Average salary: $73,790 /yearly
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$20 - $23 per hour
...Job Description This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will start with intake of prior authorization requests and be trained to perform technical...SuggestedRemote jobContract workTemporary workImmediate startFlexible hoursActalent
Montgomery, AL2 days ago$23 - $24 per hour
...Medication Reviews (CMRs) and ensure timely completion of these reviews. Proactively identify and work to renew expiring prior authorizations (PAs) to prevent interruptions in member medication therapy. Make member outreach calls to educate members about their medications...SuggestedContract workTemporary workWork at officeActalent
Birmingham, AL2 days ago- ...Continuumrx Acute Authorization and Verification Team Continuumrx is currently recruiting employees in Virginia to support our Acute Authorization... ..., and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations....SuggestedWork from home
California Specialty Pharmacy
Birmingham, AL21 hours ago - ...patients, providers, and clinical teams by managing referrals, authorizations, and insurance verification. This role is essential in... ...referrals and authorizations Verify insurance coverage and obtain prior authorizations Coordinate patient appointments and follow-up...SuggestedFull timeWork at officeFlexible hoursDay shift
Baptist Health
Vestavia Hills, AL21 hours ago - ...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. •...SuggestedWork at officeFlexible hours
Rock Dental Brands
Alabaster, AL4 days ago - ...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...SuggestedFull timeWork at officeLocal areaMonday to FridayAfternoon shift
Gastro Health
Trussville, AL1 day ago - ...is seeking an administrative professional to support outpatient clinics. You will verify insurance eligibility, coordinate prior authorizations and referrals, and document in the EMR to keep care flowing smoothly. Responsibilities also include scheduling surgeries, handling...Suggested
$20 - $23 per hour
...Pharmacy Technician This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will start with intake of prior authorization requests and be trained to perform...SuggestedRemote jobContract workTemporary workFlexible hours$26.01 - $62.32 per hour
...schedules will include holidays and evening hours · Associate Degree in Nursing Nice to Have · Utilization Management or Prior Authorization experience · Managed care background · Familiarity with MedCompass · Ambulatory surgery experience · BSN preferred...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday 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...SuggestedHourly payFull timeShift workWecare Family Practice Clinic Llc
Tuscaloosa, AL16 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 $23 - $24 per hour
...Medication Reviews (CMRs) and ensure timely completion of these reviews. Proactively identify and work to renew expiring prior authorizations (PAs) to prevent interruptions in member medication therapy. Make member outreach calls to educate members about their medications...SuggestedContract workTemporary workWork at officeActalent
Birmingham, AL2 days ago$50 - $55 per hour
...Job Description The Clinical Pharmacist is responsible for reviewing prior authorization and appeal requests by evaluating clinical documentation and making coverage determinations based on established criteria. This role involves collaborating with prescribers, pharmacies...SuggestedContract workTemporary workWork at officeRemote workWork from homeActalent
Birmingham, AL21 hours ago- ...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...SuggestedRemote job
$115k - $150k
...neuroscience, psychiatry, or specialty sales strong account-based selling skills familiarity with formulary pull-through strategies and prior authorization processes valid driver’s license Preferred experience in specialty markets, including ADHD or pediatric psychiatry The...SuggestedLocal area- ...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 - ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...
$50k - $150k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-...Remote jobPart timeFor contractorsPrivate practiceImmediate startWork from homeShift work$54.1k - $142.58k
...download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work,...Hourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend work$37.05 - $44.65 per hour
...and Experience Basic knowledge of Cardiology diseases and treatment Knowledge of medical insurance carriers and how to obtain prior authorization Knowledge and ability to perform manual blood pressure checks Physical Requirements Standing-70% Sitting-30% Reaching-50%...Hourly payShift workWeekend work- ...CCM application requirements Requires at least 5 years of prior experience in nursing, healthcare or related field Prior transplant... ...of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirable...Full timeWork at office
Blue Shield of CA
Huntsville, AL1 day 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
$25 - $27 per hour
...with patients and providers to gather required information, lab results, and prescription renewals Submit insurance re‑authorizations and prior authorizations as needed to prevent delays in therapy Ensure clinical and regulatory compliance by asking required screening...Work at officeMonday to FridayLUX Infusion
Birmingham, AL12 days ago- ...TB skin test (as qualified) Administer in office testing ie.H Pylori, Hemoccult with developing Completing medication prior authorizations when not handled by BGA pharmacy Arranging infusions with BGA infusion. Practice HIPPA compliance and always observe OSHA...Full timeWork at office
Birmingham Gastroenterology Associates
Homewood, AL21 hours ago $16 - $18 per hour
...stock supplies, and ensure infection-control compliance. Support medication management processes, including refill requests, prior authorizations, coordinate labs, and pharmacy coordination. Administrative Duties: Schedule appointments, manage patient flow,...Full timeWork at officeMonday to FridayIntegrea Community Mental Health System
Opelika, AL21 hours ago- ...Alabama. The ideal candidate will have strong scheduling, insurance authorization, and referral experience and be comfortable working in a fast-... ...patient care by scheduling diagnostic testing, obtaining prior authorizations, and communicating with patients, providers,...Full timeWork at officeMonday to FridayFlexible hoursDay shift
Cardiology Associates
Fairhope, AL25 days ago - ...program applications. Manages referrals and insurance, including scheduling appointments, verifying coverage, and completing prior authorizations. Assists the Behavioral Health team with coordination of care by tracking and supporting patients when they obtain services...
- ...Medication Access Pharmacist Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on reducing access barriers and improving patient outcomes...Remote work
- ...See more about the benefits of working at Viva Health - Key Responsibilities Perform Coverage Determination reviews (prior authorizations, formulary exceptions, etc.) for both Medicare and Commercial lines of business. Reviews will be completed in accordance with...Immediate startFlexible hours
Triton Health Systems
Birmingham, AL3 days ago - ...patients are matched with their ideal services and providers prior to receiving direct care. Our team is at the forefront of providing... ...last visit, last fill, insurance, pick up or mail etc.;Prior authorizations should be handled within 24 hours of receiving the request...Full timeWork at officeShift work
DNA Comprehensive Therapy Services LLC
Montgomery, AL3 days ago
