Average salary: $75,031 /yearly
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$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work$18 - $20 per hour
...Evolent is seeking a Coordinator for Intake Utilization Management in Montgomery, Alabama. This role involves processing prior authorization requests, ensuring compliance with departmental policies and client agreements. Successful candidates will exhibit strong communication...SuggestedHourly payRemote work- ...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 on...SuggestedWork at office
- ...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
- ...facility staff, providers, nurses, and specialty pharmacies to ensure timely access to therapy while maintaining compliance with prior authorization requirements, REMS programs, limited distribution drug requirements, and internal workflows. The technician plays a critical...SuggestedFull timeMonday to FridayDay shift
- ...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
$17 - $19 per hour
...procedures as directed Document patient information accurately in the electronic medical record (EMR) Coordinate referrals, prior authorizations, and prescription refills Answer patient phone calls and respond to messages professionally Maintain exam rooms, medical supplies...SuggestedHourly payWork at office$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? Join our team ...SuggestedFull timeLocal area- ...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 jobWork from homeFlexible hours
$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 work- ...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
- ...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
- ...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...SuggestedFull timeWork at officeImmediate startWork from homeFlexible hours
$126.3k - $173.7k
...across multiple business and technology stakeholders without direct authority. ~ Experience working in Agile environments and collaborating... ...regulations, Patient Access APIs, Provider Directory APIs, Prior Authorization APIs, Payer-to-Payer Exchange, TEFCA, or USCDI....SuggestedFull timeTemporary workWork at officeRemote workWork from homeHome office- ...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
- ...professional manner.Obtain complete registration from the patientPrepare the encounter, verifying insurance referral and/or prior authorizations are valid and print the medication lists.Enter electronic messages to other departments to assist with patient flow and document...Full time
- ...Access Pharmacist Help patients overcome the cost barrierbecome their healthcare advocate. Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with insurance companies, providers, and support staff. Enroll patients in...Remote work
- ...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
$16.5 - $22.53 per hour
...subcutaneous). 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 their...Hourly payWork at officeMonday to Friday- ...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
$16.5 - $22.53 per hour
...subcutaneous). 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 their...Work at officeRotating shift- ...Assist in accounting procedures such as invoicing Data entry into multiple internet‑based systems Qualifications 1 or more years of prior insurance experience Property & Casualty Insurance License, or ability to obtain within 90 days (cost reimbursed and study support provided...Full timeWork at office
- ...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
- ..., 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
$49k
...position is structured to operate without overtime within the designated evening hours. Any emergency hours must receive prior written authorization from the Director of Safety and Security and will be managed via flex scheduling. Supervises & Monitors - Campus Security...Hourly payFull timeContract workLocal areaImmediate startFlexible hoursShift workAfternoon shift- ...~ Bi-lingual (English/Spanish) preferred not required. ~1+ Years of medical front office experience preferred. ~ Prior authorization experience preferred. ~ Inbound call experience preferred. ~ Customer service experience in a medical or professional...Full timeTemporary workWork at officeLocal areaImmediate startMonday to FridayShift workDay shift1 day per week
$10k - $25k
...issue, and retain business• Learn all facets of the underwriting job and be trained to become an Underwriter• Exercise underwriting authority within defined parameters and work with the underwriting team to quote and bind business• Identify monthly renewals and...- ...The Senior Underwriter is responsible for underwriting energy accounts independently within delegated authority and making data-driven accept/decline and pricing decisions for complex or high line-size risks across oil & gas, pipelines, power generation and renewables...Local area
$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 week

