Average salary: $53,957 /yearly
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$21.07 - $30.34 per hour
Job Title This position is responsible for scheduling patient treatments or diagnostic procedures for assigned area. Job Description Activities include pre-registration; receiving physician orders, insurance verification, gathering preauthorizations and pre-certifications...SuggestedHourly payFull timeWork at officeMonday to FridayShift workDay shiftFoundation Health Partners
Fairbanks, AK3 days ago- ...Prior Authorization Specialist Bartlett Regional Hospital is searching for a Prior Authorization Specialist to join our Prior Authorization Team! Pay Information: Internal Hires: Pay rate will be determined based on applicable personnel rule or union contract terms...SuggestedContract work
Bartlett Regional Hospital
Juneau, AK1 day ago - ...determine medical necessity per evidence-based guidelines. Preferred to have experience with CMS, continued stay reviews, and prior authorizations. Daily census averages 324 patients. Interdisciplinary support includes physical therapy, respiratory services, social...SuggestedPermanent employmentTemporary workLocumLocal areaShift workWeekend work
Providence Alaska Medical Center
Anchorage, AK2 days ago - ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What you'll bring: Education: PharmD or Bachelor of Pharmacy. Licensure: Active...SuggestedRemote work
$78k - $88k
Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services, following clinical criteria, coverage policies, and contract guidelines. This...SuggestedRemote jobFull timeContract workWork at officeWork from homeFlexible hours$21.5 - $27.5 per hour
...administer injections, collect health information, etc. Coordinate timely and efficient patient flow in the department Complete prior authorizations, laboratory requisitions, and other forms Obtain patient records, answer calls and relay information in a timely manner Good...SuggestedFull timeImmediate startRelocation package- ...Job Description Job Description Prior Authorization TechnicianDepartment: Revenue CycleProgram: Health SystemsReports To: Revenue Integrity SupervisorEmployment Status: Full-TimeFLSA Status: Non-Exempt Schedule: 40 Hours/52 WeeksPreference: TERO Ordinance 2017-...SuggestedLocal area
Kenaitze Indian Tribe
Kenai, AK9 days ago $78k - $88k
Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective reviews for medical necessity, documenting findings and ensuring policy compliance. This home-based role supports providers...SuggestedRemote job- ...opportunities and the chance to make a meaningful impact on the health of people in the region. Position Summary: Medicaid Prior Authorization Specialist I under normal supervision, assists in providing transportation/logistical assistance to Alaska Medicaid...SuggestedWork at officeFlexible hours
$300k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so...SuggestedRemote jobWeekly payFull timePart timeFor contractorsPrivate practiceImmediate startWork from home- ...of needed documentation such as approvals of level of care, plans of care, eligibility for waiver participation and received prior authorizations for billing purposes. Assist consumers and their families with Medicaid, SSI and public assistance applications. Monitors...SuggestedFull timeContract workWork at office
Holland America-Princess (Holland America Dawson City Inn)
Kotzebue, AK5 days ago - ...through interviews with patients, families, caregivers, pharmacies, and medical providers. This role provides expertise in prior authorizations, prescription renewal coordination as applicable and may administer vaccines when in scope for the practice site. Providence...SuggestedFull timeLocal areaDay shift
$22 - $24 per hour
...and receipts.Process all outside imaging orders ensuring these are sent to outside facilities in a timely manner; performing prior authorization of imaging as needed; tracking imaging ordersBe able to travel as needed to other communities including to and from Homer / Seldovia...SuggestedHourly payFull timePart timeWork at officeNight shiftSeldovia Village Tribe
Homer, AK2 days ago- YKHC in Bethel, Alaska is seeking a Medicaid Prior Authorization specialist to join our rural health team. The role supports eligibility determinations, payer communications, and timely authorization requests across government programs, with a focus on accuracy and compliance...SuggestedWork at office
- ...contact for patients and visitors Schedule appointments and coordinate patient care access Verify insurance and obtain prior authorizations Maintain accurate patient information and documentation Support telehealth appointments and patient onboarding...SuggestedFull timeTemporary workWork at officeImmediate start
Rural Psychiatry Associates
Anchorage, AK2 days ago $22 - $24 per hour
...receipts. Process all outside imaging orders ensuring these are sent to outside facilities in a timely manner; performing prior authorization of imaging as needed; tracking imaging orders Be able to travel as needed to other communities including to and from Homer...Hourly payFull timePart timeWork at officeMonday to FridayNight shiftSeldovia Village Tribe IRA
