Average salary: $83,663 /yearly
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$109.2k - $129.9k
...under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers’ compensation claims... ...:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal area$40 per hour
Overview Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40.00 per hour Expected Hours: 40 hours per week Company... ...claims, including Medicare Part D. Qualifications Required: Prior experience in home infusion. Preferred: Familiarity with HCPCS...SuggestedHourly payFull timeRemote work- ...a motivated Utilization Management Tech in Los Angeles, CA, with a focus on remote work. The role entails processing various prior authorization requests accurately while utilizing business applications and critical thinking skills. Candidates should have coordinator experience...SuggestedRemote job
- ...abandoned due to: Cost barriers: Patients with high copays are 5x more likely to abandon treatment Insurance maze: Complex prior authorizations block access Logistical challenges: Coordinating medical visits for treatments Our solution: Neon's technology...SuggestedFull timeLive inNight shift
Neon Health
San Francisco, CA8 days ago $27 - $37 per hour
A leading precision oncology company in Palo Alto is seeking a Reimbursement Prior Authorization Specialist II to manage the full prior authorization lifecycle. The role requires extensive knowledge of insurance processes and payer policies to ensure patients receive timely...SuggestedHourly pay- ...at check out. Obtain lab/test results from outside as well as sending standing orders to designated labs. Processing prior authorizations for various tests MD orders. Contacting insurance companies to file appeals or obtain verbal authorizations for urgent treatment...Suggested
BASS Medical Group
Oakland, CA2 days ago - ...abandoned due to: Cost barriers: Patients with high copays are 5x more likely to abandon treatment Insurance maze: Complex prior authorizations block access Logistical challenges: Coordinating medical visits for treatments Our solution: Neon's technology...SuggestedFull timeFor contractorsLive inNight shift
Neon Health
San Francisco, CA4 days ago - ...Job Title: Patient Intake Prior Auth Specialist (IVIg/SCIg Specialty Pharmacy) Thrive in a Team That Puts People... ...assists patients in accessing benefits and securing insurance authorizations while delivering exceptional customer service. This role operates...SuggestedWork at office
Alura Workforce Solutions
Garden Grove, CA1 day ago $16 - $31.44 per hour
...verifying insurance eligibility and benefits, obtaining referral, authorization, and pre-certification information, identifying outstanding... ...experience. Preferred qualifications include experience with prior authorizations, using Microsoft Office products, and working knowledge...SuggestedRemote jobDaily paidFull timePart timeWork experience placementWork at officeRelocation packageMonday to Friday$22 per hour
Job Description Job Summary We are seeking a detail-oriented Prior Authorization / Insurance Verification Specialist to join our team. The ideal candidate will be responsible for obtaining insurance authorizations and checking eligibility for medical procedures and services...SuggestedHourly payFull timeWork at office- ...Coordinator to manage internal and external referrals. Key responsibilities include processing referral requests, obtaining prior authorizations, and ensuring effective communication with insurance providers and patients. Ideal candidates should have strong computer, organizational...SuggestedFull time
$61.79 - $79.91 per hour
A prominent health organization is seeking a UM Review Nurse to ensure high-quality care through clinical review of authorization requests. This role involves applying clinical judgment and compliance standards while collaborating with medical teams. Ideal candidates should...SuggestedHourly pay$69k - $75k
...Claims & Issue Resolution Investigate and resolve medical, dental, vision, and pharmacy claims issues Support referrals, prior authorizations, and transition-of-care needs Work directly with carriers, provider offices, and billing departments to resolve complex...SuggestedWork at office- ...candidate will have experience in a specialty or infusion pharmacy and a strong understanding of insurance verification, the prior authorization process, and medication fulfillment workflows for high-cost therapies. Key Responsibilities: Obtain and submit all necessary...Suggested
Infusion For Health
Riverside, CA3 days ago - ...abandoned due to: Cost barriers: Patients with high copays are 5x more likely to abandon treatment Insurance maze: Complex prior authorizations block access Logistical challenges: Coordinating medical visits for treatments Our solution: Neon's technology...SuggestedFull timeLive inNight shift
Neon Health
San Francisco, CA8 days ago - ...organized for easy access by the clinical team. Insurance: Collaborate with patients to verify insurance coverage to include prior authorizations and pre-determination. Assist patients in understanding their insurance benefits and financial responsibilities. Office...Full timeWork at officeLocal areaMonday to Friday
Beacon Oral Specialists
San Clemente, CA4 days ago - ...Specialist I may also be responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist is accountable for verifying the prescription entry. This position...Remote workFlexible hoursShift work
Navitus Health Solutions
Fresno, CA1 day ago - A leading health insurance provider in California is seeking a Product Manager specializing in Utilization Management and Prior Authorization. The role involves defining product roadmaps and collaborating with cross-functional teams to ensure product success. Candidates...
