Average salary: $49,832 /yearly
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$22 - $26 per hour
...JobRx, Inc. is hiring for a role in Englewood, Colorado focusing on the prior authorization process for medications. This position involves initiating and overseeing prior authorization requests, collaborating with healthcare providers and insurance companies, and requires...SuggestedHourly payJobRx, Inc.
Englewood, CO18 hours ago- ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...SuggestedPermanent employmentTemporary work
Vitesse Systems
Longmont, CO13 days ago $100k
Job Description Job Description We are an Office of Professionals who Love what we do and have weekends and holidays off! HISTORICALLY members of our team stay for a minimum of 3 years, many are at or close to 10 years! It is surprising how fulfilling what...SuggestedPermanent employmentWork at officeRandy Bales Insurance Agency Inc
Centennial, CO23 days ago$58k - $75k
...appeals: Support patients through denials and appeals, managing paperwork and updates. Referrals: Coordinate referrals and prior authorizations for smooth access to care. Collaborate as a team: Offer empathetic support by phone, chat, or email, collaborating with...SuggestedWork at officeAmaze Health
Denver, CO26 days ago$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work- ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Denver, CO16 days ago - ...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office
Priovant Therapeutics, Inc.
Denver, CO1 day ago $19 - $21 per hour
...Have Home Healthcare Experience Responsibilities Perform authorization, intake duties, insurance verification and eligibility.... ...coverage of home health care services Obtains and documents prior authorization for home care services from insurance providers...SuggestedHourly payFull timeMonday to FridayFlexible hoursShift workHuman Touch Home Health Care
Denver, CO13 days ago- ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...SuggestedPermanent employmentTemporary workWork experience placementMonday to Friday
Vitesse Systems
Longmont, CO26 days ago - ...nights, weekends, or home call if future need arises. The Contract employee shall work no more than 40 hours per week without prior authorization from the supervisor or department chief. Minimum Qualifications: Degree: Doctor of Medicine (M.D.) or Doctor of...SuggestedBi-weekly payHourly payFull timeContract workFor contractorsShift workNight shift
Matrix Providers
Colorado Springs, CO2 days ago $22 - $26 per hour
...This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5...SuggestedRemote jobLocal areaMonday to FridayShift work$18 - $26 per hour
...: Patient rooming and preparation Managing inbound patient phone calls Medication refills Processing medication prior authorizations Responding to patient portal messages Stocking exam rooms and ensuring clinical readiness Ordering supplies Capturing...SuggestedHourly payTemporary workApprenticeshipMonday to FridayMinimally Invasive Procedure Specialists
Littleton, CO2 days ago- ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...SuggestedPermanent employmentTemporary workMonday to Friday
Vitesse Systems
Longmont, CO3 days ago $17.98 - $32.12 per hour
...payers, patients and providers to ensure coverage eligibility and authorizations are accurately documented in a patient's record for hospital... ..., but not limited to: Which exams/procedures require prior authorization Understand clinical information needed to initiate...SuggestedHourly payMinimum wageFull timeWork experience placementLocal area- ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...SuggestedPermanent employmentTemporary workAfternoon shift
Vitesse Systems
Longmont, COa month ago - ...The regulations require that such data not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is defined by the U.S. Government under EAR 734.2(b)(2)(ii) and 8 USC 11...Permanent employmentTemporary workFor contractorsFor subcontractor
Vitesse Systems
Longmont, CO6 days ago $23 - $26 per hour
...clinicians, funding sources, and our ATP team. This role ensures complete, accurate, and timely processing of client documentation, prior authorizations, and order tracking within the Complex Rehab Technology workflow. An ACC 2 works with minimal supervision, managing...Hourly payFull timeWork at officeRelocation packageASM LLC
Denver, CO10 days ago$46.99k - $122.4k
...sales and account management metrics to support profitable growth. Responsibilities include performing plan changes, overseeing prior authorization, and resolving claims issues. Candidates should have 5+ years of relevant experience and may travel up to 25%. The salary...Full time$20 - $21 per hour
...to support patient care and clinician satisfaction. Patient Support: Assist clinicians with patient care aspects including prior authorizations, lab orders, letters, records requests, and coordination of forms (e.g., FMLA). Facilitate communication between patients, medical...Full timeWork at officeRemote work$115k - $155k
...Responsibilities Complete required documentation in a timely and accurate manner Manage administrative tasks such as prior authorizations and leave paperwork Utilize EHR systems effectively and maintain documentation standards Participate in quality improvement...Full timeFlexible hoursConifer Counseling and Therapy Services, Inc
Conifer, CO2 days ago$67.2k - $110.88k
...members to promote quality member outcomes and effective use of resources by interpretation of moderately complex specialty drug prior authorization requests. Ensures medically appropriate high quality, effective care through assessing the medical necessity of outpatient...Full timeWork experience placementWork at officeLocal area$155k - $170k
...country. Position Responsibilities Lead and nurture a dynamic team of clinical pharmacists and technicians dedicated to the prior authorization and appeals process. Create and uphold robust policies and procedures for utilization management review. Utilize available...Work at officeLocal areaMonday to FridayFlexible hoursShift work- ...nights, weekends, or home call if future need arises. The Contract employee shall work no more than 40 hours per week without prior authorization from the supervisor or department chief. Minimum Qualifications: Degree: Doctor of Medicine (M.D.) or Doctor of...Bi-weekly payHourly payFull timeContract workFor contractorsInternshipWork at officeShift workNight shift
Matrix Providers
Colorado Springs, CO3 days ago - ...in a fast-paced, dynamic medical setting. Responsibilities and Duties Booking and Rescheduling patients Managing prior authorizations and patient communication Patient Vitals Injections Work as an insurance liaison Communicate with providers on a...Shift work
Porch Light Health
Pueblo, CO2 days ago $155k - $170k
...Denver, Colorado, is seeking a Pharmacy Operations Manager. This role involves leading a team of clinical pharmacists, overseeing prior authorization processes, and optimizing workflow. Candidates must hold an active pharmacist license and have 4+ years in authorization...$20 - $25 per hour
...and organize client paperwork; ensure all forms are complete prior to appointments. Process client payments and maintain accurate... ...records; assist with daily deposit preparation. Manage prior authorizations (PARs) and treatment plans (POCs) for Medicaid clients; verify...Full timePart timeMonday to FridayShift work$110 - $120 per hour
...per month, including nights and weekends. Collaborate with a medical assistant team to manage scheduling, triage, faxes, prior authorizations, Ensure timely and accurate documentation in compliance with facility and regulatory standards. Qualifications Doctor...Full timeRelocation packageShift workNight shift3 days per weekProtouch Staffing
Fort Collins, CO10 hours ago$18.15 - $27.23 per hour
...Authorization Rep I - BioPlus Specialty Pharmacy Authorization Representative I Location: This role requires associates to be in-office... ...GED and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and experience...Work at officeLocal areaMonday to FridayShift work2 days per week1 day per week$90k - $110k
...accounts. Manage a book of business to achieve premium growth, retention, profitability, and service policies within letter of authority. Initiate and make in-person sales and stewardship calls to agents. Manage agency relationships to achieve company growth and...Full timeWork experience placementWork at officeLocal areaImmediate startWCF Insurance
Englewood, CO2 days ago- Job Description Job Description Position WCF Insurance, an "A" rated carrier growing throughout the western states, has an immediate opening for a Commercial Underwriter on the Small Business team in the Denver, CO area. This full-time, exempt position reports...Full timeWork experience placementWork at officeLocal areaImmediate start
WCF Insurance
Englewood, CO24 days ago
