...improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for applicable patient prescriptions. This... 
Medical

St. Luke's University Health Network

Allentown, PA
4 days ago
 ...patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of prior-...  ...obtain prior-authorizations for diagnostic testing, medications, injections, DME, and surgeries. Request retro-authorizations... 
Medical

St. Luke's University Health Network

Allentown, PA
2 days ago
 ...patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-...  ...process for patients being referred for specialty care, medications, and diagnostic procedures. Performs insurance verification... 
Medical

St. Luke's University Health Network

Bethlehem, PA
2 days ago
 ...Job Title: Prior Authorization Specialist Location: Fully Remote Duration: 12 months contract Job Description: The CD...  ...Experience: Experience in MSWord and MSExcel. Familiar with medical terminology and knowledge of medical coding. Ability to... 
Medical
Holiday work
Contract work
Work experience placement
Remote job
Night shift

Us Tech Solutions Inc.

Atlanta, GA
1 day ago
 ...Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce...  ...or equivalent One (1) or more years of experience in a medical office, healthcare setting, or in a related customer service... 
Medical
Hourly pay
Holiday work
Full time
Temporary work
Local area
Flexible hours

Covenant Physician Partners

Los Angeles, CA
3 days ago
 ...Job Overview: The prior authorization specialist is responsible for coordinating all aspects of the prior authorization process, including insurance...  ...gathering necessary clinical information from electronic medical record, and timely communication with patients,... 
Medical
Remote job
Relocation

TriHealth

Cincinnati, OH
22 hours ago
 ...operational excellence. Patient Services Specialist Responsible for all aspects of...  ...hospitals and other professionals in the medical field. Responsibilities include...  ...information, obtaining pre-certification/authorization, scheduling for inpatient and outpatient... 
Medical
Flexible hours

Bon Secours Mercy Health

Springfield, OH
3 days ago
Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring...  ...Children's offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid... 
Medical
Hourly pay
Full time

Seattle Children's Hospital

Seattle, WA
4 days ago
 ...Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and...  ...Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This... 
Suggested
Remote job
Holiday work
Temporary work
Traineeship
Flexible hours
Shift work
Monday to Friday

Navitus

Madison, WI
22 hours ago
 ...$65,000.00 Salary/year Description Implementation Specialist - Prior Authorization How this Role Makes an Impact The Imagine team is a...  ...Experience Needed ~4-year degree preferred or 2+ years of medical related field Qualifications You Must Have... 
Medical
Full time
Remote job
Offshore
Night shift
Afternoon shift

ImagineSoftware

Charlotte, NC
22 hours ago
 ...committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus...  ..., South Dakota, West Virginia, and Wyoming. The Specialist I, Prior Authorization (PAS) will review, process, and troubleshoot incoming... 
Medical
Remote job
Holiday work
Temporary work
Flexible hours

Navitus

Appleton, WI
22 hours ago
 ...Full-time Description University Physicians' Association is looking for a full-time Prior Authorization Specialist at University Cancer Specialists , a large medical oncology group within the University of Tennessee Medical Center. Our main campus location consists... 
Medical
Full time
Immediate start
Monday to Friday

University Physicians Association, Inc.

Knoxville, TN
22 hours ago
 ...and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests. * Provides...  ...when reviewing & retrieving relevant info from the electronic medical record. * Responsible for planning, execution, appeals and... 
Medical
Full time

Thompson Health

Canandaigua, NY
22 hours ago
 ...with long-term and post- acute care facilities to supply medications to thousands of residents and patients. When you join...  ...need it most. Job Summary: Were looking for a RCO-Prior Authorization Claims Specialist to join our PharmScript team within our Revenue Cycle... 
Medical
Holiday work
Temporary work
Local area
Immediate start
Flexible hours

PharmScript, LLC

Katy, TX
22 hours ago
 ...What does a Prior Authorization Specialist do? The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional...  ...authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR... 
Medical
Weekly pay
Immediate start

Brigham & Women's Hospital(BWH)

Somerville, MA
2 days ago
 ...The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH Authorization, Specialist... 
Medical

