Average salary: $42,198 /yearly
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- ...responsible for providing expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to... ...:Prioritize workload to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are...SuggestedFull timeWork at office
- ...Prior Authorization Specialist Are you searching for a Purpose? PurposeCare is Bringing Healthcare Home, and we want you to join our family! PurposeCare and its affiliate companies are looking for a qualified, dependable, honest, reliable, Prior Authorization Specialist...SuggestedTemporary workWork at officeLocal areaImmediate start
- ...operate within its assigned intermediate level of Underwriting Authority to evaluate, qualify and rate individual insurance applications... ...Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown...SuggestedRemote work
$7.5k
...for negotiation of services and ratesConsults on appeals, retro authorizations and collections issuesManage and maintain a live Spreadsheet... ...documentsSubmit requests for cost out of high-cost drugs with Prior authorizations as well as concurrent reviewsQualifications:Licensed...Suggested- ...Prior Authorization Specialist REPORTS TO: Connie Seals-Davidson POSITION SUMMARY : Responsible for essential administrative tasks in relation to Prior Authorization Submittal. QUALIFICATIONS: Must demonstrate excellent interpersonal skills; both...SuggestedWork at office
$50k
...Completion of the template forms that provide patient level benefits Coverage Determination Summary. Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance. Patient Assistance: Review of patient...SuggestedTemporary workWork at officeImmediate startHome office$19 - $23 per hour
...Specialist is responsible for confirming all coverage for patients prior to the day of service. They are also responsible for informing... ...companies to verify coverage and the need for a prior authorization Maintain an open line of communication with the front desk staff...SuggestedWork at officeRemote workHome office- ...are pursuing a job of purpose that impacts the lives of patients. Job Summary We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient procedures. The primary responsibilities of this role...SuggestedWork at officeRemote workFlexible hours
- ...visits to yield optimal visits per treatment plan Verifying patient's insurance in advance to ensure that necessary prior authorizations by payors have been obtained Educating patients confidently about their coverage and payment responsibilities as it relates...SuggestedFull timeWork at officeShift workDay shiftWeekday work
- ...Prior Authorization Pharmacy TechnicianIU Health has an exciting opportunity as we expand our Pharmacy Refill and Pharmacy Prior Authorization Departments. This position will be based in Plainfield, IN out of our Integrated Service Center but will eventually provide the...SuggestedWork at officeRemote workWeekend work
$7.5k
...negotiation of services and rates Consults on appeals, retro authorizations and collections issues Manage and maintain a live... ...documents Submit requests for cost out of high-cost drugs with Prior authorizations as well as concurrent reviews Qualifications...SuggestedFlexible hours- ...medication management processes.Coordinating with pharmacies, providers, and insurance companies regarding prescriptions and prior authorizations.Following up on lab results and clinical orders to ensure continuity of care.Educating and supporting clients regarding...Suggested
- ...ensure patients receive timely access to surgical care by coordinating insurance eligibility, benefits, precertifications, and prior authorizations. You will serve as an important connection between patients, providers, surgical teams, clinic staff, and insurance...SuggestedWork at office
- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedFull timeTemporary workLocal areaRemote work
$20 - $21 per hour
...Job Description Prior Authorization Representative Job Description Client Profile- An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary- Prior Authorization Representative is responsible for securing inpatient/outpatient...SuggestedHourly payWork at office- ...individual assists the physician, anesthesiologist and other team members during the surgical procedure, precertifications and prior authorizations for medications. Responsible for equipment, room preparation, maintaining and assuring sterile technique and proper patient...Work at officeShift workWeekend work
$20.98 - $30.12 per hour
...recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts. Handles patient concerns...Immediate startRemote work$18.22 - $25 per hour
...radiology exams, and appointments with specialists as requested. Enter all check-in/check-out information in the EMR and perform prior authorizations as needed. Notify office referral specialist when insurance referral is required.Assist providers with office exams and...Temporary workWork at officeMonday to Friday- ...patients. Enters all information pertaining to check-in/check-out as necessary in an appropriate manner in the EMR. Performs prior authorizations as required. Notifies office referral specialist when insurance referral is required.Assists provider with office exams,...Work at officeMonday to Friday
$21 per hour
...established objectives and report the information to the OTR.Assist the OTR during assessments with formal documentation.Prepare prior authorizations for residents.Prepare therapy materials and/or equipment for use in the classroom and therapy activities.Adapt or modify...Monday to Friday- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...Ongoing contractMonday to FridayFlexible hours
- ...systemsExperience in respiratory/allergy or other healthcare salesFamiliarity with managed care, formularies, retail pharmacy operations, prior authorization processesStrong presentation, influencing and business planning skillsSelf-starter with attention to detail and ability to...Local areaNight shift
- ...educate providers on coverage, coding, and payment requirements across CMS and commercial payers. The role includes supporting prior authorizations, appeals, and denial resolutions, while identifying barriers and developing strategic plans. The candidate will train...
- ...Responsibilities Review and interpret medical records, physician notes, and clinical documentation to identify required information for prior authorization submissions. Prepare, compile, and submit accurate prior authorization requests in accordance with payer guidelines and...Work at officeMonday to Friday
- ...visit. In addition RN will assist physician with any patient care issues as well as follow up, such as prescriptions, refills, prior authorizations etc. Essential Job Duties: # Performs triage activities and prepares patient for physical examination. # Updates and...Full timeWork at office
- ...laboratory results and pathology results. Calling in prescription refills. Explaining procedures and treatments. Initiating prior authorizations. Schedules appointments and urgent visits as appropriate. Requirements: Associates degree or equivalent...Full timeWork at officeShift workDay shift3 days per week
$91.7k - $163.7k
...and outcomes Coordinate care with providers, payers, and manufacturers to ensure therapy access and continuity Oversee prior authorizations and utilization management, ensuring compliance with payer and program requirements Monitor effectiveness and safety of...Minimum wageFull timeWork experience placementLocal areaMonday to FridayWeekend work$18 - $22 per hour
...Job Title: Remote Pharmacy Technician (prior authorization review) Job Description As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center,...Contract workTemporary workWork at officeRemote workMonday to Friday- ...Sr Pharmacy Technician - Specialty Prior Authorization The Sr Pharmacy Technician will perform the duties of a pharmacy technician, and advanced technician work, in compliance with standard procedures, Joint Commission, State Department of Health, and other regulatory...
$18 - $20 per hour
...key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care...Hourly payFull timePrivate practice
