Average salary: $42,198 /yearly
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- ...agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Prior Authorization Specialist responsible for obtaining prior authorizations and precertifications for various medical services such as...SuggestedMinimum wageContract workTemporary workWork at officeLocal area
Medix
South Bend, IN2 days ago - ...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
$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- ...Job Summary: This individual is responsible for injection authorization, checking insurance benefits, and out of pocket expenses.... ...patient can have vs. which ones will require a sample or prior authorization. b. Performs a thorough benefits investigation...SuggestedWork at office
Talley Eye Institute
Evansville, IN5 days ago - ...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
Trilogy Healthcare Services
Indianapolis, IN5 days ago $38 per hour
...Medical Eligibility And Prior Authorization Specialist Pay: $38.00/hour Part-time, Hybrid position in Indianapolis In this role you will determine medical eligibility and provide prior authorization of services to families of participants with serious, chronic...SuggestedPart timeVergence Group
Indianapolis, IN1 day ago- ...follow-up 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...SuggestedFull timeH1bWork at officeWork visaShift workDay shiftWeekday work
ProgressiveHealth
Newburgh, IN1 day ago - ...to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure...SuggestedFull timeRemote work
- ...committed to providing convenience. Position Overview And Responsibilities We are rapidly growing and have an opening for a CSR/Prior Authorization Specialist in Batesville, IN. Hours of operation are M-F 8:30am-4:30pm, occasional Saturdays are required. We are looking...SuggestedFull time
$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 assistance...SuggestedTemporary workWork at officeImmediate startHome office$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- ...Insurance Verification Specialist Verifies insurance coverage to initiate and/or perform the referral process. Completes prior authorization processes and functions as a liaison between hospitals, physicians, patients and health plans. Authorizes insurance information...SuggestedWork experience placementWork at officeMonday to Friday
- ...treatment. Conducts daily review of individual cases and has necessary case level conversations as requested. This includes prior authorizations and denial decisions for cases that do not meet established evidence-based criteria Provides clear and concise documented...SuggestedPermanent employmentFull timeCasual workRemote work
quantum-health
Indianapolis, IN7 days ago - ...other hematologic disorders, and to their families.As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications. This role works collaboratively with...SuggestedWork at office
Innovative Hematology
Indianapolis, IN1 day ago - ...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
Indiana University Health
Plainfield, IN2 days ago - ...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 officeLocal areaRemote workWork from homeRelocation packageMonday to Friday
Frankfort Hospital
Noblesville, IN4 days ago $44 - $79 per hour
...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...Hourly payDaily paidMinimum wageFull timeWork experience placementLocal areaGenoa Telepsychiatry
Winamac, IN4 days ago- ...communication to patients, families, providers, and internal and external customers Coordinate patient care activities, including prior authorizations, referrals, medication refills, and communication between patients, providers, and the interdisciplinary care team...Local areaRelocation package
Franciscan Health
Munster, IN3 days ago - ...Patient Access and Authorization Specialist Job Description NorthStar Behavioral Health is seeking an organized and professional... ...responsibility is to verify insurance eligibility and secure prior authorizations to ensure patients receive timely care while...Hourly paySummer workMonday to Friday
The Crossroads Center
Guilford, IN23 hours ago - ...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...
Grant Blackford Mental Health
Marion, IN1 day ago - ...responsible for processing internal, incoming, and external referrals for all ambulatory services. This position will obtain prior authorizations, schedule patients, work inbound and outbound phone calls. PEAC Referral Management Specialists are responsible to engage in...Local area
Franciscan Alliance
Mishawaka, IN3 days ago - ...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...Full timeTemporary workLocal areaRemote work
- ...opportunity to provide exceptional patient care in a fast-paced cardiology clinic setting. The RN will be responsible for medication prior authorizations, triaging patient messages, prescription refills, and procedure scheduling while collaborating closely with providers and...Full timePart timeLocal areaRemote workRelocation packageMonday to Friday1 day per week
- ...Medicine & Family Medicine Care team, conducting duties such as: phone triage, patient education, scheduling appointments, prior authorizations, prescription refill, referrals, care coordination and other related tasks as needed. The RN will work a hybrid schedule once...Work at officeRemote work
- ...Decatur County Memorial Hospital Authorization Referral Specialist At Decatur County Memorial Hospital (DCMH), we are more than a healthcare... ...Specialist is responsible for coordinating all aspects of the prior authorization and referral process. This includes insurance...Work at office
$20 - $22 per hour
...Prior Authorization Representative Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary - Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance...Hourly payWork at office- ...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
$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 FridayBashor Children's Home
Goshen, IN2 days ago$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 placementWork at officeLocal areaMonday to Friday$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
