Average salary: $53,957 /yearly
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- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Juneau, AK5 days ago $17.5 - $27 per hour
...functions. What You'll Do: Providing outstanding customer service to all patients. Perform insurance verification and prior authorizations. Verify overall health insurance benefits and prepare estimates. Educate patients on insurance coverage limits and...SuggestedHourly payFull timeWork at officeMonday to FridayOrthopedic Physicians Alaska Inc
Anchorage, AK3 days ago$68.5k - $88.02k
...with URAC and ACHC specialty pharmacy accreditation standards and survey readiness ~ Experience optimizing patient access, prior authorization, and reimbursement workflows ~ Strong analytical skills with experience using data to drive operational and performance improvements...SuggestedTemporary workLocal areaImmediate startFlexible hoursCardinal Health
Juneau, AK3 days ago- ...Transportation Services to prove medical necessity for a Medicaid Travel Authorization. Must be able to communicate effectively with patients and... ...authorized. Coordinates with or assumes the function of Prior Authorization, Provider Inquiry, and Claims Resolution units...SuggestedTemporary workWork at officeImmediate startFlexible hoursShift workWeekend work
Alaska Native Tribal Health Consortium
Anchorage, AK2 days ago - ...equipment and supplies Communicate with patients, physicians, and insurance payers Verify insurance benefits and secure prior authorizations Accurately enter, update, and maintain electronic records Assist with billing and documentation when needed Provide...SuggestedWork at office
Procare Home Medical
Anchorage, AK4 days ago - ...'s revenue cycle by ensuring accurate insurance verification, authorization, billing support, and patient account management. This position... ...Verify insurance eligibility and benefits prior to patient appointments Obtain and track prior authorizations...SuggestedTemporary workWork at officeRemote workRelocation
Kodiak Area Native Association
Kodiak, AK6 days ago - ...registration processes, verifies insurance coverage and obtains authorizations and notifications. Calculates patient liability according to... ...required. Medical terminology experience is preferred. Prior experience with hospital registration and prior authorizations...SuggestedWork experience placementWork at officeShift work
Foundation Health Partners
Fairbanks, AK1 day ago $65k - $78k
...balance, continuous learning, and career development. 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...SuggestedFull timeContract workWork at officeRemote workWork from homeFlexible hoursGainwell Technologies
Juneau, AK3 days ago$106.2k - $225k
...support and input to clinical programs such as: Health Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high quality, cost effective drug therapy; and to identify opportunities for improvement in...SuggestedHourly payFull timeTemporary workLocal areaRemote workShift workWeekend workHispanic Alliance for Career Enhancement
Juneau, AK7 days ago$71.1k - $97.8k
...The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a...SuggestedRemote workWork from homeHong Kong Study Skills Research Institute
Juneau, AK2 days ago- ...patients. 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
Anchorage, AK3 days ago - ...Medicaid Prior Authorization Specialist I 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 villages...SuggestedWork at officeFlexible hours
Yukon-Kuskokwim Health Corp.
Bethel, AK1 hour ago $24.54 - $33.14 per hour
...co-payments, co‑insurance, and other payment types. Verify coverage and ensure all insurance requirements are met, obtaining prior authorization and/or referrals as appropriate before patient arrival. Respond to customer inquiries. Assist with departmental coverage as needed...SuggestedHourly payFull timeWork at officeLocal areaDay shiftPeaceHealth
Ketchikan, AK7 days agoRegistration & Scheduling Representative I - Outpatient Internal Medicine/Senior Care/Endocrino[...]
