Average salary: $73,171 /yearly

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  •  ...service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Prior Authorization, Registered Nurse, RN, Intern will report to a manager of the National Medicaid team. You will utilize training and engage formerly... 
    Suggested
    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
    Remote work
    Work from home
    Home office
    Weekday work

    Humana

    Frankfort, KY
    4 days ago
  •  ...notes and patient information accurately in the EMR system. Perform administrative tasks such as appointment scheduling, prior authorizations, and follow-ups. Provide patients with pre- and post-procedure instructions. Ensure a high standard of infection control... 
    Suggested
    Full time
    Part time
    Work at office
    Weekend work
    Day shift

    Dhvaj Inc

    Louisville, KY
    3 days 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... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Georgetown, KY
    3 days 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... 
    Suggested
    For contractors
    Work at office
    Local area

    Highmark Health

    Frankfort, KY
    1 day ago
  • $37.65k

     ...emergency room visits, or loss of independence in vocational, academic, and/or social functioning. Complete requests for prior authorizations as indicated to provide necessary services. Participate in the development of an individualized interdisciplinary plan of... 
    Suggested
    Full time
    Monday to Friday
    Flexible hours

    NorthKey Community Care

    Covington, KY
    3 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... 
    Suggested
    Temporary work
    Work experience placement
    Relocation package

    Baptist Health

    Paducah, KY
    3 days ago
  • $76k - $85k

     ...for future health care costs associated with birth-related neurological injuries. Duties and Responsibilities Performs prior authorization, concurrent and retrospective reviews Use clinical documentation and clinical review criteria to make determinations regarding... 
    Suggested
    For contractors
    H1b
    Work at office
    Local area
    Remote work

    Public Consulting Group

    Frankfort, KY
    4 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... 
    Suggested
    Part time
    Traineeship
    Work experience placement
    Work at office
    Relocation package

    Baptist Health

    Somerset, KY
    23 hours 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.... 
    Suggested
    Full time
    Private practice
    Work at office

    Britt Medical Search LLC Defunct

    Bowling Green, KY
    23 hours 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... 
    Suggested
    Shift work
    Night shift
    Weekend work

    Madison Health and Rehabilitation Center

    Richmond, KY
    23 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... 
    Suggested
    Traineeship
    Work experience placement
    Work at office
    Relocation package

    Baptist Health

    Bardstown, KY
    3 days ago
  •  ...reconcile aged accounts, and resolve payment discrepancies. Additionally, the Billing Coordinator handles insurance verification, prior authorization submissions, and keeps trackers updated to ensure eligibility and compliance for client services. Billing Operations &... 
    Suggested
    Weekly pay

    Kentucky United Methodist Children's Homes

    Nicholasville, KY
    1 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... 
    Suggested
    Traineeship
    Work experience placement
    Work at office
    Relocation package

    Baptist Health

    Paducah, KY
    2 days ago
  •  ...supplies, navigating electronic health record system (EPIC), scheduling and following-up with appointments and checking for prior authorizations and scheduling tests, procedures and consultations. The PCT will communicate with pharmacies, insurance companies, patients... 
    Suggested
    Full time
    Work experience placement
    Day shift

    Baptist Health

    Louisville, KY
    1 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... 
    Suggested
    Temporary work
    Traineeship
    Work experience placement
    Work at office
    Relocation package
    Monday to Friday
    Day shift

    Baptist Health

    Lexington, KY
    1 day ago
  •  ...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... 
    Full time

    Spero Health

    Lexington, KY
    3 days ago
  • $16.5 per hour

     ...proper intake procedures. Assist in insurance verification and eligibility checks. Gain knowledge on CMN requirements and prior authorizations. Document requirements for equipment and communicate patients' financial responsibilities clearly. Provide excellent... 
    Temporary work
    Work at office
    Flexible hours
    Shift work

    Quipt Home Medical

    Newport, KY
    3 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 and... 
    Hourly pay
    Full time
    Monday to Friday
    Shift work

    University of Kentucky

    Lexington, KY
    2 days ago
  •  ...completion of patient requests Manage referral process, outpatient test scheduling and precertification Manage medication prior-authorizations Interact with billing office as needed to resolve patient issues Provide patient with good customer service... 
    For contractors
    Work at office
    Local area
    Weekend work

    New Vista of the Bluegrass, Inc.

    Richmond, KY
    23 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... 
    Full time
    Part time
    Traineeship
    Work experience placement
    Relief
    Work at office
    Relocation package

    Baptist Health

    Bardstown, KY
    10 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 contractors
    Work at office
    Local area
    Work from home

    EXL

    Newport, KY
    4 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... 
    Work at office
    3 days per week

    VitalSkin Dermatology

    Bardstown, KY
    1 day 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... 
    Full time
    Work at office

    ENT and Allergy Specialists

    Crescent Springs, KY
    1 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... 
    Full time
    Traineeship
    Work experience placement
    Work at office
    Relocation package

    Baptist Health

    Elizabethtown, KY
    23 hours 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 work
    Monday to Friday
    Shift work

    University of Kentucky

    Lexington, KY
    3 days ago
  • Job Title The ideal candidate must have at least 5 years of experience in a similar role. This position is responsible for handling large volumes of files for National Commercial transactions. Attention to detail, great communication skills (verbal & written), great...
    Full time
    Work at office
    Local area

    CRC Group

    Florence, KY
    5 days ago
  •  ...include answering telephones, greeting patients, updating and uploading patients' information into the current EMR, completing prior authorization insurance forms for medication and other ordered services, handling correspondence, scheduling appointments, arranging for... 
    Work at office

    RiverValley Behavioral Health

    Owensboro, KY
    23 hours ago
  •  ...and dressing care. Strong communication skills with patients of all ages. Ensure services are provided according to prior authorization and within the approval period. Follows and completes message management workflows. Assist patients with personal hygiene... 
    Full time
    Work at office

    OrthoCincy

    Louisville, KY
    3 days ago
  • $52.1k

     ...functioning. Provide education to clients to promote improved functioning skills and development. Complete requests for prior authorizations as indicated to provide necessary services. Participate in staff meetings and consultation with other clinicians to... 
    Full time
    Monday to Friday
    Flexible hours
    Weekend work
    Afternoon shift

    NorthKey Community Care

    Covington, KY
    17 days ago
  •  ...referrals for TCM, BHO, PHP, and IOP services. Call in medication refills to pharmacies and confirm receipt. Submit prior authorization requests for medications. Obtain and maintain current medication consent forms and controlled substance agreements.... 
    Work at office

    Chnk Behavioral Health

    Covington, KY
    23 hours ago