Average salary: $87,182 /yearly
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- ...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...Suggested
Brown & Brown
Troy, MI1 day ago - ...physicians) with Medicare Part D and/or commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations. High school graduate of GED equivalent required. Two (2) years of college preferred. Two (2) years' experience in retail pharmacy...SuggestedWork at office1 day per week
Kyyba
Detroit, MI1 day ago $22 - $25 per hour
...Location: Detroit, Michigan Type: Contract Job #104754 Job Title: Prior Authorization Specialist Location: Detriot, MI- Hybrid Employment Type: W2 Contract Contract Length: 12 months Pay Range: $22-25 per hour...SuggestedHourly payContract workWork at officeEPITEC
Detroit, MI1 hour agonew$500 per month
...Job Opportunity At Grace Health 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...SuggestedRelocation packageGrace Health
Battle Creek, MI9 hours ago- ...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, MI21 hours ago - ...timely referral processing Prepare and transmit referral documentation to specialists and insurance companies Obtain prior authorizations for specialty services Maintain accurate documentation and uphold confidentiality standards What Makes You a Great Fit...SuggestedHourly payTemporary workWork at officeFlexible hours
Center for Family Health
Jackson, MI2 days ago - ...A prominent educational institution in Michigan is seeking an Authorization Coordinator responsible for processing healthcare service requests... ...and patients. This role entails verifying and documenting prior authorization requirements, ensuring timely reviews, and managing...Suggested
University of Michigan
Ann Arbor, MI4 days ago - Munson Healthcare Careers is seeking a patient referral manager in Traverse City, Michigan. This role includes managing patient referrals, scheduling appointments, and ensuring effective communication. Ideal candidates will have a degree in health services or 5 years of...Suggested
Munson Healthcare Careers
Traverse City, MI3 days ago - ...Job Description - Infusion Prior Authorization Specialist Classification - FSLA - Non-Exempt - hourly Salary Grade/Level/Range Level of experience, longevity, within current company pay structure. Reports to Revenue Cycle Manager Summary/Objective...SuggestedHourly payFull timeWork at officeRemote workMonday to Friday
Mind Australia
Farmington Hills, MI9 hours 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, MI4 days 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, MI1 day ago $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- ...providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations. This position also supports our Medicare Advantage members calling in with questions pertaining to Part B drugs/items....SuggestedApprenticeshipLocal area
LanceSoft
Detroit, 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 work- A healthcare organization is seeking a Full Time Authorizations Specialist based in Warren, Michigan. The role emphasizes ensuring timely authorizations... ..., and maintaining meticulous records. Candidates must have prior experience in insurance authorizations and a high school...SuggestedFull time
- ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote work
Pharmacy Careers
Ypsilanti, MI3 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...Full timeWork experience placementLocal areaShift workDay shift
Trinity Health
Grand Rapids, MI2 days ago $68.5k - $88.02k
...experience with URAC and ACHC specialty pharmacy accreditation standards and survey readiness Experience optimizing patient access, prior authorization, and reimbursement workflows Strong analytical skills with experience using data to drive operational and performance...Temporary workLocal areaImmediate startFlexible hoursCardinal Health
Lansing, MI4 days ago$18 - $24 per hour
..."front-end" processing—including patient intake and insurance authorizations—while also providing support in sterile IV compounding. It is... ...referrals, verify medical/pharmacy insurance benefits, and coordinate prior authorizations. Prepare sterile IV admixtures (TPN,...Full timeMonday to FridayWeekday workCrawford Thomas Recruiting
Livonia, MI21 hours ago- ...fast-paced primary care setting. Preferred experience: Prior experience in a busy private primary care or specialty medical... ...phones and handling patient messages professionally Prior authorization, referral, and medical form experience helpful Basic medical...Part timeWork at officeFlexible hours
Center For Preventive Medicine
Grosse Pointe, MI9 hours ago - ...and/or employment agencies for vacancies posted on this site. All employment businesses/agencies are required to obtain prior written authorization from GSK's commercial and general procurement/human resources department before referring any candidates to GSK. #J-18808...Work at officeLocal areaNight shift
GSK LLP
Lansing, MI3 days ago $40k - $52.3k
...for chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to... ...years' experience working in an administrative support capacity Prior professional experience on Microsoft Word, Outlook and Excel with...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Lansing, MI2 hours agonew- ...Amgen therapies. As a member of Amgen's innovative team, you will educate stakeholders on coverage requirements and assist with prior authorization processes to ensure patients have timely access to the therapies they need. The position requires someone with strong patient...
$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...Remote job- ...Detroit, MI Contract Job Title: Pharmacy Prior Authorization Specialist Location: Remote MIchigan Job Description: Support providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis...Contract workWork at officeRemote workFlexible hours
OpTech
Detroit, MI1 hour agonew - ...Check Out Schedule Patients for appointments, tests, and consults Verify and Update Patient Information Obtain referrals and/or prior authorizations Confirm Patient Charges and Collect Payment Maintain and Manage In-Baskets in a timely manner Execute varied clerical tasks...Remote work
University of Michigan
Ann Arbor, MI23 hours ago - ...high school diploma, medical office experience, and familiarity with insurance programs. Responsibilities include managing prior authorizations and liaising between patients and providers. Bilingual candidates (English and Spanish) are highly desired. Join a dedicated...Full timeWork at office
Kalamazoo Family Health Center
Kalamazoo, MI2 hours agonew - ...law and DEA regulations, including controlled substances when authorized. Monitor patients receiving opioid therapy and ensure compliance... ...improvement initiatives and clinical meetings. Assist with prior authorizations, peer-to-peer reviews, and medical documentation...Full timeWork at office
- .... You will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
Humana, Inc.
Lansing, MI3 days ago - ...Employment Type: Part time Shift: Day Shift Description: The Pharmacist will support a centralized specialty pharmacy prior authorization clinic serving West Michigan. This role is responsible for resolving andappealing prior authorization denials for prescriptions originating...Part timeLocal areaShift workDay shift
Trinity Health
Grand Rapids, MI1 day ago
