Prior Authorization Specialist I
MedImpact Healthcare
MedImpact Healthcare Systems, Inc. is hiring for a Prior Authorization Operations role to process PA requests, validate information, and ensure timely, accurate determinations following clinical guidelines and client requirements. The position emphasizes collaboration with clinical pharmacists, documentation of PA actions, and adherence to turnaround times while delivering high-quality service to providers and members. #J-18808-Ljbffr MedImpact Healthcare
$25.42 - $30.97 per hour
...POSITION SUMMARY: Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is...SuggestedFull timeContract workWork at officeImmediate startRemote workFlexible hours- Tobii Dynavox is seeking a Prior Authorization Submitter to work with insurance payors to obtain medical necessity approvals for durable medical equipment. You will create submission packets and submit via online portals, faxes, and mail, documenting all steps in our EMR...Suggested
- University of Utah Health is seeking a detail-oriented Insurance Verification & Prior Authorization Specialist to secure outpatient services by verifying benefits, calculating patient estimates and obtaining prior authorizations. This role collaborates with physicians,...SuggestedRemote job
- Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities...SuggestedFull timeRemote work
- Sullivan County Community Hospital is seeking a Prior Authorization Representative to join our well‑established Revenue Cycle team in Sullivan, IN. The role focuses on verifying insurance, documenting payer policies, and ensuring prior authorizations are processed quickly...Suggested
- The Intake Specialist supports the full intake cycle for prospective ABA therapy clients,... ...initial documentation, and supporting authorization workflows to move families from referral... ...Assist in the preparation and submission of prior authorization requests for ABA services...Work at officeWork from homeHome office
$110k - $130k
For our client, we are seeking an Area Rare Cardiac Specialist (ARC) to join the team of a leader in the Pharmaceuticals & Biotech... ...accounts Support patient access with information on prior authorization and reimbursement Collaborate with teams to address customer...Remote workVisa sponsorshipRelocation packageFlexible hours- MedImpact Healthcare Systems, Inc. is seeking an Individual Contributor II - Clinical to join our team in the United States. This non-exempt role supports clinical operations and patient care initiatives within a dynamic PBM environment. You will collaborate with cross-...Hourly pay
- ...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...Remote jobWork from home
- Boston Medical Center is seeking a dedicated Prior Authorization Specialist I to join the Revenue Cycle Patient Access team. The role focuses on financial clearance, including demographic validation, insurance verification, referrals, and precertifications to ensure timely...Remote jobWork at office
- Boston Medical Center seeks a Part Time Prior Authorization Specialist I to manage pre-authorization workflows, eligibility verification, and referrals. This remote role collaborates with providers, case management, and patient financial counselors to ensure timely access...Remote jobPart time
- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...
$220k - $245k
...to join our multi-disciplinary clinical team as an Obesity Specialist. In this role, you will be at the forefront of our new program... ...and in a timely manner. Collaborate with nursing staff on prior authorizations and care coordination. Qualifications: Licensure: Licensed...Full timeRemote workMonday to FridayFlexible hours- Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...Remote job
- ...Demonstrates knowledge of breastfeeding learning principles. Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. BLS - Basic Life Support AHA - American Heart Association Upon Hire IBCLC - International Board...16 hoursWork at officeLocal areaShift workDay shift
- Centene Management Company LLC is hiring for a Prior Authorization Support role in the Little Rock, AR area. You will work with the utilization management team to ensure timely and accurate processing of authorization requests within contractual timelines, and gather documentation...Remote jobFlexible hours
$18.92 - $23.46 per hour
...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. Communicate...Full timeContract workTemporary workLocal areaImmediate startRemote workFlexible hours- ...LinkedIn, Facebook, Instagram, X and YouTube. The Virtual Access Specialist acts as a non-clinical virtual resource that is available... ...published criteria and documentation for coverage, coding, prior authorization, and appeal processes. Demonstrated understanding of the...Temporary workLocal areaRemote work
- Providing exceptional customer service, the fixed-term Eligibility Specialist will verify benefits and eligibility for patients, manage... ...inquiries, including insurance verification and prior authorizations Conduct payer research and maintain accurate documentation...Fixed term contract
$33.2 - $36.94 per hour
...healthcare related field or customer service oriented position. Experience Preferred: 2 years in Healthcare/Medical Working with prior authorizations Skills - Required: Excellent verbal and written communication skills. Strong customer service orientation. Basic computer...Full timeLocal areaRemote workHome officeShift work- ...operations, handle phone inquiries, and schedule and pre-register patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while maintaining high service standards. The position emphasizes...Remote job
- Working remotely in a full-time temporary capacity, the Prescription Prior Authorization Specialist will manage the submission of prior authorizations to ensure patients' prescriptions are covered by insurance, while addressing patient inquiries and maintaining accurate...Full timeTemporary workWork at officeRemote work
$14.28 per hour
...and wellness services one person at a time. Registration Specialist Full-time Harrisburg and Elizabethville, PA Monday - Friday... ...to specific doctor(s) to support things like lab work, prior authorization requests for meds, etc. Requirements High School Diploma...Full timeWork at officeMonday to FridayAfternoon shift1 day per week- Wellstar Health System is hiring a PAS III for Pre-Service Operations to secure authorizations and verify benefits, working with physicians and care teams. You will escalate issues, maintain accurate records, and support pre-registration activities in a fast-paced hospital...
- Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...Remote job
$25 - $27 per hour
Harlem Cardiology on Madison Avenue in New York City seeks a skilled medical biller and insurance authorization specialist to obtain prior authorizations for procedures. Join a dedicated cardiology team delivering cardiovascular care to East Harlem residents; compensation...Hourly payFull time$17.75 - $19.5 per hour
...informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday - Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization & Benefits...Hourly payTemporary workCasual workInternshipRemote workMonday to FridayFlexible hours- To support Medicare coverage determination operations, the full-time Medicare Prior Authorization Specialist will manage incoming documentation, create case reviews using multiple software systems, and maintain accurate records while working remotely with rotating weekend...Full timeRemote workRotating shift
$18 - $24 per hour
RCM Intake Specialist (Behavioral Health) - Remote GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (... ...limitations, and other applicable benefit information. Identify prior authorization requirements and ensure authorization needs are initiated...Remote jobHourly pay- Working remotely, the full-time Remote Authorization Specialist will be responsible for obtaining and maintaining prior authorization status for patient medications and therapies, collaborating with clinical and billing departments to ensure compliance with payer requirements...Remote jobFull time
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