Average salary: $75,031 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaRemote workArgonaut Management Services, Inc
Huntsville, AL1 day ago- ...No weekend or on-call requirements, • Typical weekly workload includes approximately 8 infusion orders, 50 refills, 15-20 prior authorizations, 50 patient calls/MyChart advice messages, and 15-20 office visits, • MoCA (Montreal Cognitive Assessment) is used as a screening...SuggestedPermanent employmentWork at officeLocal areaDay shift
American Traveler
Stevenson, AL2 days ago $50 - $55 per hour
...pharmacy benefits optimizer based out of Birmingham, AL! Job Description The Clinical Pharmacist supports the review of prior authorization and appeal requests by evaluating clinical documentation and making coverage determinations based on established criteria. This...SuggestedContract workTemporary workRemote workWork from homeActalent
Birmingham, AL4 days ago- ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
Pharmacy Careers
Birmingham, AL3 days ago - ...Accounting, CarePointe and Center staff of any changes, requirements, and daily deficiencies as appropriate. Obtains appropriate prior authorizations as needed for services. Works closely with department staff to ensure that financial information is secured and correct...SuggestedWork at office
AltaPointe Health
Mobile, AL1 hour agonew - ...recruiting employees in Knoxville, Tennessee to support our Acute Authorization and Verification Team! Job Summary: The... ...process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations....SuggestedWork from home
ContinuumRx
Vestavia Hills, AL2 days ago $50 - $55 per hour
...pharmacy benefits optimizer based out of Birmingham, AL! Job Description The Clinical Pharmacist supports the review of prior authorization and appeal requests by evaluating clinical documentation and making coverage determinations based on established criteria. This...SuggestedContract workTemporary workRemote workWork from homeActalent
Birmingham, AL10 hours ago- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Mobile, AL1 day ago - A confidential healthcare organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The role involves reviewing prior authorization requests for accuracy, applying clinical criteria, and collaborating with...SuggestedRemote workWork from home
Pharmacy Careers
Mobile, AL1 day ago - .... You will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFor contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
Humana, Inc.
Montgomery, AL4 days ago - ...function, allergies, performance status, and treatment history prior to medication verification. • Provide clinical support to... ...appropriate. • Collaborate with financial counseling and prior authorization teams regarding specialty medications and payer requirements....SuggestedFull timeWork at officeMonday to Friday
Alabama Oncology
Birmingham, AL6 days ago - ...short-term care. They evaluate clinical needs, manage insurance authorizations, and collaborate with hospital staff. This pivotal role... ...insurance benefits (Medicare, Medicaid, private pay), secure prior authorizations, and guide families through financial clearance...SuggestedTemporary work
TMC: Therapy Management Corporation
Kinsey, AL2 days ago $13 - $15 per hour
...Administer injections/vaccines Understand basic medical terminology Familiarity with basic lab procedures Understand prior-authorizations and pre-certifications Radiology skills Familiarity with computer/EMR systems Answer phone calls/voicemails in...SuggestedHourly payFull timeShift workWecare Family Practice Clinic Llc
Tuscaloosa, AL1 day ago- ...Rehabilitation and Neurological Services LLC Position Overview The Pre-Certification Specialist is responsible for obtaining prior authorizations and pre-certification approvals from insurance carriers to ensure timely access to medically necessary services, procedures,...SuggestedWork at office
Rehabilitation and Neurological Service, LLC
Huntsville, AL3 days ago - ...Actively participate in evidence-based medication management quality initiatives. May perform Coverage Determination reviews (prior authorizations, formulary exceptions, etc.) for both Medicare and Commercial lines of business. Reviews will be completed in accordance...SuggestedWork at officeImmediate startWork from homeFlexible hours
VIVA Health
Birmingham, AL10 hours ago - ...medical histories while maintaining confidentiality and compliance with HIPAA and 42 CFR Part2 regulations Determine the need for Prior Authorizations and process as required Troubleshoot these issues when necessary You are a good fit if you have Proven work experience in a...Full timeWork experience placementWork at officeRemote workWork from homeMonday to Friday
Better Life Partners
