Average salary: $150,000 /yearly
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$20 - $21 per hour
...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the...SuggestedTemporary workShift work$21 per hour
...associated with their medical conditions and facilitating necessary authorizations. Qualifications Strong and accurate data entry skills.... ...industry environments is highly desirable. Must have prior authorization experience. Ability to multi-task and manage...SuggestedWork at officeLocal areaShift work- ...Description Title: Clinical Pharmacist Duration: 3 months Shift: 9am to 6pm EST Responsibilities Reviews a completed prior authorization request received from the provider and/or reviews the pharmacy technician’s recommended denial, suggested formulary...SuggestedWork at officeShift work
- ...components for K level and patient goals. Optimize fit, alignment, and safety. Produce Medicare compliant notes within LCD, Prior Authorization, and NCCI rules that stand up to audit. Close the loop with referring providers. Track outcomes, falls, and functional...SuggestedFull time
$18 - $21 per hour
...out processes to provide a positive patient experience. Insurance Management: Verify insurance information and handle prior authorizations and referrals. Scheduling: Organize appointments, reminders, and chart preparation. Clinical Support: Assist with...SuggestedPermanent employmentTemporary workMonday to Friday$21 - $24 per hour
...patient’s conditions. Perform immunizations and injections Perform phlebotomy Document patient care Complete medical prior authorization and documentation requirements Collaborate with clinic team members to coordinate patient services. Creating a warm,...SuggestedHourly payFull timeImmediate startRelocation packageDay shift- ...with patient care as directed Handle patient calls for both own patients and the physician's Complete daily refills, prior authorizations, and inbox tasks Organization Information ~ Established private endocrinology practice Compensation Year...SuggestedPart timeSummer workPrivate practiceMonday to Friday3 days per week
- ...Prior Authorization Representative 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...Suggested
- ...continuing education to stay abreast on new techniques and procedures in the field of rheumatology Accurately code, ensure prior authorization for procedures, and document all encounters Adhere to state and facility telehealth guidelines if applicable About...SuggestedPermanent employmentFull timeLocum
- ...education and support to patient and their families, work within a multidisciplinary team, and telephone triage. Complete prior authorization for procedures and medication Manage patient communication, including in-basket messages and follow-up coordination....SuggestedContract workWork experience placement
- ...candidate will have at least 3 years of nursing experience in a critical care setting and be skilled in medical necessity reviews and authorization processes. Responsibilities include coordinating with providers, maintaining documentation, and following medical guidelines....Suggested
$120k - $150k
...new consultations and follow-ups). ~ Review incoming test results and patient messages. ~ Manage prescription refills and prior authorizations for inhalers, biologics, or equipment. ~ Participate in case discussions and continuing medical education (CME) related to...SuggestedFull timeWork at office- ...Pharmacy Prior Authorization Specialist Do you want to work for a Fortune 500 company and be a part of a new area of growth? We need Pharmacy Prior Authorization Specialists that are looking for a new and exciting opportunity! The Pharmacy Prior Authorization Specialists...Suggested
- ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex...SuggestedRemote work
- ...Network's Infusion Center. The rheumatologist will clinically oversee the practices of staff, to include an infusion nurse, prior authorization specialist and billing to ensure timely access to infusion services and payment from payors. A collaborative model with other...SuggestedPart time
- ...experience a plus · Iknowmed Gen2 or any EMR experience a plus · Covermymeds experience preferred · Prior authorization experience a plus Excellent communication skills Detail oriented Ability to provide excellent, caring, respectful...Full timeWork at office
$55.1k - $99k
...Provides members and health care professionals with medication-related information and education. ~ Participates in the prior authorization review and appeals processes. ~ Participates in the organization's quality management and improvement activities ~ Participates...Full timePart timeWork at officeLocal areaRemote workFlexible hours$20 per hour
...tasked with resolving customer complaints, processing new pharmacy referrals, verifying insurance coverage, and facilitating prior authorization requests. Accurately transcribing prescriptions, generating cycle fill calendar reports, and coordinating delivery are also key...Permanent employmentContract workTemporary workWork at officeMonday to FridayShift workDay shift- .... Operational Oversight Lead and mentor a team of life underwriters and underwriting managers. Establish underwriting authorities, guidelines, and quality control processes. Review and approve high-value or complex life applications exceeding underwriter authority...Local areaRelocation package
$500 per month
...Schedule pre- and post-operative appointments and assist with patient inquiries. # Confirm patient insurance coverage and obtain prior authorizations if required. # Accurately complete patient charting and documentation. # Pathology log management: Act as liaison...Full timeTemporary workWork at officeLocal areaImmediate start- ...care Administrative Responsibilities Schedule patient appointments and follow-ups Call in prescriptions and obtain prior authorizations Maintain patient records and ensure accurate charting in chart Respond to Patient messages referral requests and test...
- ...rectal exams and hemorrhoid banding procedures. Performing testing such a Fibroscans, bone density and breath tests. Prior authorizations for medication and infusion drugs. Maintaining logs for expiring infusion medication drugs with each patient's insurance...Full timeWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift
- ...including prescription management, follow-up appointments including in the NCH Palliative Care Clinic if indicated. Explore if prior authorization for pain medication is needed • Follow-up with patients and families after discharge • Provide education to nursing staff...Full time
$40.87 - $80.43 per hour
...(private), and/or Medicare Part D prescription drug plans, programs or formularies Experience in Coverage Determinations (prior authorization) or member appeals Pharmacy reimbursement (third party insurance, Medicare Part D formulary management, Medicaid) Careers...Hourly payWork experience placementRemote work- ...Practitioner, a pharmacist, medical residents who consistently rotate through, and a specialty medication coordinator who manages prior authorizations and collaborates with BayCare HomeCare Pharmacy for medication deliveries. Plan members on certain medications can receive...Temporary workLocal area
- Job Description Wright Flood Jr. Underwriters are expected to provide the best customer experience in the industry to all agent partners, policyholders and internal teammates alike. Teammates must embrace and exemplify our Mission, Vision, and Core Values. Teammates...Work from homeShift work
- ...limited to the following: Rates business according to company underwriting and pricing guidelines within individual underwriting authority limits and ensure standards for timeliness are met. Develops on-going relationships with agents, monitors profitability and...
- ...management tools and data review Develop, implement, and monitor individualized care plans Coordinate services including prior authorizations, PCP and specialist collaboration, medication review, and community resources Perform in-home and facility visits to...Contract workWork at officeRemote workMonday to Friday
- ...follow up treatment/procedures are needed Complete tasks, intra-mails, appointments scheduled, pathology results, pharmacy prior authorizations, insurance authorizations for surgeries Receive incoming calls through our surgical phone line and appropriately assist...
- Job Description Responsibilities Develop and execute marketing plan to drive new and renewal business, including in-person visits, telemarketing and distribution of marketing materials for insurance company partners Evaluate, classify, and rate each risk to determine...Worldwide


