Search Results: 38,377 vacancies
...administrative support which may include benefit verification, authorization creation and management, claims inquiries and case... ...clinical review and resolution.Provides general support and coordination services for the department including but not limited to answering...
Suggested
Remote job
Contract work
Work experience placement
We are hiring for Prior Authorization Specialists to join our team in the Manhattan, NY area. We are seeking candidates who are a team player, organized, and someone who is both reliable and responsible. If you feel you are a good fit for this position based on the listed...
Suggested
Weekly pay
Contract work
Part time
Monday to Friday
...affordable.
Position Summary As a Customer Service Rep II, Operations you will work closely with healthcare providers to process Prior Authorizations (PA) and drug benefit exception requests in a call center environment. In this role, you will play a meaningful role in...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Local area
Work from home
Shift work
Saturday
Monday to Friday
Job descriptionAuthorization CoordinatorJob Summary :The Authorization Coordinator at Progressive Spine & Orthopaedics plays a crucial role in ensuring... ...information in EMR, etc.Request, follow-up and secure prior-authorizations prior to services being performed.Verify all...
Suggested
Relocation
...Position Summary- Supports comprehensive coordination of Medicaid and/or Medicare pharmacy... ...including intake and processing of pharmacy authorization requests.- Promotes and supports... ...have received at least one COVID-19 shot prior to your first day of employment and to...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Local area
Work from home
...personal, convenient and affordable.
Position Summary
- Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests.- Promotes and supports quality effectiveness of healthcare and...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Local area
Work from home
...personal, convenient and affordable.Position Summary The Senior Prior Auth Technician will work a rotating call schedule throughout... ...I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities include assisting supervisors...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Local area
Work from home
Shift work
...growth, and we're seeking a highly skilled and experienced Clinical Pharmacist. In this critical role, you will ensure clinical prior authorization and appeal determinations in accordance with covered plan design while ensuring clinically appropriate pharmacy care and deep...
Suggested
...Remote Prior Authorization Pharmacist
**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role you will play a crucial part in evaluating medication requests ensuring adherence to...
Suggested
Remote job
...Looking For:
EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Director, Prior Authorization Center. As the Director, Prior Authorization Center, you will be a subject matter expert accountable for leading a team of...
Suggested
Full time
Local area
Shift work
*Pre-Authorization Unit Supervisor (RN)*
NY based high-quality Medicare and Medicaid health plans designed to help keep people independent and living life on their own terms.
*Salary*: $102k - $125k DOE
Hybrid work schedule. 2 days per week in Manhattan office, 3 days...
Suggested
Permanent employment
Full time
Part time
Local area
Remote job
Relocation
Flexible hours
2 days per week
Monday to Friday
...hospital admissions to the appropriate Utilization Management Coordinator and/or Care Manager to ensure timely receipt of information and... ...required. Minimum of 1-3 years Medical/Surgical nursing experience; prior managed care experience preferred; familiarity with Utilization...
Suggested
...The Prior Learning Assessment Specialist, a part of the Transfer Resource ream, coordinates the evaluation and validation of prior learning experiences for both new and continuing students. In this role, they will facilitate the assessment of transcr Assessment, Specialist...
Suggested
...experience may be considered in lieu of clinical nursing experience.
Knowledge of Utilization management processes is required.
Prior managed care experience is required.
Working knowledge of Medicare and Medicaid regulations is required.
Knowledge of current...
Suggested
Holiday work
Full time
Part time
Flexible hours
...have an element of speed to keep up with the eligibility and authorization requests
This position is on site in Woodland Park NJ Mon thru... ...patient responsibility
Calling patients to explain these benefits prior to their procedures - need to have an element of customer...
Suggested
...Description
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment... ...facilitation skills, and analytical skills.
Hard Skills
NY RN License
Prior managed care experience strongly preferred.
Strong oral,...
Remote job
Contract work
Monday to Friday
...Dental Medicine is searching for a detailed oriented and knowledgeable Pre-Authorization Specialist.
Responsibilities
Handle authorization process and obtain pre-certification approvals prior to service.
Submit pre-authorization requests and follow up with payer to ensure...
Temporary work
Local area
...collaboratively with other disciplines including Pre-Authorization RN, Care Manager, Assessment Nurse and... ...ensure timely provision of services. Coordinate timely completion of UAS NY assessment... ...with Utilization management preferred.
Prior experience in an interdisciplinary...
Holiday work
Full time
Part time
Flexible hours
...collaboratively with other disciplines including Pre-Authorization RN, Care Manager, Assessment Nurse and... ...ensure timely provision of services. Coordinate timely completion of UAS NY assessment... ...with Utilization management preferred.
Prior experience in an interdisciplinary...
...Join Our Team as an Authorization Specialist!
Are you detail-oriented and ready to play a crucial role in the healthcare process? We are seeking an Authorization Specialist to ensure smooth surgical and diagnostic procedures.
Responsibilities:
Secure authorizations...
Monday to Friday