Montgomery, AL4 days ago - ...appointments and insurance eligibility. Coordinate patient referrals and ensure referral documentation is complete. Obtain prior authorizations and pre-certifications when required. Patient Intake & Documentation: Accurately collect, verify, and input patient demographic...Work at office
Southlake Orthopaedics
Vestavia Hills, AL1 day ago - ...orders as directed by providers Communicate abnormal findings or concerns promptly to prescribing providers Coordinate prior authorizations and collaborate with pharmacies as needed Facilitate referrals to primary care providers, specialists, inpatient...Local areaFlexible hours
DNA Comprehensive Therapy Services LLC
Kinsey, AL1 day ago - ...health. The Pharmacy Technician II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. How you will make an impact: Verifies member information and...Full timeTemporary workLocal areaImmediate startShift workDay shift1 day per week
Elevance Health
Kinsey, AL4 days ago - ...Demonstrates understanding of neutropenic precaution, radiation safety and infection control. Prior to administering new medication verifies that any necessary insurance prior authorization has been obtained. Certified and gives IV contrast media. Maintain BLS, Chemotherapy...Shift work
DCH Health System
Tuscaloosa, AL4 days ago - ...a timely and accurate manner. Coordinates referrals and appointments with specialty providers and outside agencies. Obtains prior authorizations and verifies insurance coverage for specialty services when required. Ensures completeness and accuracy of referral documentation...Work at office
Franklin Primary Health Center
Mobile, AL2 hours agonew - ...team relationships. Prepare product shipments, including the review of internal material travelers and related documents prior to authorization of shipments. Conduct performance appraisals and communicate information to senior management. Manage employee...Permanent employmentContract workWork at officeShift work
Sanmina
Huntsville, AL2 days ago $55k - $65k
Insurance Sales Agent – Grow Your Career & Impact Your Community Are you ready to build a rewarding career where you make an impact in your community? Join our team as a Sales Agent in our Birmingham, AL location. We're looking for motivated individuals with a passion...Local areaComparion Insurance Agency
Birmingham, AL1 day ago- ...maintain active patient insurance coverage and actively pursue authorizations and re-authorizations with the auth/billing staff at the... ...for Specialty Infusion Pharmacy patients Requirements Prior experience in home infusion, compounding and/or specialty pharmacy...Full timeWork at officeLocal areaImmediate startMonday to Friday
Soleo Health
Mobile, AL2 days ago - ...Greet and check in patients, verify insurance, and collect payments. Schedule appointments, manage referrals, and handle prior authorizations Answer phones, respond to patient inquiries, and relay messages to clinical staff Support front desk operations as needed...Full timePart time
Delgado Medical Holdings Llc
Bessemer, AL4 days ago $70k - $120k
...renewal retention and inforce premium goals Documents, analyzes and offers decisions with appropriate detail within underwriting authority levels Takes initiative to recommend potential improvements in underwriting principles, techniques or appetite Complies with insurance...Full timeWork at officeWork from homeW. R. Berkley
Homewood, AL3 days ago$500 - $2,000 per month
...individuals Strong work ethic and desire to grow Comfortable working independently Positive mindset and willingness to learn No prior experience required—we focus on attitude, discipline, and commitment. Flexible Work Options We believe success shouldn’t come...Full timePart timeRemote workFlexible hours2 days per weekSpieldenner Financial Group
Huntsville, AL7 days ago$60k - $95k
...Zurich Way of underwriting Establish new as well as develop existing agency and broker relationships Working within limits and authorities on assignments of varying degrees of complexity Basic Qualifications: High School Diploma or Equivalent and 1 or more years...Full timeContract workTemporary workWork at officeLocal areaRemote workVisa sponsorshipZurich NA
Montgomery, AL5 days ago$29.13 - $36.41 per hour
Farm/Commercial Underwriter At Alfa, we are looking for talented and motivated individuals who share our passion for excellence and customer satisfaction. As a Farm/Commercial Underwriter, you will be part of a dynamic team that works closely with our sales force to provide...Hourly payTemporary workHome officeFlexible hoursAlfa Insurance
Montgomery, AL3 days ago$16.5 - $22.53 per hour
.... ~ Handles portal messages from patients, refill medications, order additional labs or imaging as needed, complete prior authorizations, complete precertification for imaging, etc. ~ Must have effective communication skills and instruct patients and/or...Work at officeComplete Health
Trussville, AL2 days ago
