Remote Utilization & Authorization Specialist
Cedars-Sinai Medical Center
Cedars-Sinai is hiring an Utilization Management Specialist to provide advanced operational and workflow support for UR Nurses, ensuring timely, accurate utilization review and payer communication. You will manage authorization workflows from submission to final determination, prioritizing cases by deadlines and regulatory timeframes in a fast-paced hospital setting. Collaborating with UR Nurses, Case Management, Revenue Cycle, and external payers, you will ensure complete documentation, #J-18808-Ljbffr
Vacancy posted 4 days ago
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...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States Exempt... ...geography and expertise. Position Overview The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care...Remote workFull timePart timeWork from homeFlexible hoursCoronis Health
Jackson, MI18 hours ago- ...Cedars-Sinai in Phoenix, AZ seeks an experienced Authorization Specialist to manage a caseload in collaboration with UR Nurses and ensure timely utilization review and payer submissions. You will assemble clinical review packets, track determinations, monitor payer...Remote work
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United States5 days ago - ...Looking For We are seeking an experienced specialist who is passionate about making a... ...Responsible for managing all clinical authorization processes to ensure timely, accurate,... ...field required preferred. 2-3 years of utilization review experience in behavioral health...Remote workDaily paidFull time
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New York, NY2 days ago - ...JOB SUMMARY The Authorizations Coordinator is responsible for efficiently obtaining authorizations... ...to ninety (90) days before going fully remote. ESSENTIAL RESPONSIBILITIES:... ...medical procedures and terminology Utilizes sound judgment, analytical thinking,...Remote workPermanent employmentWork at office
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United States5 days ago $18 - $20 per hour
...compassionate professional to join our Utilization Review department. At... ...As a Utilization Review Specialist, you serve as the vital link... ...corporate office, 3 days remote. What You Will Do Act... ...clinical updates and managing authorizations. Collaborate with...Remote workHourly payFull timeWork at officeKVC Shared Services
Olathe, KS2 days ago- ...school systems, special districts, utilities, and related agencies. Our work... ...collaborators. Engagements are remote-first with occasional client travel. When you authorize it, AlphaGov may name you as an... ...and Grid Interconnection Specialist for current public EV charging...Remote workContract workBank staff
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United States4 days ago $53.19k - $82.43k
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...to adjudicate Behavioral Health prior authorizations based on medical necessity and eligibility... ...for this role, rather you will provide utilization review and quality assurance. Your... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hoursGainwell Technologies LLC
Columbus, OH1 day ago$22 - $26 per hour
...initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established...Remote workMonday to FridayShift workBrightSpring Health Services
New York, NY1 day ago- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical data and obtain authorized services for ABA and related treatments. This role offers either remote work or a home-office hybrid setup, with collaboration across clinical staff...Remote jobWork from homeHome office
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Jackson, MI13 hours ago - ...Humana, Inc. is seeking a remote UM Administration Coordinator to support utilization management operations. You will handle provider and member phone interactions... ...back-office tasks, and assist with prior authorizations while reporting to the Supervisor, UM Management...Remote work
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Salt Lake City, UT3 days ago $41.6k - $49.92k
...career. About This Role: The Revenue Cycle Authorizations Specialist I is responsible for obtaining and... ...to determine current client status. Utilize the Outlook system to appropriately monitor... ...to general RCM benchmarks. Previous remote work experience preferred. Must be...Remote workFull timeWork experience placementWork at office- ...Cedars-Sinai seeks a detail-oriented Utilization Management Specialist to support UR Nurses and manage the authorization lifecycle using EPIC/CS-Link. You will ensure timely, accurate documentation and compliance with CMS and payer requirements, collaborating with Case...Remote work
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Arizona13 hours ago $50k - $55k
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Matawan, NJ2 days ago- ...Logan Health is seeking a Utilization Management Specialist to join our team in a fully remote role focused on inpatient admissions reviews, physician documentation assessment, and authorizations across the Logan Health system. The position emphasizes collaboration with...Remote work
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United States3 days ago $26 per hour
...transforming healthcare. Responsibilities The Authorization Representative will need to cover... ...needed. Assist with payer audits and utilization management reviews by providing complete... ...Range For This Role Is 26 - 26 USD per hour(Remote (United States)) #J-18808-Ljbffr...Remote workHourly payGeBBS Healthcare Solutions
New York, NY1 day ago- ...Central Authorization SpecialistBayCare is currently in search of our... ....Position Details:Location: Remote (must reside in Florida) - Following... ...Central Authorization Specialist opportunity is a full-time... ...turnaround for authorizations. Utilize electronic scheduling/...Remote workFull timeContract workWork at office
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Clearwater Beach, FL1 day ago - ...Logan Health is seeking a Utilization Management Specialist to join our dedicated team. You’ll review admissions... ...and insurers to ensure appropriate authorization and medical necessity. This role... ...a four 10-hour shift schedule, remote work with Montana residency, and a...Remote workShift work
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United States3 days ago - ...Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing... ..., case management and insurers to authorize care and ensure medical necessity.... ...proficiency, with a four-day work week and remote options for Montana residents. #J-...Remote work
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United States2 days ago - ~ Submits, tracks, and manages prior authorization requests for medical and ancillary procedures... ...monitor prior authorization related utilization trends, claim denials, denial rates,... ...experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare...Remote workWork at office
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Eugene, OR13 hours ago $37.5 - $54.25 per hour
...Expertise to Logan Health's Utilization Management Team! Our Mission... ...for a Utilization Management Specialist to join our dedicated team!... ...and person-centered care! Remote Requirement Fully remote... ...partners to facilitate authorizations and medical necessity reviews...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shiftLogan Health
Helena, MT13 hours ago- ...RiverValley Behavioral Health is seeking an Utilization Review Support Specialist to ensure insurance coverage for treatment by obtaining pre-certifications and authorizations. The role requires presenting medical necessity through clinical documentation and collaborating...
RiverValley Behavioral Health
Owensboro, KY5 days ago
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