Average salary: $87,182 /yearly
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- ...physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations. Requirements: ~ High School Graduate of GED equivalent required. ~ Two (2) years of college preferred. ~ Two...SuggestedWork at office
ICONMA
Detroit, MI4 days ago $500 per month
...Job Title Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include...SuggestedRelocation packageGrace Health
Battle Creek, MI4 days ago$80k
...communicating directly with patients and healthcare professionals to provide benefit summaries, verify insurance coverage, obtain prior authorizations and support appeals processes. As part of your role, you’ll make sure patients are referred to the right resources like...SuggestedRemote workCycle Pharmaceuticals
Detroit, MI2 days ago- CompuGroup Medical is seeking an Authorization and Denials Coordinator to manage the full authorization cycle, verify insurance eligibility, gather documentation, submit prior authorizations, and track approvals daily. The role also focuses on denials management with development...Suggested
$22 per hour
...providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience: 2-4 years Specialty and/or Retail Pharmacy Experience in provider/member call center or...SuggestedHourly payContract workTemporary workWork at officeRemote workWork from homeNight shift- ...needs of patients. Coordinates and schedules referral activity. Obtains accurate billing and demographic information. Assures prior authorization for requested services under payer guidelines. Communicates delays/denials to ProHealth team and employer. Process referrals...SuggestedFull timeWork at officeShift workDay shift
Bronson Healthcare
Kalamazoo, MI3 days ago $18 - $20 per hour
...Insurance Authorization Representative - Remote Blue Cloud is the largest pediatric ambulatory surgery center (ASC) company in the country... ...companies to address CPT/CDT code discrepancies. Contact patients prior to appointments regarding any insurance or authorization...SuggestedHourly payFull timeWork at officeLocal areaRemote workMonday to FridayDay shiftBlue Cloud Pediatric Surgery Centers
Lansing, MI2 days ago- ...You will work closely with patients, doctors' offices, and insurance companies to set up new accounts, resolve issues, obtain prior authorizations, and manage prescription refills. You will ensure the timely delivery of essential medical supplies while maintaining HIPAA...SuggestedFull timeMonday to Friday
- ...processing issues in the claims adjudication system. Communicate problems and concerns to management. Document relevant claims and prior authorization information in the system. Perform additional duties as assigned. Qualifications: Education : High School Diploma or...SuggestedDaily paidFull timeWork at officeRemote workWork from homeMonday to FridayFlexible hoursShift workWeekend work1 day per week
GrabJobs
Detroit, MI4 days ago - ...Description The Preauthorization Specialist is responsible for prior authorizations for orthopaedic services. They will verify insurance, ensure medical necessity, submit and track requests, communicate outcomes, and support care coordination. They will maintain accurate...SuggestedWork at office
Shoreline Orthopaedics
Holland, MI2 days ago - ...Employment Type: Full time Shift: Day Shift Description: Prior Authorization - Ambulatory Pharmacy Technician 40 Hours Pharmacy Technician Full Time 40 Hours Day Shift Great opportunity for a Pharmacy Technician professional to work in an organization...SuggestedFull timeWork experience placementLocal areaShift workDay shift
Trinity Health
Grand Rapids, MI5 days ago $80k
...Access Specialist II to offer timely support to patients and healthcare providers. You will verify insurance coverages, obtain prior authorizations, and ensure patients have access to necessary resources for their care. This remote role offers a competitive salary of $80k...SuggestedRemote job- ...and emotional well-being of the patient. Delegates patient care activities to appropriately qualified staff. Performs prior authorizations on tests, procedures, medications, etc. that are required by the patient's insurance. Performs other job duties as assigned...SuggestedFull timeTemporary workPart timeRelocation packageMonday to FridayDay shift
UP Health System - Portage
Hancock, MI17 hours ago - ...at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all...SuggestedWork at office
Careers Integrated Resources Inc
Troy, MI4 days ago - ...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
- ...fields, using keyboards to index documents into the EMR. (10%) # Initiate communication notes for prescription refills, prior authorizations, and forms from source documents and route to the appropriate party for completion. (10%) # Enter health maintenance data...Full timeWork at officeLocal areaImmediate startWeekend workAfternoon shift
Great Lakes Bay
Saginaw, MI4 days ago - ...Trinity Health is seeking an Ambulatory Pharmacy Technician to join a centralized Prior Authorization Clinic serving West Michigan clinics. The role focuses on resolving and appealing prior authorization requests and ensuring patient access to medications. Qualified candidates...
Trinity Health Mid-Atlantic
Grand Rapids, MI18 hours ago $20 - $30 per week
...Job Title University Home Care Inc is seeking a detail-oriented and organized individual to manage prior authorizations and scheduling for our skilled agency. This role plays a critical part in ensuring timely access to care for our patients by coordinating with...- ...professional to train employees on Aria and Beacon EHR systems at the West Branch Infusion Center. This role includes obtaining prior authorization for chemotherapy and radiation treatments, as well as testing system upgrades. Candidates should have a high school diploma,...Work at office
$20.15 per hour
...referrals per medical order. Educates patients on pre-test or referral instructions and any other pertinent information. Obtains prior authorizations for designated testing and referrals, as required. Manages and tracks tests and referrals until scheduled. Educates patients...Grace Health
Battle Creek, MI1 day ago- ...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
Teleperformance USA
Grand Rapids, MI3 days ago $18 - $22 per hour
...Job Title: Remote Pharmacy Technician (prior authorization review) Job Description As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center,...Contract workTemporary workWork at officeRemote workMonday to FridayActalent
Detroit, MI4 days ago$44 - $79 per hour
...and outcomes Coordinate care with providers, payers, and manufacturers to ensure therapy access and continuity Oversee prior authorizations and utilization management, ensuring compliance with payer and program requirements Monitor effectiveness and safety of...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$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$20 - $30 per week
...Homecare Agency Professional University Home Care Inc is seeking a skilled homecare agency professional with experience in prior authorizations to support our team in Livonia, MI. This role involves managing and coordinating homecare scheduling of clinicians, ensuring...- ...documenting the phone encounter in the EHR. E-scribing medication refills in accordance with provider protocols. Working on prior authorizations with insurance companies as needed. Assisting with suture removals and post op appointments as needed. Other duties as...Full timeWork at office
$44.09 - $78.7 per hour
...and outcomes Coordinate care with providers, payers, and manufacturers to ensure therapy access and continuity Oversee prior authorizations and utilization management, ensuring compliance with payer and program requirements Monitor effectiveness and safety of...Hourly payDaily paidMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift work- ...the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with...Work at officeShift work
$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 officeCenterWell
Lansing, MI5 days ago$21 per hour
...calls (50-100+ per day depending on complexity) * Make occasional followup outbound calls * Answer questions related to prior authorization, general inquiries, and confidential medical information * Deliver exceptional service with empathy and professionalism *...Contract workTemporary workMonday to FridayTEKsystems
Plymouth, MI3 days ago
