Average salary: $125,000 /yearly

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  •  ...this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Prior Authorization Specialist Full Time Clerical Newcastle, WY, US 8 days ago Requisition ID: 1058 Are you detail-oriented, organized, and... 
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    Full time
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    Wyohospitals

    Newark, DE
    2 days ago
  •  ...Week: 40. Responsibilities Verify patient insurance eligibility, benefits, and coverage details prior to appointments, including copays, deductibles, referrals, and authorization requirements. Contact insurance carriers via phone or online portals to confirm active... 
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    Work at office

    Delaware Orthopaedic Specialists

    Wilmington, DE
    2 days ago
  • Weston County Health Services (WCHS) is seeking a full-time Pre/Prior Authorization Specialist for its on-site locations in Newcastle, WY. The role coordinates insurance authorizations and pre-certifications to ensure services are approved before delivery, supporting financial... 
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    Full time

    Wyohospitals

    Newark, DE
    3 days ago
  •  ...registration, the PAS II is responsible to resolve eligibility and authorization issues with accounts. The PAS II assists with the training of...  ...applicable). 10. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as... 
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    Hourly pay
    Full time
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    Afternoon shift

    Bayhealth

    Dover, DE
    4 days ago
  • Weston County Health Services (WCHS) seeks a Full Time Pre/Prior Authorization Specialist to support our team by coordinating insurance authorizations and ensuring services are approved before they are rendered. This on-site position in Newcastle, WY offers growth in a... 
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    Full time

    wchs-wy

    Newark, DE
    3 days ago
  •  ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What you'll bring: Education: PharmD or Bachelor of Pharmacy. Licensure: Active... 
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    Remote work

    Pharmacy Careers

    Newark, DE
    3 days ago
  • $20 - $23 per hour

     ...Job Title: Remote Pharmacy Technician - Prior Authorization Review Job Description This remote Pharmacy Technician role focuses on reviewing pharmacy prior authorization requests for a large health insurance pharmacy services department. You evaluate coverage determinations... 
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    Actalent

    Dover, DE
    16 hours ago
  •  ...with a friendly demeanor Schedule, cancel and reschedule patient appointments Print out electronic orders for patients Submit prior authorization requests Scan and upload documents to the patient’s electronic medical record Ability to competently handle patient calls... 
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    Full time
    Work at office
    Local area

    Nephrology Associates P.A

    Newark, DE
    3 days ago
  • $87k

     ...activities that support accurate and timely revenue capture. In this role, you will manage registration, insurance verification, and prior authorizations, ensuring a smooth and transparent financial experience for patients. You will serve as an escalation point for challenging... 
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    Ensemble Health Partners

    Lewes, DE
    16 hours ago
  • $300k

     ...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so... 
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    Legion Health

    Dover, DE
    2 days ago
  • $23 - $30 per hour

     ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such... 
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    Hourly pay
    Contract work
    Local area
    Night shift

    Allan Myers

    Georgetown, DE
    3 days ago
  • $15 - $17 per hour

     ...Healthcare Coordinator plays a critical role in managing referrals, authorizations, and ensuring patients can follow through on their care plans....  ...patient referrals and coordinate with providers Manage prior authorizations for services Communicate with patients by... 
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    Casual work
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    Addison Group

    Wilmington, DE
    4 days ago
  • $91k - $150k

     ...requests, renewals, and reviews. Exercises single signature approval authority for Intraday and Card credit exposure per applicable approval...  ...commercial credit training or equivalent work experience.Prior experience in a high volume production environmentSuperior teamwork... 
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    Full time
    Work experience placement
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    Flexible hours
    Day shift

    Bank of America

    Newark, DE
    5 days ago
  •  ...HCP offices, billing staff, and coordinators on payer policies and coverage criteria. The role requires strong knowledge of prior authorization, denials, and appeals, with a track record of cross-functional collaboration and strategic account planning. #J-18808-Ljbffr... 
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    Local area

    Alexion

    Wilmington, DE
    4 days ago
  • $25 - $27 per hour

     ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such... 
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    Hourly pay
    Contract work
    Work experience placement
    Night shift
    Weekend work

    Allan Myers

    Greenwood, DE
    4 days ago
  • $17 per hour

     ...instructed by the nurse care manager. Assist the nurse care manager and the project coordinator with collecting information for prior authorizations or other activities as needed. Supply & Equipment Management Maintain and inventory clinical supplies and equipment.... 
    Full time
    Immediate start
    Monday to Friday

    Brandywine Counseling and Community Services, Inc

    Wilmington, DE
    1 day ago
  • $26 - $31 per hour

    Come join our amazing team and work remote from home! The Loss Mitigation Underwriter II will be responsible for underwriting loss mitigation applications in accordance with Treasury, Company and Investor guidelines while following company's policies and procedures under...
    Hourly pay
    Remote work
    Work from home

