Average salary: $150,000 /yearly
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- ...Prior Authorization Specialist Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete...SuggestedContract workRemote work
US Tech Solutions
Long Key, FL4 days ago - ...Authorization Specialist II - J00904 BCforward is currently seeking a highly motivated Authorization Specialist for an opportunity in 100... ...hour lunch Job Description: Acts as a resource and supports the prior authorization request process to ensure that all authorization...SuggestedFull timeTemporary workRemote workMonday to FridayShift work
BCforward
Miami, FL3 days ago - ...Position Summary GA Foods is seeking a detail-driven Prior Authorization Specialist to support our Accounts Receivable/Revenue Cycle Management team. This role is critical to ensuring payer authorizations are secured, accurate, compliant, and aligned with services...SuggestedLocal area
GA Foods Inc
Saint Petersburg, FL4 days ago - A leading healthcare organization is seeking a customer service professional to manage member intake and handle referrals in a fast-paced environment. Candidates should have at least 1 year of experience in healthcare, be bilingual in English and Spanish, and possess knowledge...Suggested
- ...Insurance Specialist I will also be responsible for facilitating authorization submittals, follow-ups, and appeals. QUALIFICATIONS:... ...or Specialty Pharmacy. ~0-2 years of experience in obtaining prior authorizations. ~0-2 years of experience coordinating benefits...SuggestedTemporary workWork at officeMonday to Friday
Patient Care America
Pompano Beach, FL4 days ago - ...involved in a wide range of support activities in our insurance and authorization department. You will also assist in creating policies,... ...providers to gather relevant clinical information and facilitate the prior authorization process. Monitor the status of authorization...SuggestedFull timeCasual workWork at officeShift work
$19 - $23 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. Responsibilities...SuggestedTemporary workLocal areaImmediate startAssistRx
Orlando, FL2 days ago- ...appointment via phone and mail; responsible for verifying eligibility and benefits through insurance companies including obtaining prior authorization; protects patient confidentiality, making sure protected health information is secured by not leaving it unattended; answer...SuggestedFull timeImmediate start
$14 - $24.02 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. # Provides coordination and processing of pharmacy prior authorization requests and/or appeals. # Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedHourly payWork experience placementLive inWork at officeRemote workMonday to FridayShift workMolina Healthcare
Orlando, FL16 hours ago$25 - $28 per hour
...Duration: 24 months Location: Virtual Connecticut 06355 (Remote) Pay Rate: $25 - 28/hr Patient Access Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works...SuggestedRemote workArtech
Cape Coral, FL4 days ago- ...A prominent health institution in Miami seeks an Oncology Prior Authorization Case Manager to conduct utilization reviews and ensure optimal patient outcomes. The position requires a Bachelor's degree and at least two years of relevant experience, ideally in oncology....SuggestedRemote work
University of Miami
Doral, FL3 days ago - ...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
Hire Talent
Orlando, FL16 hours ago $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 officeNational Health Partners , Inc.
Orlando, FL3 days ago- ...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
Provider Healthcare
Melbourne, FL16 hours ago $16.15 - $28.8 per hour
...and record requests in the EHR system Confirm scheduled appointments and follow up on missed appointments Medication and prior authorization requests You'll be rewarded and recognized for your performance in an environment that will challenge you and give you...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaOptum
Bradenton, FL1 day ago- ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband...Work at officeLocal area
PhyNet Dermatology LLC
Boynton Beach, FL23 hours ago $17.74 - $31.63 per hour
...clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...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....Contract workWork experience placement
University of South Florida
Tampa, FL4 days ago - ...dental experience. Bi-lingual candidates are preferred. The role involves organizing and presenting treatment plans, managing prior authorizations, scheduling, and ensuring effective communication with patients. Attractive benefits include health insurance and paid time...
- A healthcare service organization in Tampa, Florida, seeks a Prior Authorization Specialist to support coordination of services within contracting programs. The ideal candidate will manage referrals and maintain communication with clients, caregivers, and healthcare providers...Hourly payFull time
- ...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
$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to...Remote jobHourly payWork experience placementWork at office- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth...Remote jobWork from home
$17 - $23 per hour
A healthcare organization in Tampa is seeking a Prior Authorization Specialist to support its contracting programs. The role involves managing referrals, documentation, and communications in a fast-paced environment. Candidates should possess an associate degree along with...Hourly pay- 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
- ...seeking a Full-Time RN for Miami, requiring a Bachelor's degree in nursing and Florida RN license. The role involves performing prior authorization reviews, providing patient education, and maintaining communication with healthcare teams. Candidates should have at least 2...Full time
- A leading academic medical center is looking for an Oncology Prior Authorization Case Manager to work remotely. The successful candidate will conduct clinical utilization reviews, coordinate with healthcare teams for optimal patient outcomes, and communicate effectively...Remote job
- A leading health company in Florida seeks a Utilization Management Representative I to coordinate precertifications and prior authorizations. This virtual role offers full-time flexibility with essential in-person training. Candidates will manage incoming calls, determine...Remote jobFull time
- Work Location: UHealth Tower Core Job Functions Adhere and perform timely prospective reviews for services requiring prior authorization. Follows the authorization process using established criteria as set forth by the payer or clinical guidelines. Accurate review of...Full timeWork at officeWorldwide
$14 - $24.02 per hour
...customer service skills. Responsibilities include assisting Medicaid members with their pharmacy-related inquiries and processing prior authorization requests. This position offers flexible shifts and a competitive hourly pay range from $14 to $24.02, depending on experience...Remote jobHourly payFlexible hours
