Average salary: $75,031 /yearly
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$19 per hour
...workflow queues Review claims for completeness, manage pending files, and release or update claims as appropriate Cross-reference prior authorizations to ensure accurate claims processing based on regulatory guidelines Collaborate with internal departments to resolve...SuggestedPermanent employmentTemporary workLocal area- ...expert (SME) in reimbursement, access, and specialty distribution for assigned geography. Educate HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain relationships with...SuggestedTemporary workWork experience placementWork at officeLocal area
Scorpion Therapeutics
Birmingham, AL1 day ago - ...recruiting employees in Birmingham, Alabama to support our Acute Authorization and Verification Team! Job Summary: The Verification... ...process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations....SuggestedWork from home
ContinuumRX
Birmingham, AL17 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, AL2 days ago$70.5k - $94.4k
...Agency (NJ HMFA) housing program voucher programs, public housing authorities, realtors, and online housing locator resources. What You Bring... ...approach. Requires a strong background in processing prior authorizations and show proven expertise in navigating various...SuggestedFull timeFor contractorsWork experience placementLive inWork at officeLocal areaHorizon Blue Cross Blue Shield of New Jersey
Eutaw, AL4 days ago- ...including rooming, taking vitals, and documenting medical history. Assist providers with clinical tasks and procedures. Manage prior authorizations and insurance communications. Communicate test results and follow-up instructions to patients. Support front and back office...SuggestedFull time
Vestavia Hills
Birmingham, AL1 day ago - ...patients as well as ensure that all visits scheduled and provided are authorized and covered by a physician in order. Reviews reports, evaluates... ...and patient families. Ensures that all visits made have prior authorization if required by the patient’s managed care insurance...SuggestedInterim roleWork at officeLocal areaFlexible hours
Girling Health Care of New York
Brooklyn, AL9 hours agonew - ...CCM application requirements Requires at least 5 years of prior experience in nursing, healthcare or related field At... ...Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets preferred Able...SuggestedFull timeWork at office
Blue Shield of CA
Huntsville, AL21 hours ago - ...Remote Prior Authorization Pharmacist Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients get the therapies they need with predictable schedules...SuggestedRemote jobWork from homeFlexible hoursAfternoon shift
- ...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
- ...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...SuggestedFull time
Mobile Pediatric Clinic
Mobile, ALmore than 2 months ago $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...SuggestedRemote workITAC Solutions
Opelika, AL4 days ago- ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...SuggestedWork from homeFlexible hoursShift work
ClinDCast LLC
Decatur, AL3 days ago - ...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...SuggestedWork at officeMonday to FridayFlexible hours
Cullman Internal Medicine PC
Cullman, AL21 days ago - ...tasks: injections, specimen handling, and procedure assistance as directed Manage clinical documentation and assist with prior authorizations and referral coordination Communicate with patients about prep, aftercare, and follow-up Maintain a clean, compliant clinical...SuggestedFull timeWork at office
Breath Better Institute
Huntsville, AL1 day ago $18 - $20 per hour
...Technicians We are hiring 100% REMOTE pharmacy technician across time zones. As a pharmacy tech, you will be involved in reviewing prior authorizations for determination for a department that is part of a large healthcare insurance company. You will approve or deny...Remote jobContract workTemporary workImmediate startMonday to FridayShift workActalent
Huntsville, AL1 day 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...Work at office
Jackson Hospital
Montgomery, AL2 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, AL4 days ago - ...analyses and assessment, behavior acquisition and reduction procedures, and adaptive life skills. The Behavior Analyst conducts prior authorization reviews for Georgia Fee-For-Service Medicaid members and out-of-state service requests, while meeting and exceeding contract...Contract workWork at office
Alliant Health Group
Birmingham, AL21 hours 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, AL1 day 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. ● Provide...Work at officeFlexible hours
- ...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, AL21 hours ago $33.8k - $51.43k
...representative payee oversight, utilization review activities, authorization management, and reimbursement optimization across Carastar... ...consumer account balances and approve monthly consumer fund requests prior to submission to Fiscal Affairs. Monitor representative...Work at officeCarastar Health
Montgomery, AL26 days ago- ...Lensstar), pentacam. Assist with fitting of contact lenses and instruct patients in care and insertion of lenses. Complete prior-authorizations and requests for prescription refills as authorized by physician, with full documentation in patient chart. Educate patients...
Vision Innovation Partners
Prattville, 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
$37.05 - $44.65 per hour
...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-5...Hourly payLocal areaShift workWeekend 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
VIVA Health
Birmingham, AL21 hours ago $20 - $24 per hour
...audit and recovery, pharmacy service center, Medicare Part D and Part B, appeals, state health programs pharmacy operations, prior authorization, and oversight and audit support. Using established guidelines, the Pharmacy Technician reviews and processes requests from physicians...Contract workTemporary workWork at officeRemote workActalent
Birmingham, AL4 days ago- ITAC Solutions is seeking a Pharmacy Technician (CPhT or ExCPT) for a fully remote role that supports prior authorization decisions. You will review requests, verify required clinical information, and serve as the primary contact for members, pharmacies, and provider offices...Remote job
- ...Responsibilities and Duties: Document of all patient care in electronic medical record (EMR) Complete patient paperwork including prior authorizations, home health paperwork, medical supply paperwork, etc Respond to patient messages, schedule appointments and...Work at office
Cahaba Medical Care Foundation
Centreville, AL4 days ago
