Average salary: $42,198 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote work- ...providing convenience. Position Overview and Responsibilities We are rapidly growing and have an opening for a Nutritional CSR/Prior Authorization Specialist in Indianapolis, IN. Hours of operation are M-F 8:30am-4:30pm. We are looking for candidates with excellent...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...SuggestedTemporary workWork at officeImmediate startHome 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...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
- ...Miller's Health Systems in Warsaw, IN, seeks an Insurance Specialist to manage prior authorization and certification approvals for insurance billing. The ideal candidate will demonstrate strong communication skills, attention to detail, and the ability to multi-task effectively...Suggested
$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$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- ...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
- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
- ...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 relates...SuggestedFull timeH1bWork at officeWork visaShift workDay shiftWeekday 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- ...Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Obtain prior authorizations for treatments by: Answers the many questions phoned in regarding insurance problems. Delivers accurate documentation...SuggestedWork experience placementShift work
- Georgespharmacy seeks a Nutritional CSR/Prior Authorization Specialist for its Indianapolis location. This full-time role involves ensuring claims meet medical necessity and working directly with insurers for verification and resolution. The ideal candidate excels in customer...SuggestedFull time
- ...The role involves navigating Availity Essentials and major payer portals, verifying coverage, managing claims, and handling prior authorizations. Ideal candidates should have over 2 years of experience in a healthcare administrative role with deep knowledge of eligibility...SuggestedRemote work
$100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...Full timeLocal areaRemote work- ...facing services within the Revenue Cycle System Services. Key responsibilities include scheduling, insurance verification, and prior authorization. Candidates should have strong insurance experience, critical thinking skills, and at least one year of relevant experience....Full timeRemote 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...Remote workWork from home
- ...chart audits, and continuous survey readiness Coordinate care with physicians, discharge planners, and case managers Support prior authorization and Medicare/Medicaid documentation requirements Required Qualifications Active, unrestricted Indiana RN license in good standing...
- ...Available! Nursing skills gained: Symptom Management of Disease Process Care Navigation and care management. Utilize tools for Prior Authorization, Insurance risk/denial, work with all disciplines of healthcare for patient care needs. Critical thinking skills Patient and...Full timeRelocation package
- ...Available! Nursing skills gained: Symptom Management of Disease Process Care Navigation and care management. Utilize tools for Prior Authorization, Insurance risk/denial, work with all disciplines of healthcare for patient care needs. Critical thinking skills Patient and...Full timeLocal areaRelocation package
- ...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
- ...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....Remote work
- ...Prior Authorization Pharmacy Technician IU 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...Work at officeRemote workWeekend work
- Position The Senior Accident & Health Underwriter is responsible for reviewing and analyzing underwriting data to ensure a profitable book of International Medical and Travel Insurance business. Acting within established underwriting guidelines, this role evaluates new...Work at officeLocal area
- ...with HCPs and office staff Utilize data, insights, and reporting tools to drive performance Navigate and support prior authorizations (PA) and pharmacy pull-through processes Consistently meet or exceed sales targets while operating within compliance guidelines...Work at office
- ...orders using multiple systems. 5. Retrieve, print, and scan imaging results when not automatically received. 6. Complete prior authorizations for imaging services. 7. Receive, review, and manage incoming faxed imaging results. 8. Organize and process all imaging...Work at officeLocal areaMonday to Friday
- ...the patient experience. Handle all aspects of inpatient hospital discharge: post-discharge follow-up appointments, medication prior authorizations and outpatient phone calls for any clinical concerns after discharge. Participate in daily huddles. Collaborate with nurse...Full timePart timeRelocation packageMonday to FridayDay shift
- ...patient, and ensures maximal use of available health coverage resources for each patient. Completes pre-certification and prior authorization timely for admission and or services. Documents all insurance information appropriately on forms and in computer system as...Full timeMonday to Friday
- ...addition, the CMA will assist the provider with any patient care issues including but limited to follow up, prescription refills, prior authorizations, vital signs, scheduling, referrals, etc. The CMA will contribute to a positive patient experience. The CMA will be an...Full timeWork at officeLocal area
