Average salary: $42,198 /yearly
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- ...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
- ...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 (FT, Days) Job Category : All Jobs Requisition Number : PRIOR001245 Apply now Posted : May 27, 2026 Full-Time On-site Locations Showing 1 location Perry County Memorial Hospital Tell City, IN 47586, USA Description Education: High school...SuggestedFull timeWork at office
- ...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 officeImmediate start
$23 per hour
...pharmacy! See below for open job opportunities. If you do not see any listings at this time, please check again later. Position: Prior Authorization Specialist Location: Indianapolis, IN Job Id: 707 # of Openings: 1 Pharmacy Prior Authorization Specialist – CareMed...SuggestedFull timeTemporary workLocal areaRemote workRelocation packageShift work$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$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work- ...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
- ...review of all referrals as designated by hospital assignment, which includes submitting insurance benefit verifications and prior authorizations. Additionally, in this role you will approve or escalate referrals based on clinical or financial capabilities of each campus...SuggestedWeekly payLocal area
$50k - $300k
...pharmacy benefits plans. Complete template forms that provide patient level benefits Coverage Determination Summary. Coordinate prior authorizations based on payer guidelines and in compliance with law, regulation or guidance. Review patient assistance enrollment forms and...SuggestedTemporary workWork at officeImmediate startHome office$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work$84.5k - $162k
...preferred or relevant and equivalent industry experience required. 2 or more years of experience working with drugs requiring prior authorization and use of specialty pharmacies for prescriptions to be filled. Strong understanding of drug acquisition and dispensing in...SuggestedTemporary workWork at office- ...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 timeH1bWork at officeWork visaShift workDay shiftWeekday work
- ...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...SuggestedWork at officeShift workWeekend 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
- ...necessity for prescribed medications, coordinating with physicians and insurers. The role focuses on accurate documentation and timely authorization for inpatient and outpatient services. The candidate will review clinical information, verify codes, and support patient access...
- ...with responsibilities including managing sick calls, processing medication refills, coordinating DME orders, and completing prior authorizations. Our clinic fosters a collaborative and supportive environment where providers trust and value your clinical judgment and input...Full timePart timeWork at officeRemote workWork from homeRelocation packageMonday to Friday
$17 - $18 per hour
...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 workWork from homeHome officeFlexible hours$17 - $18 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...Full timePrivate practice- ...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
- ...staff to resolve medication-related issues Support medication access and affordability initiatives, including insurance and prior authorization coordination as needed Maintain compliance with all regulatory and organizational policies Adapt to workflow needs...ReliefFlexible hours
$17 - $19 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...Full timePrivate practice$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Full-Time | Starting at $23.00/hr and up Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST Full-Time position working out of the State of Indiana. This position may work remotely...Full timeTemporary workRemote workRelocation packageShift work- ...Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.Develop knowledge and understanding in...Full timeTemporary workWork at officeFlexible hours
- ...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 jobWork from homeFlexible hours
- ...with responsibilities including managing sick calls, processing medication refills, coordinating DME orders, and completing prior authorizations. Our clinic fosters a collaborative and supportive environment where providers trust and value your clinical judgment and input...Full timePart timeWork at officeRemote workWork from homeRelocation packageMonday to Friday
$500 per month
...Manager Ensures all phone messages, faxes, and interdepartmental mail are addressed immediately Responsible for attaining prior authorizations and maintaining a system to track from start to finish Provides and supervises new employee orientation Provides CLIA...Full timeTemporary workWork at officeLocal areaImmediate startFlexible hours$50k
...with relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients... ...communicate patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements....Temporary workWork at officeImmediate startHome officeMonday to FridayFlexible hoursShift work- ...admissions. Collaborate with community leadership regarding referrals requiring additional review or consideration. Obtain prior authorizations and verify payer requirements for admissions as appropriate. Ensure long-term care admission workflows are followed in...Work at officeImmediate startRemote workFlexible hours
- ...oriented with strong communication and customer service skills Knowledge of medical terminology, insurance processing, and prior authorizations preferred Familiarity with home care regulations and community resources Proficient in Microsoft Word and Excel...Hourly payWork experience placementWork at office

