Average salary: $61,802 /yearly
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- A healthcare solutions provider in Missouri seeks a skilled Authorization Specialist to manage financial clearance processes critical for patient admissions. The ideal candidate will ensure compliance with authorization requirements while exhibiting high attention to detail...SuggestedRemote job
- ...Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures at... ...coordination of care by verifying insurance eligibility, obtaining prior authorizations, and entering necessary demographic and insurance...SuggestedFull timeWork at officeLocal area
Trinity Health
Des Moines, IA22 hours ago - A major nonprofit health care provider is seeking a skilled individual for an essential role in managing medication prior authorizations for infusion centers. This position requires attention to detail and excellent communication skills as it involves interactions with...SuggestedRemote job
- ...denied claims, and resolve billing issues with insurance companies. Verify patient insurance benefits and coverage, including prior authorizations and eligibility checks. Process patient billing statements, post payments, and reconcile accounts. Respond to billing...SuggestedFull timeWork at office
Family Access Center
Sioux City, IA2 days ago - ...Business Configuration Sr. Coordinator who will be responsible for developing operational performance and managing projects for prior authorization criteria within the claims platform. The ideal candidate will have strong communication skills, critical thinking abilities,...SuggestedFull timeContract work
- ...ARNP, and a part time neuropharmacologist. You will be supported by your own nurse, experienced in neurology, who will handle prior authorizations and help field phone calls and portal messages. You will be replacing a quality retiring physician whose patients are...SuggestedPart timeWork at officeVisa sponsorshipFlexible hours
UnityPoint Health
Des Moines, IA22 hours ago - Additional Information About the Role BJC HealthCare is seeking an Authorization Specialist- Oncology team member who will be obtaining... ...healthcare professional with experience in oncology infusion and/ or prior authorization with a strong attention to detail. Overview...SuggestedFlexible hours
$26.41 - $61.79 per hour
...eligibility, benefits, and expected length of stay for requested treatments and procedures. Conduct thorough reviews to determine prior authorization and financial responsibilities. Process requests promptly within the required timelines. Refer complex cases to medical...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Cedar Rapids, IA5 days ago$26.41 - $61.79 per hour
...Identify appropriate benefits, eligibility, and the expected duration of treatments and/or procedures. Conduct reviews to determine prior authorization and financial responsibilities for both Molina and its members. Process requests within specified timelines. Refer cases to...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Ankeny, IA22 hours ago$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Davenport, IA2 days ago- ...responsible for verification and pre‑certification, notification and authorization of all admissions and / or outpatient visits. For all... ...to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital...SuggestedWork at officeImmediate start
$95k - $105k
Join to apply for the Underwriter-Life role at The Momba Group 1 day ago Be among the first 25 applicants Join to apply for the Underwriter-Life role at The Momba Group This range is provided by The Momba Group. Your actual pay will be based on your skills and experience...SuggestedFull time$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office$45.43 - $101.54 per hour
A leading healthcare provider is seeking a remote Clinical Pharmacist to evaluate prior authorization requests based on clinical criteria. This position requires an active pharmacist license, BCOP certification, and at least 2 years of clinical pharmacist experience. Responsibilities...SuggestedRemote job$94.5k - $193.6k
A leading health organization is seeking a Medicaid Prior Authorization Pharmacist to work remotely within the United States. The ideal candidate must hold an active TX or AZ pharmacist license and ideally have over 3 years of experience in a clinical environment. Responsibilities...SuggestedRemote job$174.07k - $374.92k
...precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy,...Hourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend work$26.01 - $68.55 per hour
...platforms/systems 1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel) Preferred Qualifications Prior authorization utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursAfternoon shift- ...setting. Lab and office duties as needed. This role will perform Medicare annual wellness visits, transition of care calls, prior authorizations for medication, and follow-up on no-shows among other duties. This position is generally scheduled as needed Mon-Fri 7:30...Work at officeShift workWeekend workAfternoon shift
- ..., and evaluate the anticipated length of stay for requested treatments and procedures. Conduct thorough reviews to determine prior authorization and outline financial responsibilities for the organization and its members. Process service requests efficiently within established...Work at office
Molina Healthcare
Des Moines, IA22 hours ago - ...patients post procedure until discharge. Enter patient orders for testing and follow up on test results. Send referrals for prior authorizations for treatment and diagnostic testing. Triage patient calls for providers and answer patient questions. Qualifications:...Full timeWork at officeWeekend work
Physicians Clinic of Iowa
Cedar Rapids, IA5 days ago - ...and surgeries, ensuring timely access and adherence to regulatory requirements. The role verifies insurance coverage, secures prior authorizations, and updates patient data in the Electronic Medical Record (EMR) system, ensuring accuracy and compliance. The role also...Daily paidTemporary workWork at office
Iowa Staffing
West Des Moines, IA22 hours ago $35 per hour
...patient care - valuates according to protocol and discusses with provider when indicated, managing medication refills, completing prior authorizations, assist with medication consents and contracts, and assist with the day to day operations of the clinic. Essential Job...Full timeTemporary workPart timeReliefInternshipWork at officeImmediate startMonday to FridayFlexible hoursShift workDay shiftAfternoon shiftAccess Dubuque
Dubuque, IA3 days ago- ...include: Patient interaction in-person, on my chart and on the phones, rooming patients, vitals, medication refills, medication prior authorizations. Education Graduate from an accredited program for Medical Assistants Graduate of accredited school of...Local areaMonday to Friday
McFarland Clinic
Ames, IA3 days ago - ...and obtain medical histories. Document into the electronic medical record. Provide patient education. Complete prior authorizations for procedures. Schedule or reschedule clinic and surgical appointments. Triage phone calls and respond to tasks....Full timePart time
WOLFE EYE CLINIC MASTER
Hiawatha, IA10 days ago - ...Facilitate physician communication pertaining to appointments both prior to and follow-up after. Facilitate coverage for appointments... ...and orders relating to appointments. Ensure prior authorizations are completed. Oversee vaccine program for inpatient children...Full timeFlexible hours
ChildServe
Johnston, IA10 hours ago - ...dose trays accurately.; Perform billing duties including updating computer pricing list each month, price updates, and billing patients in a timely manner.; Research prior authorization, follow up on third party vendor billing problems, and assist in insurance audits....
Avera Health
Cresco, IA2 days ago $27.67 per hour
...practice. Duties include assisting with direct patient care in the clinic and operating room, pre and post op patient teaching, prior authorizations, placing referrals, scheduling patients for surgical procedures, imaging and clinic visits. Education ~ Graduate...Work at officeLocal areaMonday to FridayMcFarland Clinic
Ames, IA5 days ago- ...reporting. Works closely with surgeons, nursing staff, medical records, and other departments. Assists with referral scheduling and prior authorizations (procedures, medications, imaging). Manages referral work queues and ensures schedules are accurate. Scans outside medical...Daily paidFull timeTemporary workMonday to Friday
UnityPoint Health
Waukee, IA22 hours ago $20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...For contractorsWork at officeLocal areaHighmark Health
Des Moines, IA5 days ago- ...employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today! Work Authorization/Sponsorship Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to...Full timeWork at officeWork visa