$20 - $26.75 per hour
...receiving physician orders, insurance verification, gathering pre‑authorizations, scheduling, and pre‑certifications for assigned area.... ...necessary signatures and documentation, as appropriate. Coordinates prior authorizations for patient treatments or diagnostic procedures...SuggestedHourly payFull timeWork at officeShift workDay shiftAIDS Healthcare Foundation
Fairbanks, AK2 days ago$106.2k - $225k
...the United States. Key responsibilities include conducting clinical reviews, supporting clinical programs, and monitoring the Prior Authorization process. This full-time position offers a competitive salary range of $106,200.00 - $225,000.00 and a comprehensive benefits...SuggestedFull timeRemote workHispanic Alliance for Career Enhancement
Juneau, AK2 days ago$21.5 - $27.5 per hour
...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...Full timeImmediate startAlaska Behavioral Health
Anchorage, AK7 days ago$23.81 - $36.44 per hour
...through interviews with patients, families, caregivers, pharmacies, and medical providers. This role provides expertise in prior authorizations as applicable and may administer vaccines when in scope for the practice site. Providence caregivers are not simply valued -...Minimum wageFull timeLocal areaShift workHealth eCareers
Anchorage, AK13 days ago$21.5 - $26.25 per hour
...accurate and timely EHR documentation Help manage phone calls, messages, and care coordination tasks Assist with referrals, prior authorizations, and coordination of care Monitor and restock clinical and office supplies Support clinic policies, procedures, and...Full timeWork at officeImmediate startAlaska Behavioral Health
Fairbanks, AK7 days ago$23.81 - $36.44 per hour
...through interviews with patients, families, caregivers, pharmacies, and medical providers. This role provides expertise in prior authorizations as applicable and may administer vaccines when in scope for the practice site. Providence caregivers are not simply valued...Minimum wageFull timeShift workProvidence Service
Anchorage, AK8 days ago$16.75 - $21.75 per hour
...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health ?Benefits Eligibility and... ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables...Hourly payTemporary workLocal areaImmediate startRemote workFlexible hoursCardinal Health
Juneau, AK3 days ago$68.97k - $113.31k
...information with little to no manager involvement, and review prior files as developed, to determine the risk classification according... .... In order to be a successful applicant. you must be legally authorized to work in the United States, without the need for employer sponsorship...Full timeWork at officeHome officeVisa sponsorshipWork visaFlexible hoursGuardian Life
Juneau, AK6 days ago$24.54 - $33.14 per hour
...insurance, or other payment types. Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. Responds to customer's inquiries. Assists with departmental...Part timeWork experience placementWork at officeLocal areaAfternoon shiftPeaceHealth
Ketchikan, AK7 days ago- ...performance are met, ensuring that compliance with all standards of care are met, these will include but are not limited to prior authorization utilization, surgical services optimization, resource standardization and utilization, hospital acquired conditions, laboratory...
Alaska Native Tribal Health Consortium
Anchorage, AK6 days ago Registration & Scheduling Representative I - Outpatient Internal Medicine/Senior Care/Endocrino[...]
$20 - $26.75 per hour
...receiving physician orders, insurance verification, gathering pre-authorizations, scheduling, and pre-certifications for the assigned area.... ...signatures on registration materials and legal forms. Coordinate prior authorizations for patient treatments or diagnostic procedures...Hourly payFull timeWork at officeShift workDay shiftFoundation Health Partners
Fairbanks, AK2 days ago$20 - $25 per hour
...effectively manage dynamic or escalated patient encounters. Schedule all provider appointments. Ensure pre-certifications/ prior authorizations are received and interpreters are obtained when necessary. Collect and make changes for payments received, a complete...Hourly payFull timeWork at officeSight Partners
Fairbanks, AK4 days ago$100k - $150k
...decisions based on individual risk characteristics, exposure analysis, hazard recognition and controls. Adheres to individual authority levels. Prices business according to company underwriting and pricing guidelines. Must balance effective pricing and risk selection...Hourly payTemporary workRemote workFlexible hoursCopperPoint Insurance Companies
Sitka, AK7 days ago$118.4k
...monographs for committee review; develop and implement the organization's management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review...For contractorsWork at officeLocal areaRemote workHighmark Health
Juneau, AK5 days 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 villages...Hourly payFull timeTemporary workWork at officeFlexible hours
- ...automation. Own the customer-facing surface of agentic authorization - ensuring permissions, audit logs, and scoping controls are a... ...product features, LLM integrations, or agentic systems. Prior work with authorization frameworks. Background at an observability...Local areaFlexible hours
PagerDuty
Juneau, AK4 days ago $89.8k - $148.3k
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover...Local areaTravelers Insurance
Juneau, AK5 days ago
