Average salary: $87,182 /yearly
More statsGet new jobs by email
$18.5 - $26 per hour
...Location: Silver Pine Medical Group PLC - CANAL - Sterling Heights, MI 48313 Salary Range: $18.50 - $26.00 Hourly Job Title: Prior Authorization Specialist Job Types: Full-time, Part-time Job Summary We are seeking an experienced Medical Assistant to work in our referral...SuggestedHourly payFull timePart timeSilver Pine Medical Group
Sterling Heights, 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- ...Oversee contract execution, version control, and escalation resolution with external partners. Proactively step in to assist with prior authorizations or operational duties as needed to ensure exceptional service continuity. Maintain a clear understanding of PBM...SuggestedContract workTemporary workFor contractorsImmediate start
INSIGHT HEALTH SYSTEMS, INC.
Flint, MI22 hours 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- XDENT France - CompuGroup Medical is seeking an Authorization and Denials Coordinator to manage the full authorization lifecycle, verify insurance... ...details, gather required clinical documentation, and submit prior authorizations. The role includes handling denials and appeals...SuggestedMonday to Friday
$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- ...Management Process, Part D CMS Compliance and Monitoring, Medicaid Compliance, NCQA Compliance, Health Care Reform Compliance, Prior Authorization Software, end to end benefit remediation and service recovery. The Director, Clinical Pharmacy Servicesdevelop policies,...SuggestedContract work
- ...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 timeWork at officeLocal area
- ...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...SuggestedFull timeWork at officeShift workDay shift
Bronson Healthcare
Kalamazoo, MI3 days ago - ...homecare agency professional to support our team in Livonia, MI. You will coordinate scheduling of clinicians, verify authorizations eligibility, and manage prior authorization processes to ensure timely patient care. Responsibilities include maintaining accurate frequency...Suggested
- ...OPEN POSITION: Position: Scheduling Coordinator I Department: Prior Authorization Location: Cass City, MI Hours: Full Time. Days. No Holidays. Full Benefits. Aspire Rural Health Systems is seeking a Scheduling Coordinator. We're looking for individuals...SuggestedFull time
Aspire Rural Health System
Cass City, MI3 days ago - ...treatment. Conducts daily review of individual cases and has necessary case level conversations as requested. This includes prior authorizations and denial decisions for cases that do not meet established evidence-based criteria Provides clear and concise documented...SuggestedPermanent employmentFull timeCasual workRemote work
quantum-health
Detroit, MI7 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- ...experts and a wider range of advanced services.Position Summary:The Pharmacy Technician will primarily support a centralized prior authorization clinic in West Michigan, MI. Pharmacy technician support involves resolving and appealing prior authorization claims from Trinity...SuggestedFull timeWork experience placementLocal area
Trinity Health
Grand Rapids, MI22 hours ago - Henry Ford Health in Detroit is seeking a Pharmacy Infusion Access Hub Technician to manage insurance benefits, prior authorizations, formulary reviews, and affordability barriers for infusion and injectable medications. This role collaborates with pharmacists, care teams...Suggested
- ...patient inquiries Scheduling appointments, referrals, follow ups, and co pays Assisting with insurance verification and prior authorizations Supporting clear communication between patients and providers Updating and maintaining accurate information in the EHR...Local areaFlexible hours
Revere Medical
Livonia, MI22 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...Work at office
Integrated Resources
Troy, MI1 day 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...- ...Remote Prior Authorization PharmacistWork From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...Remote workWork from homeFlexible hoursAfternoon shift
Pharmacy Careers
Detroit, MI4 days ago - ...with HCPs and office staff Utilize data, insights, and reporting tools to drive performance Navigate and support prior authorizations (PA) and pharmacy pull-through processes Consistently meet or exceed sales targets while operating within compliance guidelines...Work at office
Alora Pharmaceuticals
Detroit, MI22 hours 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...Full timeTemporary workLocal areaRemote work
- ...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
$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...Hourly payFull timeWork at officeLocal areaRemote workMonday to FridayDay shift- ...and appeals.Assists with clinical research, writing documents, and documenting decisions.Provide utilization management for prior authorization procedures. Review cases and make decisions based on medical policy. Provide clinical support to various areas of the organization...Work at office
- 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...Work at office
- Munson Healthcare in northern Michigan seeks a referral coordinator to manage referrals into and out of the clinic, including prior authorizations, medical records, and related communications. You will efficiently call patients, schedule appointments, and verify...
$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$20.15 per hour
...medical order. 4. Educates patients on pre-test or referral instructions and any other pertinent information. 5. Obtains prior authorizations for designated testing and referrals, as required. 6. Manages and tracks tests and referrals until scheduled. 7....Grace Health
Battle Creek, MI22 hours ago$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...- ...approval. Performs follow up as needed to ensure prescription is received. If request is off contract, refers request to the Prior Authorization team. Once received, verifies that issued prescription comply with all requirements of insurance provider. If all is in...Full timeContract workCasual workMonday to FridayAfternoon shift
