Average salary: $87,182 /yearly
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$500 per month
...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 no nights or weekend...SuggestedRelocation packageGrace Health
Battle Creek, MI4 days 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 shiftTekwissen
Detroit, MI2 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$20 - $23 per hour
...Actalent is Hiring a Team of Remote Pharmacy Technicians Job Description This remote Pharmacy Technician role focuses on reviewing prior authorization requests and making coverage determinations for a pharmacy services department within a large health insurance organization....SuggestedPermanent employmentContract workTemporary workWork at officeLocal areaRemote workHome officeMonday to FridayShift workActalent
Lansing, MI23 hours ago- ...results. The mission of the Referral Coordinator is to facilitate and ensure continuity in completing referrals/orders and prior authorizations requested by a provider. This role will understand the intricacies of providing high value referrals across geographic regions...Suggested
Proactive
Romeo, MI1 day ago - ...compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Prior Authorization Specialist who excels in this role: Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization...SuggestedFull timeTemporary workPart time
LifePoint Health
Hancock, MI1 day ago - ...needs, not a metric, and no one is waiting to turn the room. Medicine without the paperwork. Free of insurance billing and prior authorizations, so your focus stays on patients. Diagnose and treat in one visit. An onsite lab and dispensary put results and...SuggestedLocal areaMonday to Friday
StaffMed Health Partners
Kalamazoo, MI23 hours ago $2,095 per week
...shift, or fails to fulfill their scheduled shift in its entirety without prior approval will receive an attendance strike. This includes leaving a scheduled shift early without prior authorization. Any RN contractor who accumulates three attendance strikes will be...SuggestedFull timeContract workFor contractorsImmediate startShift workNight shiftAfternoon shiftEarly shiftCynet Health
Bay City, MI23 hours ago$2,221 per week
...arrives more than 20 minutes late, or fails to complete their scheduled shift without prior approval will receive an attendance strike. Leaving a scheduled shift early without prior authorization will also result in a strike. Accumulating three strikes will lead to immediate...SuggestedWeekly payFor contractorsZero hours contractImmediate startShift workNight shiftWeekend workEarly shift- ...release of proprietary and confidential information · Schedule appointments and diagnostic tests · Obtain prior authorizations from insurance companies · Arrange for hospital admissions and laboratory services · Handle...SuggestedWork at office
Michigan Healthcare Professionals, P.C.
Troy, MI15 days ago - ...with verifying benefits and coverage for office visits and surgical procedures. Duties will include obtaining referrals and authorizations prior to the service, verifying insurances at least 1-2 weeks in advance prior to service and ensuring any last-minute services have...SuggestedFull timePart timeWork at officeRemote workRelocation
Surgical Specialists Group of Michigan
Saint Clair Shores, MI26 days ago - ...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
- ...HIPAA-compliant practices to ensure seamless access to services. You will respond to calls, process referrals, assist with prior authorizations, coordinate between departments, and help maintain EMR documentation while contributing to a supportive, patient-centered environment...Suggested
- ...Responsibilities Include: Obtaining patient history Room patients Maintain clinic area, clean and stock exam rooms Obtains prior authorizations and lab audits Benefits ~ Medical, Dental and Vision ~ Life Insurance ~ Flex Spending Account ~ Short- and...SuggestedFull timeTemporary workWork at office
Huron Gastro
Ypsilanti, 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 - ...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 with...Full time
Aspire Rural Health System
Cass City, MI3 days ago - ...support to improve outcomes and the patient experience. You will collaborate with providers, coordinate transitions of care, and assist with medication refills and prior authorizations while supporting chronic disease management for oncology patients. #J-18808-Ljbffr...
Trinity Health
Pontiac, MI23 hours ago - ...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....ApprenticeshipLocal area
LanceSoft
Detroit, 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, 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 that focuses on treating...Full timeWork experience placementLocal areaShift workDay shift
Trinity Health MI
Grand Rapids, MI23 hours 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, MI1 day ago - ...Remote Prior Authorization Pharmacist Opportunities available for you! These are great Remote Pharmacist roles in which you will get the chance to fully work from home! Don't miss out on these Remote Pharmacist positions! 3 Departments hiring for 3 different October &...Hourly payFull timeLocal areaRemote workAll shiftsMonday to FridayShift workRotating shift
A-Line Staffing Solutions
Chesterfield, MI23 hours ago $2,425 per week
...shift, or fails to fulfill their scheduled shift in its entirety without prior approval will receive an attendance strike. This includes leaving a scheduled shift early without prior authorization. Benefits The benefits of taking a travel assignment with Cross Country...For contractorsZero hours contractFlexible hoursShift workWeekend workDay shiftAfternoon shiftEarly shift$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...$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
$20 per hour
...outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. This role supports prior authorizations, claims processing including writing authorization and denial letters, case setup, and triage of tasks while maintaining...Hourly payFor contractorsWork at officeLocal areaImmediate startRemote work2 days per week- ...operatory and storage room. Informs the individual in charge of ordering of any supplies needed. # Completes and submits Medicaid prior authorizations. Maintains detailed spreadsheets logging and tracking prior authorizations and referrals. MARGINAL JOB DUTIES #...Full timeApprenticeshipInternshipWork at officeRemote workRelocation packageFlexible hours
Great Lakes Bay
Owosso, MI2 days ago - ...to Friday - 8:00 AM - 5:00 PM A Day in the Life This position manages referrals both into and out of the clinic, including prior authorizations, medical records, and other communication. Efficiently calling patients and scheduling appointments, verify insurance, and demographics...Full timeWork at officeMonday to FridayShift workDay shift
Munson Healthcare
Traverse City, MI1 day ago - ...accurately Manage and maintain patient records using Athena, our electronic health record (EHR) system Coordinate referrals, prior authorizations, and follow-up appointments Educate patients on cardiac medications, post-procedure care, and lifestyle recommendations...Part timeWork at officeFlexible hoursWeekend workAfternoon shift
Cardiovascular Associates
Southfield, MI2 days ago