    Carrington

    Dover, DE
    1 day ago
  •  ...interventions, and oversee specialty medication therapies. Additional duties encompass supporting patient access to medications through prior authorizations and financial assistance programs, precepting pharmacy students and residents, contributing to research and quality... 
    Monday to Friday

    Soliant

    Dover, DE
    3 days ago
  •  ...Medical Offices, and physicians. 7. Notifies providers and patients of requirements during scheduling process. 8. Initiate prior authorizations, and referrals. 9. When needed, execute necessary steps and documents to establish medical necessity when appropriate. 10. Ensures... 
    Hourly pay
    Full time
    Shift work

    Bayhealth

    Dover, DE
    3 days ago
  •  ...billing process. Primary Responsibilities Post and reconcile insurance payments, adjustments, and denials accurately. Assist with Prior Authorizations Review outstanding and denied claims and take appropriate action to obtain payment. Research denial reasons and submit... 
    Work at office
    Weekend work

    Big Sky I.V. Care

    Dover, DE
    1 day ago
  • $44.9k - $60.2k

     ...interacting with other departments to assist with member problems or questions and act as facilitator to resolve them regarding prior authorization or obtaining medications. Attend scheduled team meetings and provide relevant feedback regarding workflow issues.... 
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
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    Home office

    CenterWell

    Dover, DE
    19 hours ago
  •  ...Hematology, and Nephrology therapies. You will educate HCP offices, billing staff, and patient services on reimbursement processes, prior authorizations, and access navigation in a field setting. The role requires strategic account planning, strong communication, and travel up... 

    AstraZeneca

    Wilmington, DE
    3 days ago
  •  ...boundaries. Healthcare‑System and Access Fluency: Build working knowledge of payer and provider dynamics, reimbursement and prior‑authorization processes, access barriers, support resources, and appropriate escalation—equipping reps to recognize and sell through barriers... 
    Work at office
    Flexible hours
    3 days per week

    AstraZeneca GmbH

    Wilmington, DE
    1 day ago
  • $25k

     ...the branch network channel. Adjudicate primarily new credit requests (of $25,000 or less) in accordance with designated approval authority with group credits and/or renewals (up to $100,000). Prepare credit analysis for commercial loan applications and enter credit applications... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    M&T Bank

    Wilmington, DE
    6 days ago
  •  ...lectures to understand trends. Telephone prescriptions to a pharmacy; authorize drug refills as directed. Perform other clinical functions as delegated and supervised by the physician. Prior authorizations Standing, sitting, walking, stooping, stretching,... 
    Full time
    Work at office

    Atlantic Medical Management

    Wilmington, DE
    3 days ago
  •  ...is not in the system. Prepares necessary patient paperwork prior to patient's appointment. Calls "No Show" appointments to reschedule...  ...status and assigns correct payor type. Verifies if prior authorization from insurance is required; notifies Billing Department, if... 
    Part time

    QualDerm Partners

    Hockessin, DE
    2 days ago
  • $136k - $200k

     ...ensuring closed-loop communication with referring clinicians. Support patient access and affordability through coordination of prior authorizations, financial assistance programs, and benefit investigations. Provide clinical oversight for patients on specialty... 
    Permanent employment
    Locum

    Astrya Global

    Dover, DE
    2 days ago
  • Work At Home Vintage Experts LLC seeks experienced Commercial Lines Underwriters to work remotely from home, serving insurance carrier, MGA, or wholesale broker clients in the Middle Market space. You will conduct risk selection, make underwriting decisions on acceptability...
    Remote job
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    Work At Home Vintage Experts LLC

    Wilmington, DE
    2 days ago
  •  ...steps to obtain the records.Fits patients for durable medical equipment (DME) and completes all applicable paperwork.Obtains prior-authorizations for radiology and/or prescriptions, as needed.Keeps rooms clean and stocked with supplies.Maintains stock of medicines and... 
    Temporary work
    Work at office
    Work from home
    Flexible hours

    Clearway Pain Solutions

    Seaford, DE
    3 days ago
  • $45k - $47k

    Dover, DE - CCIT (Job Posting) Full time 43666 The AAA Advantage: ~ Ability to Sell Through Multiple Insurance Carriers ~ Opportunity to Build Your Book and Earn Renewal Income ~ Preferred Access to Millions of AAA Members ~ Company-Paid Incentive Trips for...
    Full time
    Work at office
    Local area
    Remote work
    Work from home

    AAA Mid Atlantic

    Dover, DE
    2 days ago