Average salary: $49,698 /yearly
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- ...light 1:3 call (consults) ~ Support staff includes; Patient Navigators, Oral Chemotherapy Navigators, Financial Navigator, Prior Authorization Team, Social Worker, and On-site pharmacy and infusion center ~ Multidisciplinary Tumor Board ~ EPIC EMR...SuggestedWeekly payFull timeTemporary workLocal areaImmediate startRelocation packageFlexible hours
- ...Job Summary: At The Remedy, the Prior Authorization Specialist plays an integral role in the patient intake and revenue cycle process. This role will focus on the coordination and management of medication and treatment prior authorizations for a mental health organization...SuggestedTemporary workWork at officeVisa sponsorshipWork visa
$18.28 per hour
...insurance payer; verify patients' benefits, eligibility, and seek authorization for services by contacting insurance companies; determine... ...government funded and commercial insurance companies to obtain prior authorizations or referrals. Determine the correct Coordination...SuggestedImmediate startRemote workFlexible hours$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work- ...survivorship services o Palliative care and genetic counseling telehealth supported o Oncology/Infusion Department Nurse Manager o Prior Authorization – centralized and supported by Allina ________________________________________What We Treat • Broad outpatient oncology and...SuggestedWeekly payFull timeContract workPart timeLocumImmediate startShift work
$100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...SuggestedFull timeLocal areaRemote work$23 - $25 per hour
...Job Duties Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Minneapolis (near the Edina area). Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office....SuggestedHourly payFull timeWork at officeRemote workMonday to FridayFlexible hoursShift work2 days per week1 day per week$23 - $27 per hour
...not limited to: Reviews claims data to ensure 3rd party billing requirements are met Reviews claims to ensure eligibility, prior authorizations and proper signatures Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance...SuggestedContract workWork at officeLocal areaWork from homeFlexible hours- ...satisfaction by conducting benefits investigations, handling medication authorizations, managing insurance denials, and identifying assistance... ...burdens. Gather and review necessary documentation for prior authorization submissions, escalating appeals for coverage denials...SuggestedFull timeWork at officeRemote workWork from home
- ...mail client statements. Verify insurance eligibility and follow up on overdue or denied insurance claims. Follow up on missing prior authorizations. Respond to client phone calls with account questions. Prepare, review, approve, and mail invoices to various insurance...SuggestedFlexible hours
$17 per hour
...billing issues with insurance carriers and resubmit claims as needed. Investigate and help resolve denied claims and forward for prior authorizations as required. Assist in resolving past due bills or making payment arrangements for patients. Proactively assist Patient Care...SuggestedHourly payFull time$180k - $190k
...reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive...SuggestedTemporary workWork experience placementWork at officeLocal areaFlexible hours$80.3k - $133.8k
...assigned territory, supporting Reimbursement and Patient services for a specific drug. The FRM provides benefit investigation, prior authorization, claims assistance, appeals support, and educates physician offices on payer landscape and services through remote...SuggestedWork at officeRemote work$55 per hour
...Description Candidates will be reviewing members' Utilization Management (UM) requests (i.e., formulary exceptions, prior authorization, step therapy, quantity limit exceptions). Client-specific criteria are referenced to determine if a prior authorization can be...SuggestedPermanent employmentContract workTemporary workRemote work- ...focuses on completing the financial clearance process and ensuring timely authorizations for patient services. Ideal candidates will have strong customer service skills and experience with prior authorization in healthcare. The position offers the flexibility to work remotely...Remote job
- ...information Verify insurance eligibility, benefits, referrals, and authorizations Collect co-pays, deductibles, and outstanding balances... ...diploma or GED required ~ Insurance verification and/or prior authorization experience required ~ Associate degree or healthcare...Local area
$19 - $23 per hour
...process for all youth referred to the academy including notification and ongoing contact with insurance providers regarding prior authorization and ongoing authorization of treatment services. Consults with the academy treatment team regarding youth diagnoses, medical...Full timeTemporary workWork at officeHome officeMonday to Friday- ...management system Obtain restricted Medicaid and VA referral authorizations Ensure referral information, preferred pharmacy, flag alert messages... ...patient if insurance information is not available Notify the Prior Authorization Specialist if the patient has changed insurance...Work at office
$24.62 - $33.74 per hour
...Verifies insurance eligibility and benefits and records the information in Excellian. Supports providers and payers to expedite prior authorizations and/or formulary exceptions when needed. Helps facilitate financial support and prescription assistance for patients....Hourly payContract workTemporary workShift workDay shiftAfternoon shift$110k - $150k
...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...Hourly payWork experience placement- ...Support Financial Navigator Oncology Provider Coordinator Oncology/Infusion Department Nurse Manager Centralized Prior Authorization Team Facility Resources: Onsite laboratory services Onsite radiology services PET scans (including PSMA PETs...Part timeLocumLocal areaImmediate startMonday to FridayShift work
$17 - $18 per hour
...much-needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workWork from homeHome officeFlexible hours- ...United States, Minnesota, St. Louis Park Position Summary The Authorization Specialist is responsible for creating hospital encounters for... ...completing insurance verification, obtaining and documenting prior authorization approvals from insurance companies for procedures...Work at office
- ...To ensure the delivery of quality patient care through effective oversight of triage functions, coordination of prescription prior authorizations, providing education and resources to patients and their families, and assisting with special procedures including UroNav...Full timeRelocation packageMonday to FridayAfternoon shift
- ...Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote jobWork from homeFlexible hours
- ...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
$80.3k - $133.8k
...assigned territory, supporting Reimbursement and Patient services for a specific drug. The FRM provides benefit investigation, prior authorization, claims assistance, appeals support, and educates physician offices on payer landscape and services through remote...Work at officeRemote 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...Hourly pay
$75k - $98k
Description WHY NORTH RISK PARTNERS Are you interested in doing work that matters everyday with an organization intentional about building and living out a values-driven team culture? North Risk Partners is a fast-growing firm dedicated to serving the insurance and risk...Full timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shift

