Average salary: $73,171 /yearly
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$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. \n • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. \n • Processes requests within required timelines. \n • Refers...SuggestedHourly payWork experience placementWork at officeRotating shiftMolina Healthcare
Louisville, KY27 days ago$16.63 - $24.02 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedHourly payWork experience placementWork at officeShift workKentucky Staffing
Owensboro, KY19 hours ago$32k - $42k
...referral partners Deliver excellent oral and written communication to engage clients effectively Requirements ~3+ years of prior Insurance sales experience is required ~ An active Property & Casualty Insurance License required ~ Strong desire for success with...SuggestedRemote workFlexible hoursDiCapua Insurance Group
Louisville, KY20 days 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...SuggestedTemporary workRelocation package
Baptist Health
Paducah, KY2 days ago $18.2 per hour
...the electronic health record system, scheduling and follow-up with appointments, and assisting with medication fill requests, prior authorizations, and scheduling tests, procedures, and consults. Does this position have supervisory responsibilities? No Preferred...SuggestedFull timeTemporary workMonday to FridayShift workKentucky Staffing
Lexington, KY19 hours ago$20 - $25 per hour
...out scheduling appointments answering phones / phone triage managing referrals entering demographics securing prior authorizations facilitating communication between practice physicians, patients, and other healthcare providers other duties as...SuggestedHourly payPrivate practiceWork at officeFlexible hoursWeekday workLange Recruiting
Louisville, KY1 day ago- ...the outpatient setting Learn the process for MAT intake and follow up Learn the process for medication refills and prior authorizations and answering phones Education and Experience: Active RN Kentucky License Associates required, BSN preferred...SuggestedNight shiftWeekend work
RiverValley Behavioral Health
Owensboro, KY19 hours ago $16 - $27.69 per hour
...professional verbal and written communication skills Other duties as assigned Resolving insurance issues Assisting with prior authorizations You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayOptum
Kentucky4 hours agonew- ...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...SuggestedTraineeshipWork experience placementWork at office
Baptist Health
Bardstown, KY4 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...SuggestedTraineeshipWork at officeLocal area
Kentucky Staffing
Nicholasville, 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...SuggestedFull timeTraineeshipWork experience placementWork at officeLocal areaRelocation packageDay shift
Kentucky Staffing
Paducah, KY19 hours 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...SuggestedTraineeshipWork experience placementWork at officeRelocation package
Baptist Health
Radcliff, KY1 day ago - ...Works closely with Financial Advocates to facilitate financial support for all modalities of treatments. Works closely with Prior Authorization team to facilitate authorizations for all needed treatments. Provides psychosocial support to and facilitates...SuggestedFull timeInterim roleWork at officeFlexible hours
The Christ Hospital Cardiovascular Associates
Fort Wright, KY2 days ago - ...area. Our department provides mentoring from senior partners in a collegial environment. Full time practice manager and prior authorization specialist on site. There are opportunities for community outreach and to provide care to underserved populations....SuggestedFull timePrivate practiceWork at office
Britt Medical Search LLC Defunct
Bowling Green, 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...SuggestedTraineeshipWork experience placementWork at officeRelocation packageShift work
Baptist Health
Elizabethtown, KY3 days 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
Richmond, KY4 days ago- Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
EXL
Louisville, KY5 days ago - ...medication as directed by the Physician. Inputting accurate patient information into electronic health records. Sending prior-authorizations to insurance companies. Performing daily financial summary and balance of payments received. Responsible for cash...Temporary workLocal areaShift work3 days per week
Medix
Frankfort, KY3 days ago - ...(EPIC), scheduling and following-up with appointments and assisting with medication fill and refill requests, checking for prior authorizations and scheduling tests, procedures and consultations. May also perform other procedures such as EKG, phlebotomy, lab tests and...Full timeWork experience placementWork at officeRelocation packageDay shift
Baptist Health
Louisville, 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
Kentucky Staffing
Louisville, KY3 days ago $16.2 - $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 and...Temporary workMonday to FridayShift workKentucky Staffing
Lexington, KY3 days ago- ...years of experience in a medical office setting preferred ~ Prior experience in Allergy and/or Immunology strongly preferred ~... ...Handle patient phone calls, prescription refills, and prior authorizations for medications and biologics Provide patient education under...Work at office
Head and Neck Surgery, Assoc., PSC
Kentucky17 days ago - ...exchange and workflows between payer systems and Epic enabled provider organizations—covering eligibility, coverage discovery, prior authorization, claims status, clinical data retrieval, and care gap closure. You will manage operational runbooks, environment readiness,...Contract workRemote work
United Software Group Inc
Louisville, KY3 days ago - Introduction At RPS, we don’t just embrace bold ideas, we make them happen. We’re a team of entrepreneurs, big-picture thinkers, and passionate experts who thrive on possibility. Every day, we collaborate across teams, challenge convention, and push boundaries to...Full timeLive outWork at officeLocal areaFlexible hours
RPS
Lexington, KY2 days ago $54.1k - $116.76k
...may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and...Hourly payFull timeTemporary workLocal areaFlexible hoursCVS Health
Louisville, KY3 days ago- ...(EPIC), scheduling and following-up with appointments and assisting with medication fill and refill requests, checking for prior authorizations and scheduling tests, procedures and consultations. May also perform other procedures such as EKG, phlebotomy, lab tests and...Full timeWork experience placementWork at officeDay shift
Baptist Health
Richmond, KY2 days ago $33 - $35 per hour
...Coordinate any medication orders with the assigned pharmacy and update Mar/Quickmar for appropriate administration Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing Complete/conduct assessment and reassessment...Full timeWork at officeLocal areaImmediate startRemote workKentucky Staffing
Louisville, KY4 days ago$19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...For contractorsLocal areaHighmark Health
Frankfort, KY19 hours ago$17 - $20 per hour
...Specialist that will be responsible for performing duties related to Authorizations (Medicaid or other insurance), Claim Submission, Rejection... ...full breakdowns. Ability to complete and submit Prior Authorizations Understand the rules and regulations for Medicaid...Hourly payFull timeWork at office- ...Administrative Functions: Greeting patients Scheduling appointments Answering phones Clerical & computer work Prior authorizations Billing and coding Faxing Disability & Family and Medical Leave Act (FMLA) paperwork As an employee we offer:...Work at officeImmediate start
North Healthcare
Louisville, KY6 days ago
