Average salary: $48,392 /yearly
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- ...A healthcare organization is seeking a full-time Prior Authorization Specialist to manage insurance eligibility and precertification tasks. The ideal candidate should possess strong communication skills and proficiency in Microsoft Office, while demonstrating teamwork...SuggestedFull timeWork at office
- ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
- ...insurance. Assignment of ICD-10 CM and CPT codes for initial authorization of Inpatient and Observation stays. Pre-registers patients for... ...scheduled admissions and outpatient services, verifying that prior authorization and physician referrals are in place, if required...SuggestedReliefShift workWeekend work
$20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...SuggestedFor contractorsWork at officeLocal area- ...Director with Retrospective Therapy Audits as needed. Maintains all clinic forms related to billing. Follow up and secure prior authorizations of service being performed. Track and obtain prior authorizations from insurance carriers within time frame allotted for...SuggestedWork at officeLocal area
$19.01 per hour
...Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs...SuggestedFor contractorsWork at officeLocal areaRemote work$202k - $303k
...stroke teams, including neurology, cardiology, pharmacy, and care coordinators Understanding of formulary management and prior authorization for chronic secondary prevention therapies Familiarity with population health, adherence challenges, and real-world evidence...SuggestedLocal areaFlexible hours- ...Processing Team member Duties include: • Opening and distributing mail to dental unit staff • Logging incoming prior authorization requests • Adding or updating prior authorization records in the MMIS system • Answering incoming phone calls from providers...SuggestedFor contractors
- ...Accurately document in EMR symptoms and/or complaints, nursing assessment, advice provided and patient/caller response. # Complete prior authorizations, FMLA/disability paperwork, and cardiac clearances # Schedule appointments and diagnostic testing as needed # Review and...SuggestedWork experience placementWork at office
- ...materials Appropriately process soiled instruments Respond timely to patient messages and inquiries Obtain insurance prior authorizations for consultation and/or imaging, as needed Refill provider-authorized medications via electronic, fax or phone as...SuggestedFull timeLive inWork at office
- Job Description 05128 Certified Medical Assistant Performs routine clinical and administrative duties in support of assigned area or office. Reports to: Practice Manager FLSA: Non-exempt Education: High school diploma or equivalent Preferred; Associate'...SuggestedWork at office
- ...copy equipment. The position will be working primarily with our Electronic Health Record, Netsmart, while also handling prior authorizations, verifying insurance, following up with denied claims, and working with insurance companies to ensure payments are received....SuggestedFull timeWork at officeMonday to Friday
$16.75 - $24.25 per hour
Customer Service Operations Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services...SuggestedHourly payContract workTemporary workWork experience placementLocal areaImmediate startFlexible hours- ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...SuggestedPermanent employmentFull timeWork at officeLocal area
$16 - $18 per hour
...in a fast-paced healthcare environment. Key Responsibilities: Secure and manage renewals for PCP referrals, prior authorizations, and extension of benefits to ensure timely client care and claims processing. Process billing and insurance claims, including...SuggestedWork at office- ...information, lab values, other pertinent information in order to compile the necessary information for pharmacist judgement, prior authorization or other patient care use. Demonstrates mastery of all pharmacy dispensing and standard compounding procedures. Demonstrates...Full timeLocal area
- ...personal enrollments/paperwork during an intake and throughout the client's time with ERC. Develops, gathers, and maintains the prior authorizations, PCSP, scripts, IPPs, behavior support plans, and other service paperwork for clients. Effectively plans client care to...Contract workFor contractorsWork at officeLocal area
- ...patient by submitting updated information packets with requests for continuation for AFMC prior to the expiration date. Monitors and tracks each patients prior authorization denials and approvals and discharge date. Requests extensions and modifications to PAs when...Summer workLocal area
- ...and estimated financial responsibility to the Admissions team prior to scheduling initial appointments. Document all verification... .... Obtain, track, and manage initial and ongoing prior authorizations for commercial insurance plans. Monitor authorization expiration...Work at office
- ...Description Prior Authorization Specialist Full-time I. Job Summary / Job Purpose The Prior Authorization Specialist is responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival...Full timeWork at office
$18 - $22 per hour
...technician (RBT) credential preferred. Ability to obtain and maintain certification in company approved crisis management training. Prior experience providing behavioral instruction, guidance and/or support to children, preferably in an alternative, special education...Full timeWork at officeImmediate startFlexible hours- ...and cross-functional teams to enhance care coordination. Support Operations and Training - Assist in inventory management, prior authorizations, and regulatory adherence. Flexibility and Adaptability - Work at multiple facilities within a designated market as...Temporary workReliefLocal areaFlexible hours
- ...coverage** *Dependable vehicle for daily travel** *Ability to pass a background check, motor vehicle report, and drug screening** *Authorization to work in the United States****Preparation**** ***Licensing:****We provide free access to study tools and professional guidance...Full timeTemporary workTraineeshipCasual work
- ...overrides as you develop leadership skills Strong communicator who cares about helping people Self-disciplined, organized, and goal-oriented Willing to obtain a life insurance license (we help guide you) Prior sales or service experience is a plus—but not required...Remote jobFull time
- ...signs in the medical health records software. (5) Completing letter out referrals for orders. (6) Sending messages for prior authorizations for back braces. (7) Scheduling patients' next appointments. (8) Regularly monitoring voicemails and promptly returning...Full timeWork at office
$56k - $84k
...status, disability, or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States without sponsorship. About QBE QBE is committed to providing reasonable accommodation to individuals...Full timePart timeWork experience placementWork at officeRemote workWork from homeHome office- ...insurance coverage Dependable vehicle for daily travel Ability to pass a background check, motor vehicle report, and drug screening Authorization to work in the United States Opportunity is knocking. Don’t let it pass you by! Kemper is proud to be an equal opportunity...Full timeTemporary workImmediate startRelocation package
- Provider Relations Market Director The Provider Relations Market Director is responsible for developing and maintaining strategic relationships with providers, community partners, and healthcare organizations to support market-level hospital initiatives and growth. ...
$120 - $131 per hour
" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practice$120 - $131 per hour
" Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practice






