Average salary: $76,936 /yearly
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$61,000 per week
Hopedale Medical Complex is seeking a dedicated Prior Authorization Specialist to join our dynamic team in Hopedale, IL. This role is crucial for managing pre-authorization processes for our diverse patient needs, ensuring timely approval of procedures and medications essential...SuggestedHopedale Medical Complex
Hopedale, IL5 days ago- ...is mainly via phone but could also include in person education for glucose meters, Ozempic shot instructions etc., confirming prior authorization, calling in refills, lab orders etc. EPIC EMR experience is REQUIRED Phone Triage About GHR Healthcare For over 30...SuggestedContract workLocal areaShift work
GHR Healthcare
Plainsboro, NJ25 days ago - ...support in a cardiology office setting, including rooming patients, triaging calls, processing prescription refills, and handling prior authorizations for procedures and medications. The ideal candidate is organized, patient-focused, and comfortable working in a fast-paced...SuggestedFull timeWork experience placementWork at officeRelocation packageShift work
World Nurses
York, PA14 days ago $58.59 per hour
...education primarily via phone and occasionally in-person (e.g., glucose meter training, Ozempic injection instruction)\n Manage prior authorizations, prescription refills, and lab order placements\n Accurately document patient interactions in EPIC EMR\n Collaborate...SuggestedHourly payPermanent employmentContract workTemporary workLocumMonday to FridayShift workGHR Healthcare
Philadelphia, PA26 days ago- ...CME Allowance No inpatient requirement Flexible Work Schedule System wide EPIC EMR Mayo Network Expertise Prior-Authorization Medication Team Opportunity for research and/or family medicine residency teaching Our organization is a true not-for-profit...SuggestedRelocationRelocation packageFlexible hours
CHRISTUS Health
Albuquerque, NM22 days ago - ...hours/week Job Description: Perform clinical triage and respond to patient inquiries over the phone. Coordinate prior authorizations and manage administrative clinical workflows. Provide patient education and ensure appropriate follow-up care. Support...SuggestedWeekly payContract workLocal areaImmediate startShift work
Rang Healthcare
Needham Heights, MA17 days ago - ...Coordinator 1 - 210120 Address: Various, CA, 99999 Job Description Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process. Perform review of pharmacy and override process in compliance with pharmaceutical related company and...SuggestedFull timeRemote work
A-Line Staffing Solutions
California City, CA1 day ago $137k - $165k
...collaboration. Support: Our dedicated care teams support your practice, allowing you to focus on patient care while they handle prior authorizations, medication refills, insurance, billing, and so much more. Our clinician team provides coverage for each other, so you never...SuggestedMinimum wageWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hoursOptum
Everett, WA6 days ago- ...Prior Authorization Specialist, Onsite - This is not a remote position HMC Offers: Tuition Reimbursement Excellent benefits - health, dental, vision, and life and disability insurance Quality childcare located on site HMC Wellness Center membership401(k) plan with employer...SuggestedHourly payContract workWork at officeRemote workFlexible hours
Hopedale Medical Complex
United States2 days ago - ...Academic Health Center and Eskenazi Hospital in Indianapolis, Indiana . This foundational position is 100% Inpatient, with no prior authorizations, no outpatient inbox and an opportunity for a faculty appointment . Employment Opportunity Details:...SuggestedFull timeRelocation
IU Health Medical Group - Indiana University Health
Indianapolis, IN14 days ago - ...New and modern office Laboratory on-site Comprehensive referral base Integrated specialty pharmacy for prior authorizations Epic EMR Candidate Qualifications: ~ Board-certified or board-eligible in Rheumatology Responsibilities...SuggestedWork at officeRelocation package
Novant Health - Charlotte market - Novant Health
Charlotte, NC14 days ago - ...for upcoming surgical procedures and diagnostic tests by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination and financial clearance for the hospital system and physician services for clinics, adult...SuggestedFull timeLocal areaFlexible hoursShift workDay shift
UofL Health
Louisville, KY4 days ago - ...required. Minimum of three (3) years medical office experience preferred. Minimum three years experience in processing healthcare prior authorizations/pre-certifications and referrals. Job Benefits Medical Dental Vision Optional...SuggestedPermanent employmentFull timeContract workWork at office
Dorminy Medical Center
Fitzgerald, GA3 days ago $18 - $22 per hour
...Prior Authorization/Radiology Specialist Come join an exciting and fast paced organization. SSGA is one of the leading Gastroenterology practices in the area. We strive for excellent service in a compassionate manner. Our practice consists of 18 physicians and 14...SuggestedHourly payFull timeWork at officeMonday to FridaySaratoga Schenectady Gastroenterology Associates
Burnt Hills, NY9 hours ago$19.71 - $26.28 per hour
...organization in Denver is seeking a detailed-oriented team member to evaluate referral and pre-certification requests and assist with prior authorizations. The ideal candidate will possess strong customer service and communication skills, along with knowledge of medical...SuggestedHourly payRemote workAlpine Physician Partners
United States17 hours ago- ...responsible for verifying insurance benefits and coverage for patients prior to services, ensuring a smooth billing process and enhancing... ...services Identify whether services require prior authorization, pre-certification, or referrals and initiate requests accordingly...
