Average salary: $68,868 /yearly
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$150k - $250k
...Equipment, CPM/CPE, Machinery Breakdown, ALOP/DSU) within delegated authority. Negotiate terms, conditions, and pricing to ensure... ...visas. Recruitment agencies: All resumes submitted without prior HR authorization will be considered unsolicited. HDI Global...SuggestedTemporary workLocal areaVisa sponsorshipWork visaFlexible hours- Cardinal Health is hiring a Senior Coordinator for Prior Authorization to work fully remote in Atlanta, GA. This role involves obtaining and tracking payer approvals for durable medical equipment orders and conducting phone follow-ups to ensure timely processing. The ideal...SuggestedRemote work
- ...affordability. Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to improving patient health outcomes by offering a pharmacist-...Suggested
$20 - $23 per hour
...Soleo Health is seeking a Prior Authorization Coordinator to support their Specialty Infusion Pharmacy in a remote role. This position involves maintaining prior authorizations, verifying insurance benefits, and providing customer service to patients and providers. The...SuggestedHourly payRemote work- ...Insurance Verification/Authorization Specialist Our busy practice is growing and we have an immediate need for an Insurance Verification... ...every turn. The right person will demonstrate: Proven prior relevant experience including Insurance Verification, Prior Authorization...SuggestedWork at officeImmediate startWeekend work
- Pruitthealth Corporation in Norcross, Georgia is seeking an Authorization Specialist. This role ensures patients receive timely and authorized... ...healthcare services by verifying insurance coverage, securing prior authorizations, and collaborating with insurance companies and...Suggested
- ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You perform fluoroscopy-guided RFA with... ...Administration: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a...SuggestedFull timePart timeWork at office2 days per week3 days per week1 day per week
- ...scheduling appointments. The PatientAccess Specialists role includes scheduling physician ordered exams, obtaining pre-certification/prior-authorization (as required), collecting patient responsibilities, and registering patients system-wide. RESPONSIBILITIES: * Obtain and...SuggestedFull timeWork at officeShift work
- PruittHealth is seeking an Authorization Specialist in Norcross, GA to ensure timely and authorized healthcare services for patients. The specialist will engage in insurance coverage verification, prior authorization processes, and collaboration with various stakeholders...Suggested
- ...including mailed-in requests from providers and members Intake Pre-Authorization requests and/or inquiries on existing pre-authorizations via... ...disruptions, natural disasters, and to process incoming Prior Authorization requests received via mail from Providers and Members...SuggestedLocal areaRemote workMonday to FridayFlexible hoursShift workWeekend work
$50 - $55 per hour
...Job Title: Clinical Pharmacist Job Description The Clinical Pharmacist evaluates prior authorization and appeal requests by reviewing clinical documentation and making coverage determinations based on established criteria. This role focuses on clinical evaluation...SuggestedContract workTemporary workWork at officeRemote workWork from homeHome office- ...lives. Work Shift Day (United States of America) Job Summary: The Enhanced Benefits Coordinator serves as the hub for prior authorizations associated with key service lines within the medical center as well as health system clinics. This position will obtain...SuggestedWork at officeShift work
- ...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 work
- Elevance Health is seeking an Authorization Representative II to manage prior authorization requests at BioPlus Specialty Pharmacy. This role requires a minimum of 2 years’ experience processing pharmacy prior authorizations and knowledge of Medicare and Medicaid guidelines...SuggestedWork at officeRemote work2 days per week1 day per week
$68.5k - $88.02k
...experience with URAC and ACHC specialty pharmacy accreditation standards and survey readiness Experience optimizing patient access, prior authorization, and reimbursement workflows Strong analytical skills with experience using data to drive operational and performance...SuggestedTemporary workLocal areaImmediate startFlexible hours- ...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
- ...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...Remote workWork from homeFlexible hours
$75k - $98k
Job Type Full-time Description WHY NORTH RISK PARTNERS Are you interested in doing work that matters everyday with an organization intentional about building and living out a values-driven team culture? North Risk Partners is a fast-growing firm dedicated...Full timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shift$94.4k - $293.8k
...Qualifications Clinical background (RN, MD, PA) or significant experience working with clinical leaders Experience with prior authorization, or throughput optimization Exposure to EHR‑enabled workflow redesign (e.g., Epic, Cerner) Ability to translate clinical...Work at officeLocal areaWorldwide- ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You focus on performing RFA with precision... ...Burden: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a patient...Full timePart timeWork at office2 days per week3 days per week1 day per week
- ...eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and... ...certification process. Confirms referring physician has obtained prior authorization as needed from insurance company for all...Contract workWork at office
$18 - $20 per hour
...Actalent is hiring Pharmacy Technicians for a 100% remote position. You will be responsible for reviewing prior authorizations, processing prescription exceptions, and ensuring patient support. Candidates must have at least 2 years of experience and be able to work independently...Hourly payRemote work- A secret healthcare partner is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity in a managed care environment. This fully remote role offers flexibility and opportunities to impact patient access to medications...Remote work
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The ideal candidate will hold a PharmD or Bachelor of Pharmacy, possess an active U.S. pharmacist license, and have experience...Remote workWork from homeFlexible hours
$1,150 - $1,450 per month
...expertise in areas such as commercial group and individual plans, government programs (Medicare, Medicaid, ACA marketplace), prior authorization workflows, and insurance regulation to evaluate and enhance AI performance on health insurance-specific tasks. This is a project...Remote jobHourly pay- ...supported by a robust local referral network Dedicated support staff: two or more medical assistants trained to scribe, manage prior authorizations, and perform patient follow-up Modern, well-appointed facilities with specialized equipment and dedicated procedure rooms...Local areaImmediate startFlexible hours
- ...patient meets the criteria for covered home healthcare services based on their medical diagnosis and insurance policy. Initiate prior authorization requests for specific treatments or services when necessary. Explain the verification process to patients and address any...Full timeWork at officeRemote workWork from homeMonday to Friday
- .... Work Shift Day (United States of America) Job Summary: The Medication Assistance Coordinator serves as the hub for prior authorizations, patient assistance programs, co-payassistance program, foundation programs, and additional programs allowing patients to access...Work at officeShift work
- .... You will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
$15.9 - $17 per hour
...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hours



