Average salary: $80,654 /yearly
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$2,867 per week
...Reviews Determine Medical Necessity per Evidence-Based Guidelines Needs Assessment/ Order DME Plan of Care Pre-Cert Review*Prior Authorizations*Utilize InterQual Criteria*Utilize Milliman Guidelines*Worker's comp case management* Regulatory CMS: Centers for Medicare...SuggestedPermanent employmentFull timeContract workLocal areaShift workWeekend workTravelNurseSource
Anchorage, AK1 day ago$2,867 per week
...Reviews Determine Medical Necessity per Evidence-Based Guidelines Needs Assessment/ Order DME Plan of Care Pre-Cert Review*Prior Authorizations*Utilize InterQual Criteria*Utilize Milliman Guidelines*Worker's comp case management* Regulatory CMS: Centers for Medicare...SuggestedPermanent employmentFull timeContract workLocal areaShift workWeekend workTalentBurst, Inc.
Anchorage, AK1 day ago$2,987 per week
...provided Requirements: Active Alaska RN license (required prior to start) Minimum 1-2 years of nursing experience Acute... ..., Milliman Guidelines, pre-certification review, and prior authorizations Must reside at least 50 miles from the facility Willingness...SuggestedPermanent employmentFull timeContract workReliefLocal areaImmediate startFlexible hoursShift workWeekend workDay shiftTravelNurseSource
Anchorage, AK1 day ago- ...Job Description Job Description Prior Authorization Technician Department: Revenue Cycle Program: Health Systems Reports To: Revenue Integrity Supervisor Employment Status: Full-Time FLSA Status: Non-Exempt Schedule: 40 Hours/52 Weeks Preference...SuggestedFull timeLocal area
Kenaitze Indian Tribe
Kenai, 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...SuggestedFull timeImmediate startRelocation packageAlaska Behavioral Health
Anchorage, AK4 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, prescription renewal coordination as applicable and may administer vaccines when in scope for the practice site. Providence...SuggestedMinimum wageFull timeLocal areaShift workDay shift- ...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
$26.01 - $68.55 per hour
...experience ~1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Preferred Qualifications Prior Authorization or Utilization Management experience Managed care experience Experience using MedCompass Ambulatory surgery...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$21.5 - $27.5 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...SuggestedFull timeWork at officeImmediate startRelocation packageAlaska Behavioral Health
Fairbanks, AK6 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 minimum...SuggestedRemote jobWork from home$54.1k - $142.58k
...download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work,...SuggestedHourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend work- ...Location: Fully Remote Job Duration: 12 Months Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members,... ...assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...SuggestedTraineeshipRemote work
Amicis Global
Juneau, AK1 day ago $2,800 per week
...determination Care coordination Discharge planning Needs assessment and DME coordination Plan of care Pre-certification review Prior authorizations Appeals & denials InterQual criteria Milliman/MCG guidelines Worker’s compensation case management Regulatory / Clinical...SuggestedContract workWork at officeImmediate startMonday to FridayShift workNight shiftWeekend workKTI Health
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...SuggestedFull timeWork at officeLocal areaRemote workFlexible hoursWestern National Insurance
Anchorage, AK1 day ago$60k - $70k
About the Role We're seeking an experienced, licensed insurance agent to join a growing independent agency team in Anchorage. This role is responsible for building and maintaining client relationships while quoting, binding, and servicing personal and commercial lines...SuggestedWork at officeRemote workOpti Staffing Group
Anchorage, AK3 days ago$26.01 - $62.32 per hour
...Proficiency in Microsoft Office (Outlook, Teams, Excel) ~ Associates degree in nursing Nice to Have Utilization Management or Prior Authorization experience Managed care and/or Medicare experience MedCompass or similar system experience Ambulatory surgery...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work- ...Job Title: Prior Authorization Pharmacist (Pennsylvania Pharmacist License Required) Client: East Coast Healthcare Provider Length: 6-month Contract with high probability of FTE conversion Location: 100% Remote (EST Hours) Start Date: Mid-October 2026 Openings: 5 total...Contract workLocal areaRemote work
Jobrapido
Anchorage, AK1 day ago $75k - $165k
...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and... ...formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers...Full timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich NA
Juneau, AK1 day ago$24.88 per hour
...patients, transcribe physician orders, verify insurance benefits and authorizations, enter ICD-10 codes, and calculate patient financial liability... .... Experience in insurance verification, ICD-10 coding, or prior authorizations. Must pass medical terminology and analytical...Hourly payTemporary workWork experience placementSeasonal workMonday to FridayShift work$20 - $27 per hour
...working in Primary Care, Family Practice, Internal Medicine, or Urgent Care. Knowledge of medical terminology, referrals, and prior authorizations. Experience working in high-volume outpatient clinics. Familiarity with insurance plans, eligibility verification, and...Hourly payFull timeCurrently hiringWork at officeMonday to FridayVera Whole Health
Wasilla, AK3 days 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, AK3 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, AK5 days ago $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, AK16 hours 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...Full timeWork experience placementWork at officeLocal area- ...point of 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 Collaborate...Full timeTemporary workWork at officeImmediate start
$18 per hour
...UM Intake reports directly to the Manager, UM Intake. In support of our daily operations this individual also works with our prior authorization and clinical review teams. Opportunities to work collaboratively with other UM staff including our leadership team both clinical...Full timeImmediate startRemote workWork from homeEvolent
Juneau, AK4 days ago$62.7k
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as a point of contact for sales teams and assigned customers, delivering insights and recommendations to aid customer acquisition and retention while maintaining performance goals. This role...Contract workFor contractorsWork at officeLocal areaHighmark Health
Juneau, AK3 days ago$20 - $27 per hour
...working in Primary Care, Family Practice, Internal Medicine, or Urgent Care. Knowledge of medical terminology, referrals, and prior authorizations. Experience working in high-volume outpatient clinics. Familiarity with insurance plans, eligibility verification, and...Hourly payFull timeCurrently hiringWork at officeMonday to FridayVera Whole Health
Fairbanks, AK3 days ago$70k - $85k
...assistants or less experienced team members as needed Required Qualifications 5-10+ years of commercial insurance underwriting experience Prior experience in an MGA, wholesale, E&S, carrier, or commercial underwriting environment Strong commercial insurance knowledge: General...For contractors
