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
$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 located in Hartford is seeking a Prior Authorization Specialist to perform clerical duties for insurance authorizations. Candidates should have prior experience with insurance processes and strong communication skills. The role involves managing authorizations...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
- ...provider in Connecticut is seeking an individual to join their team as an insurance authorization specialist. The role involves verifying patient insurance and benefits, obtaining prior authorizations, and ensuring professional communication with patients and health staff...SuggestedWork experience placement
$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
$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
$215k - $235k
...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- ...offering primary care, urgent care and more than 30 different specialties. Job Description Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all in office procedures,...Work at officeMonday to FridayFlexible hoursShift work
- ...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....Remote job
- ...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- ...preparation and or instructions. Confirms and enters patient demographic information along with insurance information. Obtains prior authorizations for scheduled procedures. Reschedules as needed. Utilizes providers schedules according to blocks. Releases blocks not...
- ...paperwork accompanying patients to ensure adherence to hospital and regulatory policies. Performs insurance verification and prior-authorization based on payor requirements. Works in a constant state of alertness and safe manner. Performs other duties as assigned....
- A leading healthcare solutions provider is seeking a clinical pharmacist to review prior authorization requests and support medical discussions. This virtual position requires a PharmD or B.S. in Pharmacy, along with strong communication skills and at least 4 years of experience...Remote jobFlexible hours
$21.5 - $27 per hour
...laser procedures Assist provider in recording prescribed treatments, medications, biopsies, cultures, photos, prescriptions, prior authorization and procedures within established guidelines Understand provider to patient flow and anticipate providers next steps to the...Hourly payFull timeWork at officeLocal areaMonday to FridayShift workWeekend workWeekday work- 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
- 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
- ...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$23 - $25 per hour
...and regulations. We are looking for a Medical Assistant with prior administrative experience, strong initiative, and the ability... .... Assist Patient Services team as needed to obtain prior authorizations for prescribed treatments and documents. Triage patient...Full timeTemporary work- ...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
$68k - $120.5k
...complex budgets and working with international collaborators. Prior experience with sponsored award grant submissions and management... .... Obtain all necessary clearances prior to obtaining authorization for submission. Facilitate an effective transfer of grants and...Full timeContract workWork experience placementWork at officeRemote work
