Average salary: $73,171 /yearly
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- ...for upcoming surgical procedures and diagnostic tests by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination and financial clearance for the hospital system and physician services for clinics, adult...SuggestedFull timeLocal areaShift workDay shift
UofL Health
Louisville, KY2 days ago - A regional academic health system in Louisville is seeking a Precertification Specialist to ensure efficient prior authorization and medical necessity determination. The role requires at least one year of experience in patient access and insurance verification. Candidates...Suggested
$140k - $180k
...account management skills. Strong knowledge of dermatology patient access programs, market access, specialty pharmacies and prior authorization pull-through initiatives. Work effectively in collaboration with cross-functional teams. The ability to work...SuggestedWork experience placementLocal areaNight shiftIncyte
Louisville, KY21 hours ago- ...for upcoming surgical procedures and diagnostic tests by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination and financial clearance for the hospital system and physician services for clinics, adult...SuggestedLocal areaShift workDay shift
UofL Health
Louisville, KY3 days ago $23 per hour
A leading oncology pharmacy in Louisville, KY seeks a Medical Prior Authorization Specialist to manage insurance authorizations and appeals. Candidates should have at least 1 year of prior authorization experience, ideally in a pharmacy or medical billing context. High...SuggestedFlexible hours$12.19 - $26.42 per hour
...Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these role will vary between 7am to 10pm EST. Qualified candidates must...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Lexington, KY2 days ago- ...coordination of patient therapies Integrated specialty pharmacy support team managing biologics, medication alignments, and prior authorizations Collaborative, team-based model for comprehensive, personalized patient care Highly efficient EMR (EPIC, Gold Star...SuggestedFull timeLive inRelocation packageFlexible hours
Inspire Healthcare
Lexington, KY4 days ago - ...Louisville, KY, seeks a Precertification Specialist to support surgical procedures and diagnostic tests. This role involves managing prior authorizations, ensuring compliance with insurance policies, and providing necessary documentation. The ideal candidate must have a high...Suggested
- ...health system in Louisville is seeking a Precertification Specialist to facilitate positive patient experiences by managing prior authorizations and financial clearances. The ideal candidate has at least one year of experience in patient access or insurance verification...SuggestedFull timeFlexible hours
$12.19 - $26.42 per hour
...A healthcare organization is hiring Remote Certified Pharmacy Technicians to manage prior authorization requests. Responsibilities include reviewing submissions, entering approvals or denials, and assisting with member service issues. Candidates must have at least 2 years...SuggestedHourly payRemote workFlexible hoursMolina Healthcare
Lexington, KY21 hours ago- ...of working with children. We have a full-time administrative staff to manage your physician orders, insurance verifications, prior authorizations, and any other support you may need as a contract therapist. Responsibilities: Screens and evaluates patients....SuggestedDaily paidFull timeContract workTemporary workWork experience placementRelocation packageFlexible hours
BLUEGRASS PEDIATRIC THERAPIES LLC
Winchester, KY21 hours ago $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- ...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Louisville, KY | Full-Time | Starting at $23.00/hr and up Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for...SuggestedFull timeTemporary workLocal areaRemote work
Onco360
Louisville, KY2 days ago - ...Utilization Management to lead clinical and operational strategies. The ideal candidate will have over 10 years of experience in prior authorization operations, including at least 5 years in a leadership role. In this position, you will drive utilization management programs...Suggested
- ...eligibility, and benefits. Address any discrepancies in coverage and communicate with patients or facilities when needed. Request prior authorization on drugs that are denied for prior authorization. Notify facilities of changes and exceptions when appropriate. Other...SuggestedLocal areaHome officeAfternoon shift
- ...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 jobWork from homeFlexible hours
- ...medical procedures • Answering phones • Performing phlebotomy • Clerical & computer work • Obtaining lab specimens • Prior authorizations • Adhering to safety and infection guidelines • Billing and coding • Maintaining electronic medical records (EMR) •...Full timeTraineeshipWork at officeMonday to Friday
Norton Healthcare
Louisville, KY1 day ago $18.5 per hour
...document. • Can be responsible for documenting, faxing, following up, and providing documentationrequired for all authorizations for each entity requiring prior authorization for any and all medical care. • Perform glucose testing by glucometer as directed. • Perform...Shift workNight shiftWeekend workMadison Health and Rehabilitation Center
Richmond, KY3 days ago- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...Full timeTraineeshipWork experience placementWork at officeRelocation packageDay shift
Baptist Health
La Grange, KY1 day ago - ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork at office
Baptist Health
Richmond, KY1 day ago $20 - $21 per hour
...provider appointments, adjusting as needed Assist patients who missed appointments to encourage treatment continuity Handle prior authorizations and explain patient financial responsibilities Distribute, verify, and scan forms, including handbooks and intake...Hourly payFull timeWork at officeShift workCleanSlate
Bowling Green, KY4 days ago$18.2 - $24.82 per hour
...navigate electronic health record system, schedule and follow-up with appointments and assist with medication fill requests, prior authorizations and schedule tests, procedures and consults. The MA will communicate with pharmacies, insurance companies, patients...Hourly payFull timeMonday to FridayShift workUniversity of Kentucky
Louisville, KY4 days ago- ...adherence to payor guidelines including but not limited to validating correct coding, reviewing payor policies, and obtaining prior authorization. Coordinating with insurance providers and resolving claim denials or discrepancies. Effectively communicating with...Work at office
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at officeRelocation packageMonday to Friday
Baptist Health
Princeton, KYa month ago - ...Call in patient medication as directed by Physician. Input accurate patient information into electronic health record. Sending prior-authorizations to insurance companies. Perform daily financial summary and balance of payments received. Responsible for cash collection...
Spero Health
Lexington, KY1 day ago - ...pharmacies, payers to biopharma and, especially, patients. By combining automation and expert intervention, the company provides prior authorization, prescription decision support, specialty patient support, core adjudication network, patient assistance programs, clinical...Full timeRemote work
McKesson
Louisville, KY4 days ago $17.5 - $19 per hour
.... Prepare exam rooms, stock supplies, and maintain equipment. Process medication refills per protocol. Assist with prior authorizations, referrals, and patient follow-up tasks. Document all patient encounters accurately and promptly in the EHR. Floating...Part timeWork at office3 days per weekVitalSkin Dermatology
Bardstown, KY1 day ago- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...Hourly payFull timeTraineeshipWork experience placementReliefWork at officeRelocation packageDay shift
Baptist Health
Louisville, KY2 days ago - ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...Temporary workTraineeshipWork at office
Baptist Health
Lexington, KY1 day ago - ...(EPIC), scheduling and following-up with appointments and assisting with medication fill and refill requests, checking for prior authorizations and scheduling tests, procedures, consultations, and other in basket types as assigned. The MA will communicate with pharmacies...TraineeshipWork experience placement
Baptist Health
Elizabethtown, KY4 days ago
