Average salary: $75,031 /yearly
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$180k - $190k
...reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive...SuggestedTemporary workWork experience placementWork at officeLocal areaFlexible hoursTSP, a Syneos Health company
Birmingham, AL2 days ago- ...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 $87.3k - $124.7k
...translate findings into operational improvements.Medicaid/PBM experience strongly preferred; experience with pharmacy claims, prior authorization, Lean Six Sigma, project management, and/or Pharmacy Technician certification is a plus.What you should expect in this...SuggestedFull timeRemote workFlexible hours$32k - $100k
Schedule: Full-Time Salary Range: USD $32000.00 - $100000.00 Job Category: Sales - Comparion Description 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?...SuggestedFull timeLocal areaComparion Insurance Agency
Tuscaloosa, AL20 days ago- ...calmly the treatment needs to parent and patient utilizing the prescribed treatment plan.Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms.Maintain awareness of comfort and safety needs of patients.Provide...SuggestedWork at officeFlexible hours
Rock Dental Brands
Alabaster, AL4 days ago $18 - $20 per hour
...Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations, and State Health Programs Pharmacy Operations or Prior Authorization. Under established company guidelines, the Pharmacy Technician reviews requests from physicians, medical groups, pharmacies,...SuggestedContract workTemporary workWork at officeImmediate startRemote workActalent
Birmingham, AL5 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, AL5 days ago - ...providers with rectal exams and hemorrhoid banding procedures.Performing testing such as Fibroscans, bone density and breath tests.Prior authorizations for medication and infusion drugs.Maintaining logs for expiring infusion medication drugs with each patient's insurance and...SuggestedFull timeWork at officeWeekend workAfternoon shift
Gastro Health
Trussville, AL3 days ago - ...complex patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers on regimens and disease-state management. Document case...SuggestedRemote jobWork from home
- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...SuggestedOngoing contractMonday to FridayFlexible hours
Teleperformance USA
Huntsville, AL1 day ago $18 - $23 per hour
...pharmacy service center activities, Medicare Part D and Part B processes, appeals, state health programs pharmacy operations, prior authorizations, and oversight and audit support. Using established guidelines, this role reviews and processes requests from physicians,...SuggestedContract workTemporary workWork at officeRemote workMonday to FridayActalent
Huntsville, AL4 days ago$90k - $115k
...Qualifications BS Pharmacy or PharmD is required 5+ years’ experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy. Comprehensive knowledge of both pharmacy and medical benefit utilization management...SuggestedFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursNorstella
Montgomery, AL2 days ago- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...SuggestedRemote jobWork from homeFlexible hoursAfternoon shift
$17.5 per hour
Pharmacy Tech Our client is looking for a Pharmacy Technician (CPhT or ExCPT) with hands-on prior authorization experience to help review, process, and move prescription benefit requests forward accurately and efficiently. In this role, you'll serve as a key resource for...SuggestedRemote workITAC Solutions
Opelika, AL3 days ago- ...patient registration, insurance verification, point of service collections, and provider coding. Assists various offices with prior authorizations for surgeries, procedures, special medication administration as needed. Assists the clinic administration with routine...SuggestedWork at office
Jackson Hospital
Montgomery, AL3 days 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,...Work at office
Rehabilitation and Neurological Service, LLC
Huntsville, AL3 days ago - ...shift 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 conduct or...Permanent employmentContract workWork at officeShift work
$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...Hourly payFull timeShift workWecare Family Practice Clinic Llc
Tuscaloosa, AL11 days ago- ...– Alabama | PRN / On-Call We are seeking an experienced Applied Behavior Analysis (ABA) Consultant to support a Medicaid Prior Authorization (PA) program reviewing ABA therapy services. In this role, the consultant will apply expertise in ABA treatment models, Medicaid...Relief
Comagine
Homewood, AL3 days ago - ...Venipuncture, conduct waived lab testing.Administer injections/medications as ordered by the provider.Obtain insurance pre-certs and prior authorizations.Perform referrals/appointments as ordered by the provider.Take inventory of supplies and reordering as needed.Assist with...Monday to Friday
Bibb Medical Center
Centreville, AL3 days ago - Description The Senior Underwriter is responsible for underwriting energy accounts independently within delegated authority, making data-driven accept/decline and pricing decisions for complex or high line-size risks across oil & gas, pipelines, power generation and...Local area
- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...Ongoing contractMonday to FridayFlexible hours
Teleperformance USA
Hanceville, AL1 day ago - ...Display professional judgment regarding consultation with supervising physicians concerning appropriate treatment. Perform Prior Authorizations for procedures and medications. Requirements: High school diploma and a graduate of accredited Medical Assistant program with...
- ...degree preferred or relevant and equivalent industry experience required. 2 or more years experience working with drugs requiring prior authorization and use of specialty pharmacies for prescriptions to be filled. Strong understanding of drug acquisition and dispensing in...Temporary workWork at office
- ...within the following ~ CCMA with 2 years of clinical experience, CMA(AAMA)/LPN/RN. ~Returning patient calls, refills, prior authorizations, scheduling outside testing, and referrals. ~ Assist with walk in Flu injections during flu season. ~ Collaborating with...Work at officeMonday to FridayFlexible hours
Cullman Internal Medicine PC
Cullman, AL10 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...Hourly payWork at officeMonday to FridayComplete Health
Birmingham, AL4 days ago- ...and take vital signs Document all patient care in electronic medical record (EMR) Complete patient paperwork including prior authorizations, home health paperwork, medical supply paperwork, etc. Assist provider with: Performing exams, invasive procedures...Work at office
Cahaba Medical Care Foundation
Birmingham, AL1 day ago - ...money loan request in the $1MM-$5MM range of total exposure, and either recommend a decision to a senior officer or use their own authority to decision the application. Key Responsibilities Review cash flows and Moody's CreditLens spreads, prepared by the Credit...Bank staff
First Horizon
Birmingham, AL2 days ago - ..., current medications, and take vital signs if applicable. Prior to surgery, reviews and completes required surgical documents... ...in the electronic patient record. Performs medication prior authorizations as necessary. Responsible for abiding by the Standards of Conduct...Work at officeRelocation
Dermatology Solutions Group
Huntsville, AL2 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 officeRotating shiftComplete Health
Pell City, AL4 days ago