Massachusetts General Hospital

Boston, MA
1 day ago
 ...Description Do you have experience in health care prior-authorizations of drugs and medications? Are you working in a retail pharmacy and looking for...  ...you are then look no further than New England Cancer Specialists (NECS), a proud Dana Farber affiliate. NECS is currently... 
Medical
Holiday work
Full time
Temporary work
Private practice
Remote job
Work from home
Monday to Friday

New England Cancer Specialists

Scarborough, ME
4 days ago
 ...Medix is Hiring a direct hire Prior Authorization LVN or RN with a great Healthplan in Los Angeles! Please note this position is 100% remote...  ...Nurse is primarily responsible for reviewing referrals for medical services to determine medical necessity and course of... 
Medical
Remote job
Monday to Friday

Medix

Chatsworth, CA
2 days ago
 ...Job Summary: Review and evaluate outpatient take-home medications to assure the appropriateness and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies,... 
Medical
Holiday work
Weekend work

Upstate University Hospital

Syracuse, NY
1 day ago
 ...licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations...  ...for pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance... 
Medical
Contract work
Monday to Friday

vTech Solution, Inc.

Philadelphia, PA
22 hours ago
 ...recognized brand in hearing health care. Prior Authorization Operations Supervisor (Internal title:...  ...develop a team of 10+ reimbursement specialists ~3-week comprehensive training...  ...skill level. Benefit package includes medical, dental, vision, life and disability... 
Medical
Work experience placement
Local area
Immediate start
Work from home
Home office

Cochlear Ltd

Lone Tree, Douglas County, CO
22 hours ago
Job Type Full-time Description Status Hours: 40hr/wk Cary Medical Center has an exciting opportunity for a Prior Authorization Specialist to join our team. The successful applicant will obtain pre-certifications and pre-authorizations for procedures and... 
Medical
Holiday work
Full time
Night shift
Weekend work
Afternoon shift

Cary Medical Center

Caribou, ME
4 days ago
The GW Medical Faculty Associates (MFA) was incorporated in July 2000 as a not-for-profit, physician-led practice group. The organization...  ...international clinical outreach. Position Summary The Prior Authorization Technician will process prior authorizations and locate... 
Medical

The GW Medical Faculty Associates

Arlington, VA
1 day ago
 ...Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven...  ...plans and ability to demonstrate understanding of technical medical terminology (e.g. copayment, deductible, coinsurance,... 
Medical

MARIAN DAVID M D P C

Kew Gardens, NY
4 days ago
 ...Rheumatology & Infusion FLSA: Non-Exempt Job Purpose: The Prior Authorization Specialist is responsible for obtaining prior authorizations for all...  ...: •Expertise in conjunction with established medical criteria, to establish patients' eligibility and benefit... 
Medical

Ortho Illinois

Rockford, IL
22 hours ago
 ...The Opportunity Description We're looking for a Pharmacy Prior Authorization Technician , working in Insurance industry in Buffalo . Conducts an initial level medication prior-authorization, exception and medical necessity reviews submitted to... 
Medical
Work from home
Home office

PSG Global Solutions Careers

Buffalo, NY
22 hours ago
 ...benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with...  ...eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.... 
Medical
Immediate start
Remote job

University of Utah

Salt Lake City, UT
22 hours ago
 ...benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with...  ...eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. **... 
Medical
Full time
Temporary work
Immediate start
Remote job
Shift work
Day shift

University of Utah Health

Salt Lake City, UT
22 hours ago
 ...Title Prior Authorization Specialist Category Patient Financial Services Location Golden Valley Full-Time/Part-Time Full-Time Shift Days Work schedule...  ...insurance delays. Provides information to support the medical necessity of patient treatments and testing. Communicates... 
Medical
Full time
Part time
Remote job
Shift work
Monday to Friday

Minneapolis Clinic

Minneapolis, MN
4 days ago
Overview: Under general supervision reviews and completes all medication prior authorizations, tier exception requests, and formulary inquiries for Memorial Medical Group patients. Primarily focusing on outpatient pharmacy requests, partners with Memorial Medical Group... 
Medical
Flexible hours

Memorial Health

Springfield, IL
22 hours ago