Average salary: $42,198 /yearly
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- ...Prior Authorization Specialist (FT, Days) Job Category: All Jobs Requisition Number: PRIOR001245 Posted: May 27, 2026 Full-Time On-site Perry County Memorial Hospital Tell City, IN 47586, USA Description Education: High school diploma or equivalent...SuggestedFull timeWork at office
- ...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
- ...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
$16.75 - $21.75 per hour
...Cardinal Health is looking for a Senior Coordinator for Prior Authorization to handle payer approvals for durable medical equipment orders. This fully remote role requires 3-6 years of healthcare experience and strong communication skills. Responsibilities include obtaining...SuggestedHourly payImmediate startRemote work$20 per hour
...customer service, pharmacy support, patient access, insurance verification, pharmacy benefits management (PBM), specialty pharmacy, prior authorization, reimbursement support, or medical/pharmaceutical case coordination. In this role, you will work directly with patients,...SuggestedFull timeWork at officeMonday to FridayFlexible hours- ...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
- Elevance Health is looking for an Authorization Representative II for BioPlus Specialty Pharmacy in Indianapolis, Indiana. This role focuses on processing prior authorizations with a significant emphasis on accuracy and collaboration. The ideal candidate will have experience...SuggestedWork at office
$84.5k
...degree preferred or relevant and equivalent industry experience required. 2 or more years 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 officeLocal area- ...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
- A confidential managed care organization seeks a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access to therapies. This remote role offers flexibility and the chance to influence patient care, while requiring a PharmD...SuggestedRemote workWork from home
- ...rotating holidays, Call 1:3 Average outpatient volume: 18 - 20 patients per dayDedicated MA support and 1 MA dedicated for prior authorizations for the practiceOpportunity for outreach to Central Indiana health system locationsStrong primary care referral base - over...SuggestedFull timeTemporary workPart timeRelocation packageMonday to FridayFlexible hours
$27.02 - $48.55 per hour
...and substance abuse before, during, and after services to ensure level of care and services are medically appropriate Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory...SuggestedHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours- ...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...SuggestedReliefFlexible hours
- ...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
$16 per hour
...experience who are interested in developing expertise in insurance authorization, patient services, and healthcare operations. What You'll... ...communication and customer service abilities Preferred: Prior precertification, prior authorization, or insurance...SuggestedHourly payTemporary workWork at officeLocal areaShift work- ...this position you will be responsible for arranging referrals forpatients to providers outside of ODHS and obtaining Medicaid Prior Authorizations as needed for patient referrals to providers outside of ODHS. You will also track all referrals for completion and work...Full timeWork at office
- ...and patient record management processes Interpret prescriptions, enter patient and prescription information, and prepare prior authorization forms on behalf of providers Perform clerical and administrative duties that support daily pharmacy operations Maintain...
$16 per hour
...inquiries Schedule appointments accurately across multiple departments and specialties Assist with insurance verification and prior authorizations for procedures and surgeries Educate patients on payment options, including self-pay, billing processes, and available...Contract workTemporary work$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...Temporary workLocal areaImmediate startFlexible hours- ...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 combination...Full time
- ...transitions for high-risk patients, ensuring timely follow-up appointments Perform phone triage, medication refills, and prior authorizations within scope of licensure Document all patient interactions accurately and consistently in the EMR Quality Improvement...Work at officeRemote work2 days per week1 day per week
$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- ...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
$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- ...The Care Specialist provides support to patient care by coordinating referrals, performing prior authorizations, processing medical records and helping new patients navigate the Goshen Physician Network. Under the direction of designated coordinator and manager...Work at office
- ...Active Indiana Licensed Practical Nurse (LPN) License Previous Home Health experience required Knowledge of Medicaid Prior Authorization (PA) process strongly preferred Strong coordination, communication, and organizational skills Ability to manage multiple...
$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- ...Authorization Representative II Authorization Representative II Location: Hybrid1: This role requires associates be in the office 1... ...Authorization Representative II is responsible for the administration of prior authorizations requests for patients whose health plan...Work at office2 days per week1 day per week
- ...caregivers on diagnosis, medications, procedures, treatment plans and chronic care management. Initiate and follow through on prior authorizations, referrals, and medication refills. Establish a compassionate environment by providing emotional, psychological, and...Local areaMonday to Friday
- ...resource to clinic staff regarding medical information, patient assessment, and nursing management of illness Acquire pre-certs/prior authorizations for patient needs Qualifications ~ Associate's Degree - Required ~ Bachelor's Degree - Preferred ~ Valid RN...Local areaRelocation packageMonday to FridayDay shift