Jax Spine and Pain Centers
Jacksonville, FL4 days ago - ...team members and community agencies Acting as primary triage contact for patient questions and phone calls. Assisting with prior authorizations, school forms/letters and prescription refills. Collaborating daily with physician team and administrative staff. Tues,...Flexible hours
Boston Children's Hospital
Boston, MA2 hours agonew - ...prescription claim data for employer groups. Manage calls from members, HR, and Doctors’ offices to assist in initiating prior authorizations and other needs. Receive dosage changes, prior authorizations, Variable Co Pay eligibility checks, and questions over the...Hourly payFull timeWork at officeLocal areaMonday to Friday
Southern Scripts
Natchitoches, LA5 days ago - ...with all payers, uninsured, homeless. Completing initial assessments, DC planning (including nursing homes, home health, DME, prior authorizations, etc) Case load/# patients per day/consults per day Caseloads can range from 15-28 on average EMR: Cerner Is this position...Weekly payLong term contractTemporary workCasual workLocal areaShift work
First Connect Health
Bakersfield, CA25 days ago $20 - $21 per hour
...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the...Temporary workShift workDexian
Maitland, FL13 days ago- ...therapies while monitoring patient responses. \n Coordinate clinical and administrative operations, including scheduling, prior authorizations, and clinical order reviews. \n Educate and support patients and families about treatment plans and ensure understanding....Daily paidLong term contractPermanent employmentFull timeContract workTemporary workZero hours contractWork at officeLocal areaImmediate startShift workDay shift
ARMStaffing
Saint Johnsbury, VT23 days ago - ...Therapy ~ Duration: 18 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel To provide prior authorization of outpatient and home physical and occupational therapy services requiring authorization. This process includes using clinical...Work at officeShift work
Integrated Healthcare Services
Houston, TX6 days ago - ...insurances, confirming benefits and eligibility, ensuring an authorization is secured for the procedure to be performed, and calculating... ...pocket expense Stay abreast of insurance requirements for prior authorization and medical necessity Maintain awareness of...Full timeMonday to Friday
Southwoods Health
Boardman, OH3 days ago - ...Authorization Specialist Handles the verification of insurance benefits for patients. Notifies patient of deductibles and co-insurance... ...documentation. Assists with other clerical tasks as needed. Secures prior authorizations prior to services being performed. Demonstrates...Work at officeImmediate start
SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO
San Antonio, TX1 day ago $19 - $22 per hour
...their financial cost share for procedures and collecting payments prior to procedures. A strong focus on customer service and the... ...required. Experience in processing provider referrals and prior authorization requests. Understanding of medical terminology, ICD-10...Hourly payWork at officeLocal areaMonday to FridayFlexible hoursDay shiftUltimate LLC
Tarpon Springs, FL4 days ago$17 - $20 per hour
...Specialist that will be responsible for performing duties related to Authorizations (Medicaid or other insurance), Claim Submission, Rejection... ...full breakdowns. Ability to complete and submit Prior Authorizations Understand the rules and regulations for Medicaid...Hourly payWork at officePepperPointe Partnerships
Lexington, KY1 day ago$20 - $21 per hour
...coverage, verifying eligibility and benefits, and initiating pre-authorization requests. The ideal candidate will have a strong understanding... ..., and pre-authorization needs Obtain and track prior authorizations when required Review and resolve insurance...Full timeCasual workWork at officeLocal areaMonday to FridayFlexible hoursShift workAddison Group
Phoenix, AZ4 days ago$21 per hour
...associated with their medical conditions and facilitating necessary authorizations. Qualifications Strong and accurate data entry skills.... ...industry environments is highly desirable. Must have prior authorization experience. Ability to multi-task and manage...Work at officeLocal areaShift workUltimate Staffing
Orlando, FL13 days ago- ...and ideas, and we invite participation on a variety of projects. The Job: Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker...Full timePart timeWork at officeMonday to FridayFlexible hours
BayCare Clinic
Green Bay, WI3 days ago - ...Payer Authorization Specialist The Payer Authorization Specialist performs insurance verification and pre-authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan. Verify patient's insurance benefit...Local area
Trinity Health
Boise, ID2 days ago
