Average salary: $75,031 /yearly
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$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, 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 $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, AL8 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, AL5 days 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, AL21 hours 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- ...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 - ...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, AL8 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...SuggestedFull timeWork experience placementWork at officeRemote workWork from homeMonday to Friday
Better Life Partners
Montgomery, AL4 days 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...SuggestedFull timeTemporary workLocal areaImmediate startShift workDay shift1 day per week
Elevance Health
Dothan, AL4 days 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...SuggestedLocal areaFlexible hours
DNA Comprehensive Therapy Services LLC
Kinsey, AL1 day 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, AL1 hour 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
Tuscaloosa, 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 - .... ~ 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 officeDay shift
Complete Health
Birmingham, AL4 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$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- ..., 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...Hourly payFull timeWork at officeRelocation
Dermatology Solutions Group
Huntsville, AL4 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$16.79 - $24.95 per hour
...for specialty and radiologic services, processing referral and authorization work queues, monitoring in‑baskets and reports, and... ...procedures, STAT/ASAP appointments, and advanced imaging. Obtain prior authorizations and referrals in accordance with payor protocols...Full timeTemporary workWork at officeLocal areaImmediate startMonday to FridayShift workWeekday work- ...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...Work at office
Southlake Orthopaedics
Vestavia Hills, AL1 day 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
Alabaster, AL4 days ago
