, ensure regulatory compliance, and coordinate submissions to Medicaid MCEs and other payers. The role...Remote job
- Galaxy Personal Care Services LLC is seeking an experienced Registered Nurse to serve as an OASIS Auditor and Prior Authorization Specialist in our home health operations. The RN will review OASIS assessments and clinical documentation for accuracy, regulatory compliance,...Remote job
- ...Neolytix is hiring a Healthcare Associate to manage the authorization lifecycle across payer portals and EHR/EMR systems. You will collect... ...authorization and strong data entry with HIPAA compliance. This remote, full-time position follows a fixed schedule aligned with 9PM-...Remote workFull time
$17 - $18.15 per hour
...the posting Open — Ensemble Health Partners has a posting for this... ...Patient Access Associate Specialist - PRN About this job Thank you... ...24 Monster Top Workplace for Remote Work 2024 Great Place to Work... ...individuals who reside and are authorized to work within the United States...Remote workHourly payPart timeReliefWork at officeLocal area$17 - $18.15 per hour
...cycle management solutions for health systems, including hospitals... ...:**The Patient Access Specialist is responsible for performing... ...024Monster Top Workplace for Remote Work 2024Great Place to Work... ...individuals who reside and are authorized to work within the United States...Remote workFull timeWork at officeLocal area- ...seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care... ...utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
- ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
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