Average salary: $53,957 /yearly
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- ...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 $3,345 per week
...to maintain current professional knowledge and licensure. Assesses and prepares the needs of each infusion patient. Ensures prior authorization is initiated as needed per the patient referral. Administers specialty IV fluids via peripherally or centrally placed...SuggestedFull timeContract workShift workTravelNurseSource
Sitka, AK23 hours ago- ...Retirement plans Employee Wellness Center Plus More! C# Additional Information ID: 18826 Location: Bethel Department: Medicaid Prior Authorization Employment Duration: 80 Full time Temporary Status: Not Applicable Hours per Week: 40 Minimum Hourly Pay: 21.78 FLSA Status:...SuggestedHourly payFull timeTemporary workWork at officeFlexible hours
$2,962 per week
...Accountability Act), ICD 10 Coding*, ICU*, MS*, Needs Assessment/ Order DME, NICU, Pediatrics, PICU, Plan of Care, Pre-Cert Review*, Prior Authorizations*, The Joint Commission/ Core Measure/National Safety Goals*, Utilize InterQual Criteria*, Utilize Milliman Guidelines*,...Suggested16 hoursPermanent employmentFull timeContract workTemporary workWork at officeLocal areaShift workNight shiftWeekend workTravelNurseSource
Anchorage, AK23 hours 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 package$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...SuggestedHourly payTemporary workLocal areaImmediate startRemote workFlexible hoursCardinal Health
Juneau, AK3 days ago$89k - $121.4k
...development of SQL Server Integration Services (SSIS) projects using Microsoft Visual Studio Experience with healthcare systems and prior authorization data Navigate change management processes in a large enterprise environment Experience working with an enterprise...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeCenterwell
Juneau, AK4 days ago- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...SuggestedRemote jobWork from homeFlexible hoursAfternoon shift
$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$90k - $115k
...Qualifications BS Pharmacy or PharmD is required 5+ years’ experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy. Comprehensive knowledge of both pharmacy and medical benefit utilization management...SuggestedFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursNorstella
Juneau, AK23 hours agonew$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$2,851.91 per month
...preferred Roles & Responsibilities: - Coordinate patient care and discharge planning - Conduct utilization reviews and prior authorizations - Collaborate with interdisciplinary teams including therapy, pharmacy, social services, and other support staff -...SuggestedWeekly payLocal areaShift workWeekend workDay shiftMission Hospital
Anchorage, AK1 day ago- ...’s revenue cycle by ensuring accurate insurance verification, authorization, billing support, and patient account management. This position... ...Responsibilities Verify insurance eligibility and benefits prior to patient appointments Obtain and track prior authorizations...SuggestedTemporary workWork at officeRemote workRelocation
- ...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, 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 Group / Umialik Insurance Company
Anchorage, AK23 hours 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, AK3 days ago $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...Hourly payFull timePart timeWork at officeNight shiftSeldovia Village Tribe
Homer, AK1 day 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...Daily paidWork experience placementWork at officeLocal areaPeaceHealth
Ketchikan, AK3 days ago- ...to maintain current professional knowledge and licensure. Assesses and prepares the needs of each infusion patient. Ensures prior authorization is initiated as needed per the patient referral. Administers specialty IV fluids via peripherally or centrally placed catheters...Temporary workLocumLocal area
Cynet Health
Sitka, AK1 day ago - ...staff, providing direction, guidance, and referral as necessary.Assesses 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...
Thrive Staffing
Sitka, AK1 day ago $3,286 per week
...activities to maintain current professional knowledge and licensure.Assesses 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...Full timeContract workShift workPrime Staffing
Sitka, AK23 hours ago$3,286 per week
...activities to maintain current professional knowledge and licensure.Assesses 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...Permanent employmentFull timeContract workTemporary workShift workTravelNurseSource
Sitka, AK23 hours 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, AK2 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...Full timeWork at officeFlexible hours
Yukon-Kuskokwim Health Corp.
Bethel, AK4 days ago $21.22 - $31.83 per hour
...important information concerning the transmission of disease prior to arrival in the clinic. Assists with department coverage as... ...insurance requirements are met, as well as assistance with prior authorization as appropriate prior to patient arrival. Manages daily...Hourly payFull timeWork at officeShift work- ...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...Full timeTemporary workWork at officeImmediate start
- Underwriter Opportunity Polikov Recruitment Specializes in the Commercial Property & Casualty Insurance Industry. We have an exciting new opportunity for an Underwriter to join a team focused on underwriting Excess Casualty business. Our Client is looking for ...
MRINetwork
Sitka, AK4 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$17 - $31.3 per hour
...experience for our patients. In this dynamic and fast-paced role, you will be responsible to verify insurance coverage and obtain prior authorization information for both new and existing patients in order to process patient prescription orders in a timely manner while...Hourly payDaily paidFull timeTemporary workWork at officeLocal areaShift work$23.71 per hour
...registrations to verify complete information for claim processing. Verify insurance coverage and assist in obtaining necessary prior authorizations. Serve as a backup for the Customer Service Front Desk, providing friendly in-person and phone support. Maintain strict...Full timeWork at officeShift work
