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 $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, MI8 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, MI20 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 - ...Infusion Prior Authorization Specialist Responsible for ensuring all pre-service accounts are financially cleared and secured prior to the date of service. The specialist is responsible for obtaining and verifying accurate insurance information, benefit validation,...SuggestedFull timeWork at officeMonday to Friday
Michigan Institute for Neurological Disorders
Farmington Hills, MI20 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 - 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
$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$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...SuggestedTemporary workLocal areaImmediate startFlexible hoursCardinal Health
Lansing, MI4 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 $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, MI20 hours ago- ...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, MI2 days 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, MI8 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 $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- ...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...
- ...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, MI21 hours ago - .... 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 $27.02 - $48.55 per hour
...and substance abuse before, during, and after services to ensure level of care and services are medically appropriate Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory...Hourly payFull timePart timeWork at officeRemote workFlexible hoursCentene Corporation
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 $22 per hour
...of $22/hr. Candidates should have 2-4 years of experience in Specialty and/or Retail Pharmacy, effective communication skills, and be a High School Graduate. Join a dynamic team supporting Medicare Part B drug coverage inquiries and prior authorizations. #J-18808-LjbffrTemporary workRemote workTekwissen
Detroit, MI8 hours ago- ...data interpretation***PLEASE NOTE:***Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...Local areaFlexible hours
$22 - $32 per hour
...eliminate holds and keep the hospital financially viable. Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. Point of coordinator on day of admissions to guarantee that all...Hourly payFull timeWork experience placementMonday to FridayDay shiftSelect Specialty Hospital
Detroit, MI3 days ago- ...treatment plan, chemotherapy/immunotherapy, symptom reporting, side effect management, and clinic workflows. 5. Support timely prior authorization, referrals, outside record retrieval, and coordination of tests or procedures needed to avoid delays in care. 6. Identify...Relocation packageMonday to Friday
Cancer and Hematology Centers
Grand Rapids, MI8 hours ago