$140k - $180k
...reports on the IPA side (UM supervisors + coordinator), and play a crucial role in providing operational leadership to the UM/Prior Authorization and Inpatient Teams (50 FTEs in total). Youll be responsible for CMS + Health Plan audits, and ensuring compliance with...Full timeRemote workAmi Network
Pasadena, CA8 days ago- ...Job Title Location: Fully remote Duration: 12 months contract Job Description Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria...Contract workRemote work
US Tech Solutions
Riverside, CA4 days ago $21 - $39 per hour
...Room and vital patients Review histories, medications, allergies and HPI in the chart Return phone calls Get prior authorizations Schedule surgeries Call patients with results Review all staff and patient messages Answer phones Welcome patients...Hourly payWork at officeFlexible hoursDay shiftBASS Medical Group
Ventura, CA2 days ago- ...Job Description 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 therapies. Representative...
Hire Talent
San Jose, CA1 day ago - ...Degree License to practice in California must be in progress prior to the start date Five years experience as a practicing... ...physician with knowledge of managed care and the process for prior authorization review Knowledge of physician social and political behavior...Full time
Vivo HealthStaff
San Diego, CA2 days ago $400k
...hospitalist Ability to work in person Job Highlights: ~ No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management Compensation & Benefits: ~$400,000 guaranteed plus incentives ~...Relocation packageCURAtive
Lancaster, CA2 days ago$35.26 per hour
...Responsibilities Under technical direction and within standard limits and authority provide clerical support to claims adjusters to facilitate... ...propose solutions to problems through drawing from prior experiences, with analysis of the issue. Learn and develop an understanding...Hourly payFull timeContract workTraineeshipWork at officeLocal area$18 - $19 per hour
...resolution methods when conventional negotiation does not achieve a settlement. Complete necessary payer paperwork, including prior authorization forms and manual billing. Handle non-standard order entry situations as required. Support training needs within...Hourly payFull timeTemporary workPart timeShift workNight shiftPolaris Pharmacy Services, LLC
Covina, CA20 hours ago- ...required Licensed in California Job Highlights: No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management A part of one of the flagship ACOs, now a 2nd generation ACO This full...Full time3 days per week
CURAtive
Palm Springs, CA4 days ago - ...Shores Pkwy, Redwood City, CA 94065 Pay: [Insert Pay Details Here] Schedule Mon-Fri 0800-1700 Key Responsibilities Manage prior authorizations as a primary responsibility. Submit, track, and follow up on authorizations with payers. Utilize Epic or APeX for...
Axelon
Redwood City, CA20 hours ago - ...verification, and coordination of benefits Works with Pharmacy Operations team to perform test claims and advise provider team when prior authorization is required Understands patients' order urgency and the importance of reviewing the medication profile to identify refill...Monday to FridayShift work
APOTHECARY BY DESIGN ACQUISITION CO LLC
Rancho Cucamonga, CA3 days ago $68 - $100 per hour
...Botox for migraines, etc.) Understanding of prescribing safety protocols, especially with comorbidities Familiarity with prior authorization and utilization review guidelines (PPO, Workers Comp, etc.) Comfort with diagnostic studies (imaging, EMG, lab work, urine...Hourly payFull timePart time3 days per weekJohn Villanueva MD Inc. Pain Spine
Burbank, CA20 hours ago
