Average salary: $80,654 /yearly
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$2,987 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 area10 hours per weekShift workWeekend workTalentBurst, Inc.
Anchorage, AK1 day ago$2,987 per week
...Coordinate post-discharge services and arrange durable medical equipment (DME). Conduct pre-certification reviews and prior authorizations as needed. Utilize InterQual and Milliman guidelines for utilization review. Maintain accurate documentation in Epic....SuggestedFull timeContract workLocal area10 hours per weekShift workWeekend workDay shiftTalentBurst, Inc.
Anchorage, AK1 day ago$2,987 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 area10 hours per weekShift workWeekend workTravelNurseSource
Anchorage, AK1 day ago$2,987 per week
...Coordinate post-discharge services and arrange durable medical equipment (DME). Conduct pre-certification reviews and prior authorizations as needed. Utilize InterQual and Milliman guidelines for utilization review. Maintain accurate documentation in Epic....SuggestedFull timeContract workLocal area10 hours per weekShift workWeekend workDay shiftTravelNurseSource
Anchorage, AK1 day ago- ...patients in person and manage scheduling and information intake in Anchorage, AK. The role supports insurance verification, prior authorizations, and patient onboarding while ensuring accurate records and HIPAA compliance. The position is in-office, full-time, and emphasizes...SuggestedFull timeWork at office
- ...complex patients.Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions.Support prior-authorization and appeals processes when needed.Educate patients and caregivers on regimens and disease-state management.Document case...SuggestedRemote work
Pharmacy Careers
Anchorage, AK1 day ago $54.1k - $116.77k
...include holidays and evening hours ~ Associate Degree in Nursing Preferred Qualifications Utilization Management or Prior Authorization experience Managed care background Ambulatory surgery background BSN preferred Why Join Us? Transition your...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work$50k
...comply with relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients... ...patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements....SuggestedTemporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work$55k - $60k
...a pivotal role in leading our contact center team, ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is essential in upholding Evolent Health's commitment to excellence in service delivery...SuggestedFull timeImmediate startWork from homeFlexible hoursEvolent
Juneau, AK9 hours ago$22 - $27 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, AK2 days ago$17.5 - $27 per hour
...related 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 options...SuggestedHourly payFull timeWork at officeMonday to Friday- ...census is approximately 324. The candidate will be responsible for patient assessments, creating plans of care, and facilitating prior authorizations. Compliance with HIPAA guidelines and understanding The Joint Commission standards is crucial. The ability to work...SuggestedDay shift
Cynet Health
Anchorage, AK1 day 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
- ...enable individuals with disabilities to perform the essential functions. Essential Job Functions: Obtain outpatient prior authorizations as needed Process appeals for denials from insurances • Performs precertification, concurrent and retrospective...Suggested
Arctic Slope Native Association
Alaska3 days ago - ...Medication Access Pharmacist Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on reducing access barriers and improving patient outcomes...SuggestedRemote work
- ...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: TERO Ordinance 2017-01, P.L. 93-638...Full timeLocal area
Kenaitze Indian Tribe
Kenai, AK23 days ago - ...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 office
Rural Psychiatry Associates
Anchorage, AK3 days ago - ...facilitate smooth client discharges. Collaborates closely with the Utilization Review (UR) team to establish and coordinate prior authorization, travel logistics, and insurance applications. Coordinates travel arrangements and discharge appointments; actively...
Universal Health Services
Anchorage, AK3 days ago $150k - $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...Remote jobWeekly payFull timePart timeFor contractorsPrivate practiceImmediate startWork from home$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 responds...Temporary workSEARHC
Sitka, AK5 days ago$25.23 - $38.61 per hour
...referrals. This position serves as a resource to providers and staff in regard to referral requirements and confirms the need for prior authorization for services. This position represents the first line of communication with physicians, clinical staff and office staff. This...Minimum wageFull timeWork at officeLocal areaShift workAgence PROvidence
Anchorage, AK5 days ago- ...referrals. This position serves as a resource to providers and staff in regard to referral requirements and confirms the need for prior authorization for services. This position represents the first line of communication with physicians, clinical staff and office staff. This...Minimum wageWork at officeLocal areaShift work
Alaska Horizon
Anchorage, AK4 days ago $60k - $70k
Licensed Insurance Agent 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...Work at officeRemote workOpti Staffing Group
Anchorage, AK4 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, AK2 days ago $22 - $26 per hour
...office, infusion center, or healthcare setting preferred Basic knowledge of medical terminology, insurance verification, and prior authorization processes preferred Proficiency with electronic medical record (EMR) systems and standard office software, including...Work at officeLocal areaMonday to FridayLUX Infusion
Soldotna, 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 $81.49k - $101.86k
...during exams, procedures, and diagnostic testing Manage triage calls, inbox messages, and patient follow-ups Complete prior authorizations and coordinate care plans Monitor patient status and escalate changes appropriately Educate patients and families on care...Temporary workMonday to FridayShift workVera Whole Health
Anchorage, AK2 days ago- ...their health care providers to educate them on the requirements to gain access to therapy including information specific to prior authorization and appeals. The PAL will also work to maintain relationships with the patients and the office staff to support ongoing compliance...Work at officeImmediate start
Krystal Biotech, Inc.
Hydaburg, AK4 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...Daily paidWork experience placementWork at officeLocal area$25.23 - $38.61 per hour
...referrals. This position serves as a resource to providers and staff in regard to referral requirements and confirms the need for prior authorization for services. This position represents the first line of communication with physicians, clinical staff and office staff. This...Minimum wageWork at officeLocal areaShift work
