Average salary: $84,450 /yearly
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- HCA Healthcare is seeking an Authorization Coordinator to manage prior authorizations, medical information gathering, and communication with insurance providers. The role supports timely appointments and claims processing within a hospital setting. The position requires...Suggested
- ...POSITION SUMMARY Position Summary: The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within SRHC. This role ensures...Suggested
$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- ...aging claims. Payment posting of insurance claims.Experience: Prior experience in hospital setting is required. Computer proficiency... ....Job Duties:Electronic & paper claims processing.Prior authorization & insurance referrals.Aging report maintenance and claim corrections...SuggestedWork at office
- ...the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Responsibilities Obtains prior authorization for scans, labs, subsequent chemotherapy visits or any other service as required. Maintains a professional working...SuggestedFull timeWork at officeMonday to FridayShift work
- ...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through...SuggestedTemporary workLocal areaImmediate startWork from homeFlexible hours
- ...Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...SuggestedRemote workWork from homeFlexible hoursAfternoon shift
- ...Assisting providers during in-office procedures Preparing patients and procedure rooms ahead of treatments Submitting prior authorizations as needed Supporting clinic operations and ensuring a smooth patient flow Ascentist welcomes team members who are...SuggestedFull timeWork experience placementWork at officeLocal areaDay shift
- ...Assisting providers during in-office procedures Preparing patients and procedure rooms ahead of treatments Submitting prior authorizations as needed Supporting clinic operations and ensuring a smooth patient flow Ascentist welcomes team members who are...SuggestedFull timeWork experience placementWork at officeLocal areaMonday to FridayDay shift
- ...side effects or reactions Document any changes in patient conditions and report on changes Work with insurance to obtain prior authorizations Maintain accurate records of patient care and discuss observations with the supervisor Qualifications Currently...SuggestedFull timePart timeFlexible hours
- ...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...SuggestedFull timeTemporary workLocal areaRemote work
$185k - $190k
...reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive...SuggestedTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours- ...of Ethics and Business Standards. Responsibilities The essential duties and responsibilities of this position are: Obtains prior authorization for scans, labs,subsequentchemotherapyvisitsor any other service asrequired. Maintains a professional working relationship with...SuggestedFull timeTemporary workWork at officeMonday to FridayShift work
- ...Preferred. Description Full Time: Clerical Holton Community Hospital, Holton, KS, US This position is responsible for screening prior-authorization and coordination of specialized services requested at Holton Community Hospital, including a broad range of requests for...SuggestedFull timeWork from homeFlexible hours
$65k - $75k
...compliance standards. This specialist-level position involves expertise in reviewing healthcare service requests, including prior authorizations, inpatient services, denials, and appeals. The role implements utilization management strategies while collaborating closely...SuggestedHourly payFull timeWork experience placementLocal area- ...potential for permanent employment. This position will begin prior to our current employee's maternity leave to allow for training... ...Verify insurance eligibility and benefits ? Assist with prior authorizations (training provided) ? Maintain accurate patient information...Permanent employmentTemporary workWork at office
- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...Ongoing contractMonday to FridayFlexible hours
- ...incoming, and external referrals for Ambulatory services, procedures, and medications.The Referral Coordinator will obtain prior authorizations, schedule patients, work inbound and outbound phone calls, and communicate with patients via online chat.Will consider highly...Full timeRemote workDay shift
- ...fulfillment processes, payer access policies, reimbursement frameworks, and common account-wide operational barriers related to prior authorization, access resources and support. Mobilize cross-functional teams, including SAL(s), FRM(s), PEM(s), TLL(s), MSL(s), Market...Full timeTemporary workLive inWork at officeLocal areaRemote workNight shift
$124k - $199.8k
Senior Executive Underwriter - UW07CCExecutive Underwriter - UW07CDWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help...Full timeTemporary workWork at office3 days per week- ...procedures • Utilize the EMR system and scan/download documents • Complete various administrative tasks as needed such as prior authorizations, RX refills, etc. • Conduct telephone screening (with protocols) • Cover front office responsibilities as needed •...Full timeMonday to FridayFlexible hours
$18 - $19 per hour
...products. Monitor and adjust pharmacy equipment as needed. Essential Skills Pharmacy experience Knowledge of prior authorization processes Experience with compounding Must be at least 18 years old Additional Skills & Qualifications...Permanent employmentContract workTemporary workMonday to Friday$89k - $121.4k
...development of SQL Server Integration Services (SSIS) projects using Microsoft Visual Studio Experience with healthcare systems and prior authorization data Navigate change management processes in a large enterprise environment Experience working with an enterprise...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...mission, vision, and code of ethics, and strategic plan for helping people, changing lives. No overtime may be worked without prior authorization. Overtime must be approved in advance by the Head Start Director. Must comply with the drug and alcohol free workplace policy...Work at officeLocal area
$26.01 - $68.55 per hour
...medical information from providers via phone and electronic systems Authorize services and procedures within established guidelines Refer... ...Associate Degree in Nursing required Preferred Qualifications Prior Authorization or Utilization Management experience BSN preferred...Hourly payFull timeTemporary workLocal areaRemote workWeekday work- ...and Gastroenterology to support patient access and reimbursement for Dupixent. The role focuses on reimbursement strategies, prior authorization, and patient support programs, working across sales, market access, and partner teams. The FRM will travel as needed to geographies...Remote job
- ...maintaining collaborative team environment. Ability to respond quickly to emergency situations. Knowledge of EMR systems, prior authorizations, insurance requirements, and specialty medication processes. Experience with allergy immunotherapy, biologic medications, asthma...Temporary workReliefWork at officeLocal areaFlexible hours
- Job Description We are seeking a motivated and customer-focused Licensed Insurance Agent to join our team. This role combines sales, new business development, and customer service support. The ideal candidate will be responsible for generating new business, assisting walk...
$75k - $98k
This position is responsible for marketing to carriers and assisting Risk Advisors in quoting and writing new business. Insurance Placement Specialists work independently and effectively negotiate with our carrier partners to write new business using time management tactics...Full timeTemporary workWork at officeFlexible hoursWeekend workAfternoon shift$96k - $181k
Location:8117 Preston Road, Suite 400, Dallas TexasThe selected candidate will be responsible for performing comprehensive due diligence and underwriting activities for Fannie Mae, Freddie Mac, and Private Placement Affordable multifamily mortgage loans. This role requires...Full timeWork at officeFlexible hoursNight shift
