Remote Prior Authorization Specialist
Verisma
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 will have a High School Diploma, experience in a fast-paced health information environment, and strong attention to detail. This position offers flexibility in working from home, as well as potential after-hours requirements. #J-18808-Ljbffr
$65.5k - $125.5k
...Job Description The Virtual Access Specialist acts as a non-clinical virtual resource... ...about patient access. This is a remote role that calls directly on HCP offices... ...and documentation for coverage, coding, prior authorization, and appeal processes. ~ Demonstrated...Remote workFull timeTemporary workLocal area$46.38k - $59.9k
...dispute resolution. Job Summary This Specialist role for the Wound Care Rare Disease... ...medical policy, submit or route for prior authorization and perform final biller tasks to... ...individual contributor position is a remote-based role. Responsibilities Work...Remote workHourly payFull timeContract workTemporary workWork experience placementLocal areaImmediate startFlexible hours- ...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
- ...Baptist Health is looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency in KY or INResearch... ...pre and post billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor....Remote workFull time
- We are looking for a Prior Authorization Specialist to support front-end revenue cycle operations for a long-term contract opportunity. This is a fully remote role but you must reside in Minnesota or Wisconsin. In this role, you will help secure timely coverage approvals...Remote workLong term contract
$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 a growing healthcare practice, the full-time Prior Authorization Specialist will obtain prior authorizations and pre-certifications for... ...procedures, and specialty medications while working remotely. Key Responsibilities Obtain prior authorizations and pre...Remote workFull time
- ...filing), order and referral management, insurance verifications, prior authorizations, and completing patient medical forms. The Care Coordination... ...Supervisor. This position may be onsite, hybrid and/or remote allowing you to work from your own home office environment....Remote workHourly payWork at officeWork from homeHome office
- ...University Medical Billing (UMB) is a fully remote department that serves 1,800 providers across Utah and surrounding states. We seek an experienced Prior Authorization Representative to verify benefits, calculate patient estimates, and obtain prior authorizations before...Remote work
- ...Riverhills Neuroscience is seeking a Prior Authorization Specialist to support the Billing department in Norwood. The role requires 1–2 years of medical... ...The schedule is hybrid, with 2 days in-office and 3 days remote after training. Offered benefits include 401k with company...Remote workWork at office
- ...Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team. Work schedule is Monday–Friday, 8:00am–5:00pm EST. Responsibilities include AP submission, benefit verification, and billing inquiries in a remote setting. Minimum qualifications include a...Remote workMonday to Friday
- 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
- ...Labcorp is seeking a Pre Authorization Specialist to join a remote, United States–based team. You will conduct prior authorizations, verify benefits, and communicate with patients, health plans, and clients to expedite reimbursement. You will review medical policies...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
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description: New to OU Health? Ask your... ...about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in...Remote workFull timeShift work
- ...providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and...Remote work
- ...Valid8 Financial, Inc. is seeking a detail-oriented Prior Authorization Specialist for a remote Idaho position. You will verify insurance information and process prior authorizations, collaborating with clinicians and payors to support timely reimbursements. The role...Remote work
$22 - $30 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 the prior authorization process. Schedule: Monday - Friday...Remote workTemporary workMonday to FridayFlexible hours- ...Prior Authorization Specialist DeCoach Recovery is a leading addiction treatment center dedicated to providing compassionate care and effective... ...requests, resolving issues and denials. This position can become remote once training is completed. Minimum Qualifications:...Remote workCurrently hiringWork 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- ...Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of... ...a global leader in Business Process Outsourcing (BPO) and remote talent solutions, dedicated to propelling businesses forward...Remote workFreelanceWorldwide
$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- ...To support care coordination services, the Remote Prior Authorization Specialist will process tasks related to insurance verifications, prior authorizations, and electronic filing while working part-time in a remote capacity with a schedule aligned to the Alaska time zone...Remote workPart timeWork at office
- ~ Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. ~ Researches... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
$22 per hour
...for an Insurance Reimbursement Specialist to support insurance... ...Verify benefits, prepares pre-authorization requests. Document approvals... ...insurance and medical device prior authorization (preferred) ~... ...completion of in-person training, remote working may be an option.*...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...Authorization Specialist The Authorization Specialist is responsible for coordinating and securing... ...Abilities Understanding of pre-certification, prior authorization, and referral... ...Fletcher Ave Tampa 33613 Eligible for Remote Work: Hybrid Remote Job Patient...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...Schedule : Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable distance... ...for a minimum of 7 business days Responsibilities ~ The Prior Authorization Coordinator is responsible for striving to complete either approval...Remote workLocal areaFlexible hoursShift work
$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... ...healthcare providers. Work Location Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull timeWork at office$18.67 - $21.96 per hour
...Description (e.g. M-F 8am to 5pm) M-F 8 hr shift in between Remote Work Notification ATTENTION: Lumicera is unable to offer... ...and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor,...Remote workTraineeshipFlexible hoursShift work- ...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 value, effectiveness, and...Remote workLocal area
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