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, MI1 day 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, MI5 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...SuggestedHourly payContract workTemporary workWork at officeRemote workWork from homeNight shiftTekwissen
Detroit, MI5 days ago$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 time$2,566 per week
...assessing medical necessity based on evidence-based guidelines. Must adhere to HIPAA guidelines and support needs assessments. Experience with prior authorizations and determining medical necessity is essential. Requirements Required for Onboarding ~ BLS...SuggestedFull timeContract workLocal areaMonday to FridayShift workWeekend workWeekday workCynet Health
Lansing, MI8 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...SuggestedWork visa
Proctor Loan Protector
Troy, MI5 days ago $19 - $25 per hour
...Infusion Prior Authorization Specialist Full Time Clerical Farmington Hills, MI, US 2 days ago Requisition ID: 1196 Salary Range: $19.00 To $25.00 Hourly Job Description – Infusion Prior Authorization Specialist Classification – FSLA - Non-Exempt - hourly Salary Grade/...SuggestedHourly payFull timeWork at officeMonday to FridayMind
Farmington Hills, MI5 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, MI4 days ago $2,543 per week
...Planning, HIPAA guidelines (Health Insurance Portability and Accountability Act), Needs Assessment/ Order DME, Plan of Care, Prior Authorizations Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios...SuggestedPermanent employmentFull timeContract workTemporary workMonday to FridayShift workNight shiftWeekend workWeekday workTravelNurseSource
Lansing, MI4 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, MI5 days ago- ...Responsibilities include evaluating designated referred services for authorization needs based on government and commercial payor requirements.... ...connect. Keep everyone informed. Be on their team. Prior Authorization Specialist duties in accordance with established...SuggestedWork at officeShift workAfternoon shift
Beacon Health System
Kalamazoo, 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, MI5 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
- ...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, MI2 days ago $21 per hour
...Answer a high volume of inbound customer calls. * Handle follow-up outbound calls when required. * Assist customers with prior authorization inquiries and general healthcare-related questions. * Maintain confidentiality and protect sensitive information. * Accurately...SuggestedPermanent employmentFull timeContract workTemporary workMonday to FridayTEKsystems
Plymouth, MI1 day 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, MI5 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, MI1 day ago - ...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...Full timeTemporary workWork at office
Huron Gastro
Ypsilanti, MI3 days ago - ...Engagement Description Monday through Friday, 9am to 5:30pm Rotate weekend and holiday coverage Required Skills/Experience (Top 3) Prior authorization experience in a PBM environment Demonstrated experience using clinical resources, e.g., CMS regulations and clinical coverage...Work at officeMonday to Friday1 day per week
Kyyba
Detroit, MI1 day ago $94.4k - $293.8k
...Qualifications Clinical background (RN, MD, PA) or significant experience working with clinical leaders Experience with prior authorization, or throughput optimization Exposure to EHR‑enabled workflow redesign (e.g., Epic, Cerner) Ability to translate clinical...Work at officeLocal areaWorldwideAccenture
Detroit, MI4 days ago- ...systems as much as possible to ensure that others within the Munson Healthcare System have access to records. Ensures that prior authorizations are completed as required for surgical procedures in a timely manner as required by individual insurances. Additionally,...Work at officeFlexible hours
Munson Healthcare
Traverse City, MI1 day ago - ...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 Health Centers
Owosso, MI1 day ago - ...patients. 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 job
- ...Employment Opportunities Full time 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 areaDay shift
$18 per hour
...Process incoming fax messages • Send appointment reminder text • Send prescriptions • Scan documentation into patient chart • Prior authorizations • Create encounters in EMR system, EPIC • Contact referrals • Other duties as needed Benefits: • 401(k) • 401(k)...Hourly payFull timePrivate practiceShift workOrandi Allergy And Asthma Center PL
Wyoming, MI2 days ago- ...Pharmacist Help patients overcome the cost barrier—become their healthcare advocate. Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with insurance companies, providers, and support staff. Enroll patients in...Remote work
Pharmacy Careers
Grand Rapids, MI5 days ago - ...necessity based on evidence-based guidelines. Must adhere to HIPAA guidelines and support needs assessments. Experience with prior authorizations and determining medical necessity is essential. Benefits About Cynet Health Cynet Health is a Joint Commission-...LocumLocal areaMonday to FridayShift workWeekend workWeekday work
Cynet Health
Lansing, MI2 days ago $40 - $42.4 per hour
...hospital setting will likely not thrive in this environment. This will be mostly desk work; phone triage, appointment scheduling, prior authorizations, patient chart review, etc. The timeline for responding to patient messages through HF applications is 24 hours or less with...Hourly payFull timeContract workTemporary workRelocation packageMonday to FridayShift workDay shiftIntegrated Resources
Detroit, MI1 day ago- ...medical necessity per evidence-based guidelines, discharge planning, HIPAA guidelines, needs assessment/order DME, plan of care, prior authorizations. Unit details: Staffing and scheduling type, patient ratios, float, call, weekend coverage, number of weekend shifts per...Contract workLocal areaMonday to FridayShift workWeekend work
PSNYC , INC.
Lansing, MI3 days 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, MI1 day ago
