Average salary: $63,932 /yearly
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- ...professional diplomacy while ensuring clients' access to care is prioritized. Responsibilities Provide comprehensive support for prior authorizations across a range of clinical services. Maintain accurate and precise records in the electronic health record system (...SuggestedFull time
- ...Specialist The Insurance Verification Specialist will work with the Lead Authorization & the Lead Insurance Verification Specialists in overseeing and facilitating the concerted efforts of the prior authorization and the Insurance verification Work Teams. This employee...Suggested
$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- ...through equitable, high-quality, and culturally responsive patient-centered care. Job purpose This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate coordination...SuggestedWork at office
- A community health center in Connecticut is seeking a candidate for a critical role focusing on prior authorization workflows and patient-specific electronic fax management. The ideal applicant will hold a high school diploma, have at least two years of experience in healthcare...Suggested
- ...school diploma or GED, with a Bachelor's preferred, and 3-4 years in the revenue cycle. Key responsibilities include obtaining prior authorizations and maintaining professional communication with patients. The ideal candidate possesses strong organizational and...Suggested
$48k - $62k
A leading healthcare provider in Connecticut is seeking an experienced individual to manage prior authorization workflows. The role involves coordinating patient care through insurance processes and clinical documentation. Ideal candidates will have strong organizational...Suggested- A healthcare provider is seeking a candidate for a role focusing on Prior Authorization outbound calls and inbound case creations. The successful applicant will perform critical tasks related to member and provider authorization processes, requiring strong communication...SuggestedRemote jobWork at office
$48k - $62k
...empower every individual to live their healthiest life through exceptional, affirming care. The Role This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate...Suggested- ...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...Suggested
$25 per hour
...are scheduled. This role will be primarily based in Norwalk, CT. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of...SuggestedFull timeTemporary workWork at officeLocal areaFlexible hours$275k - $340k
...shared amongst multiple Physicians Robust support team that allows physicians to focus on patient care including an Internal prior-authorization team to reduce administrative burden on Physicians Clinical PharmD Support Highly engaged leadership here to...SuggestedWork at officeLocal areaFlexible hours$275k - $340k
...shared amongst multiple Physicians Robust support team that allows physicians to focus on patient care including an Internal prior-authorization team to reduce administrative burden on Physicians Clinical PharmD Support Highly engaged leadership here to support...SuggestedWork at officeFlexible hours- ...anticoagulation. Conduct telephone triage to support patients and address clinical inquiries. Assist administrative staff with prior authorizations and peer-to-peer reviews for surgical scheduling. Support physicians with inpatient consultations and care coordination...SuggestedHourly payPermanent employment
- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote job
- A healthcare PBM company is seeking a Clinical Pharmacy Technician Sr. responsible for evaluating and authorizing prior authorization requests. The ideal candidate will have a GED/high school diploma, licensed pharmacy technician status, and at least 2 years of relevant...Remote jobFlexible hours
$23 - $25 per hour
...and regulations. We are looking for a Medical Assistant with prior administrative experience, strong initiative, and the ability... ...directed. Assist Patient Services team as needed to obtain prior authorizations for prescribed treatments and documents. Triage patient phone...Full timeTemporary work- Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and...Remote jobWork from homeFlexible hours
- ...Administrative Duties Provides administrative support including but not limited to scheduling, chart prep, referrals, check in/out, prior authorizations and transportation facilitation. Accurately documents and communicates interventions and measurements, and communicates...Work at office
- ...the Medical Assistant scope of education; Administrative duties including scheduling, chart prep, referrals, check in/out, prior authorizations and transportation facilitation; Cover the front desk based on business needs; Assist in maintenance of equipment, supplies,...
$20.72 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...For contractorsWork at officeLocal area- ...required by state regulations, and CHC Behavioral Health department by laws in a timely manner, included by not limited to intake, prior authorization request, progress notes, treatment plan documentation, and discharge. Completes and locks all treatment notes no later than 7...Remote jobPart timeImmediate startTrial periodWeekend workAfternoon shift
$26.01 - $68.55 per hour
...platforms/systems 1+ year of experience with Microsoft Office Applications (Outlook, Teams, Excel) Preferred Qualifications Prior authorization utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hoursAfternoon shift- ...of an awesome team. We welcome candidates taking a gap year prior to PA School. Job Description Room Patients, triage... ...call backs with pathology results/Schedule excisions Prior Authorizations and Biologics Clean and restock exam rooms/assist with...Full timeMonday to Friday
- ...and translate business questions into data driven answers. Analyze structured healthcare data (e.g., claims, eligibility, prior authorization) to identify trends, monitor KPIs, and support clinical and operational initiatives. Conduct exploratory data analysis to...Remote work
$76k - $85k
...for future health care costs associated with birth-related neurological injuries. Duties and Responsibilities Performs prior authorization, concurrent and retrospective reviews Use clinical documentation and clinical review criteria to make determinations regarding...For contractorsH1bWork at officeLocal areaRemote work- ...professionals, every day. This position will support the management of patients requiring Specialty Pharmacy Medications. Providing prior authorization services, including insurance benefit investigation, copay assistance, foundation support, and insourcing the dispensing...Work at office
£30k - £35k per year
Junior Credit Underwriter Salary £30k-£35k Cheshire We are looking to recruit a Junior Underwriter who is focused on building a career in Credit Risk. Our client is a provider of loans and asset finance to SME businesses with both direct and broker routes to market. ...Work at office- ...Joint Commission standards, and CHC Behavioral Health department by laws in a timely manner, included by not limited to intake, prior authorization request, progress notes, treatment plan documentation, and discharge. Completes and locks all treatment notes no later...Full timeLocal areaImmediate startTrial periodAfternoon shift
$18 per hour
...and under the direction and guidance of the provider, informs patients of test results. ~ Versatility: Familiarity with prior authorization process. ~ Expertise: Asking appropriate triage questions when speaking with patients and accurately recording in Epic...Hourly payFull timeWork at officeMonday to FridayShift work