Homer, AK1 day ago$69.62k - $95.75k
...Analyze the operations and exposures of various commercial risks using established underwriting practices, procedures, and assigned authority levels. Assess risks on new and existing business to identify opportunities that support territory loss ratio and growth...Full timeWork at officeLocal areaRemote workFlexible hoursWestern National Insurance
Anchorage, AK4 days ago$104k - $166k
...artificial intelligence (AI) tools of any kind during Peraton interviews is strictly prohibited unless the candidate has obtained prior written authorization. All interview responses must be the candidate's own. EEO: Equal opportunity employer, including disability and protected...Contract workTemporary workShift workClearanceJobs
Anchorage, AK4 days ago$69.62k - $95.75k
...Analyze the operations and exposures of various commercial risks using established underwriting practices, procedures, and assigned authority levels. Assess risks on new and existing business to identify opportunities that support territory loss ratio and growth...Full timeWork at officeLocal areaRemote workFlexible hoursWestern National Insurance Group / Umialik Insurance Company
Anchorage, AK1 day ago- Position Overview State Farm Insurance Agent located in Wasilla, AK is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Linda Brandon - State Farm Agent, you will build and develop customer relationships within ...For contractors
State Farm
Wasilla, AK1 day ago - ...Prior Authorization Supervisor Bethel, Alaska We are working together to achieve excellent health. Come join us! The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in...Full timeWork at officeFlexible hours
Yukon-Kuskokwim Health Corp.
Bethel, AK5 days ago $67 per hour
...activities to maintain current professional knowledge and licensure. Assess and prepares the needs of each infusion patient. Ensure prior authorization is initiated as needed per the patient referral for infusion services. Administer specialty IV fluids via peripherally or...Hourly payWeekly payContract workWork experience placement$27.81 - $38.62 per hour
...and encounters in compliance with organizational standards and timelines. Completes necessary processes and documentation for prior authorizations required to obtain additional testing, services, treatment, or medication as part of the treatment plan. Promptly...Temporary workSouth East Alaska Regional Health Consortium
Sitka, AK4 days ago- ...Review and managing risk, coordinates and facilitates with departmental staff on Durable Medical Equipment (DME), and pharmacy prior authorizations. THE UMN works with the medical treatment and case management team in the coordination of patient care including the...Full timeContract workWork at office
Maniilaq Association
Kotzebue, AK3 days ago - ...including CPT and ICD codes, obtaining clinical details from physicians as needed. Contacts insurance companies to secure prior authorization and logs all pre-certification orders in tracking systems and SOAP notes when necessary. Performs other duties as assigned...Part timeWork at officeShift workDay shift
$2,686 per week
...determining medical necessity per evidence-based guidelines, DME needs assessment, plan of care development, and pre-certification/prior authorization reviews Candidates must reside at least 50 miles from the facility to be considered; local candidates are not accepted...Permanent employmentZero hours contractLocal areaShift workWeekend workDay shiftAmerican Traveler
Eagle River, AK3 days ago$20 - $27 per hour
...lab work, immunizations, referrals) using EHR and Azara DRVS prior to appointment. Communicates with patient, provider, clinical... ...scheduling follow up appointments and labs. Obtains prior authorizations for advanced imaging services. Processes and sends specialist...ReliefDay shiftSeward Community Health Center
Seward, AK2 days ago- ...preferred. Experience Two years experience in billing required; prior billing and collections experience in a dental office... ...providers for services paid through grant funds. # Processes prior authorizations for all dental patients who require it before being seen by a...Work at office
Interior Community Health Center
Fairbanks, AK9 days ago - ...You'll Do Process orders for durable medical equipment (DME) and medical supplies Verify insurance benefits and obtain prior authorizations Communicate with patients, physicians, case managers, and insurance providers Maintain accurate electronic patient...Work at officeWork from home
Procare Home Medical
Anchorage, AK9 days ago $2,686 per week
...case management duties including care coordination, continued stay reviews, medical necessity determination, pre-cert review, prior authorizations, and utilization of InterQual and Milliman guidelines ~ Knowledge of regulatory standards including CMS, HIPAA, ICD-10...Permanent employmentZero hours contractLocal areaShift workWeekend workDay shiftAmerican Traveler
Eagle River, AK3 days ago
