Average salary: $49,698 /yearly
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$20.7 - $29.93 per hour
...as needed Required: ~ High School diploma or equivalent ~1+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the organization...SuggestedFull timeImmediate startMonday to FridayRAYUS Radiology
Minneapolis, MN3 days ago$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaRemote workArgonaut Management Services, Inc
Minneapolis, MN3 days ago$49.6k - $68.2k
...Specialist duties for assigned territory or payer(s) including eligibility and benefit verification, documentation collection, prior authorization and reauthorization submissions, letter of agreement payment negotiations, and processing payer decisions. As the...SuggestedFull timeTemporary workWork at officeWork visaMonday to FridayFlexible hours3 days per weekBaxter Healthcare Corporation
Saint Paul, MN2 days ago$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Minneapolis, MN4 days ago- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Saint Paul, MN5 days ago $20.14 - $31.18 per hour
...appointments (including but not limited to chemotherapy treatments, other infusions), internal & external referrals, assisting with prior authorization, precertification, and referral processes to ensure maximum benefit coverage. Provides basic patient education on scheduled...SuggestedLocal areaFlexible hoursDay shiftLake Region Hospital
Fergus Falls, MN2 days ago$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 workArgonaut Management Services, Inc
Minneapolis, MN4 days ago- Mille Lacs Health System is seeking a Prior Authorization Specialist who works under the Health Information Manager to ensure that payers reimburse the system for services. Responsibilities include managing prior authorization requests, preparing documentation, and handling...SuggestedFull timeWeekend workAfternoon shift
- ...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...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Saint Paul, MN8 days ago - A managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This is an ideal work-from-home position for pharmacists transitioning from retail or hospital settings. Responsibilities...SuggestedRemote workWork from home
Pharmacy Careers
Saint Paul, MN5 days ago $18 - $22 per hour
...information Verify insurance eligibility, benefits, referrals, and authorizations Collect co-pays, deductibles, and outstanding balances... ...~ Experience with insurance verification, referrals, and prior authorizations preferred Addison Group is an Equal Opportunity...SuggestedHourly payContract workWork at officeLocal areaAddison Group
Little Falls, MN2 days ago- ...and any other regulatory requirements for obtaining qualifying supporting documentation to send for reimbursement Verify prior authorizations requirements are met for DME products according to payer guidelines and complete necessary adjustments when required Education...SuggestedWork at officeMonday to Friday
Allina Health
Saint Paul, MN7 days ago - ...Prior Authorization Specialist (Full-Time Days) Onamia, MN, USA 20.61-30.92 per hour Hourly Full Time Summary The Prior Authorization Specialist works under the direction of the Health Information Manager. This role ensures that payers are prepared to reimburse...SuggestedHourly payFull timeMonday to FridayWeekend workAfternoon shift
$75k - $98k
Job Type Full-time 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...SuggestedFull timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shiftNorth Risk Partners
Minnesota6 days ago- ...relocation assistance, and comprehensive benefits offered • Experienced support team including dedicated coordinators/schedulers, prior authorizations, IT support, billables/coders, insurance verification, discharge planning, and more - allowing you to focus on providing...SuggestedFull timePrivate practiceRelocation packageFlexible hours
$20 - $22 per hour
...Monitor and work time sensitive in-coming insurance verifications based on priority level. Verify insurance benefits, prior authorizations, and required medical documentation for all applicable payers, able to problem solve any odd ball/uncommon insurances. Ability...Hourly payOdd jobFull timeTemporary workWork at officeShift work$55 per hour
...Responsibilities Review and evaluate commercial members' utilization management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. Utilize client-specific criteria to determine approval or denial of prior...Contract workTemporary workRemote workActalent
Saint Paul, MN3 days ago$31.39 - $47.09 per hour
...Clinical Nurse Coordinator will be responsible for coordinating our OB/GYN clinic, ensuring optimal patient care coordination, and prior authorization submissions. This role also involves providing direct patient care and physician support, including rooming patients,...Shift workWeekday workWindom Area Health
Mankato, MN2 days ago$55 per hour
...Responsibilities Review and evaluate Medicare members' utilization management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. Utilize client-specific criteria to determine approval or denial of prior authorizations...Contract workTemporary workRemote workActalent
Saint Paul, MN8 days ago$106.2k - $225k
...support and input to clinical programs such as: Health Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high quality, cost effective drug therapy; and to identify opportunities for improvement in...Hourly payFull timeTemporary workLocal areaRemote workShift workWeekend workHispanic Alliance for Career Enhancement
Virginia, MN7 days 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 work
Pharmacy Careers
Minneapolis, MN3 days ago $21 - $24 per hour
...is currently hiring for a full-time Temporary Verification and Authorization Coordinator within our Revenue Cycle department. This position... ...for the necessity for referrals, pre-certifications, and prior authorizations to ensure reimbursement at the highest level possible...Full timeTemporary workCurrently hiringWork at officeLocal areaMinnesota Eye Consultants
Bloomington, MN6 days ago- ...optimizes treatment initiation and improves patient satisfaction by handling medication authorizations, conducting benefits investigations, and identifying assistance programs. They gather prior authorization details, support coverage denial appeals, and communicate...Full timeWork at officeRemote work
Visante® Inc.
Saint Paul, MN3 days ago - ...assessment. Pends medication for providers to send. Approves/denies/forwards medication refills. Initiates medication prior authorizations, tracks progress of requests along with all related appeals, and notates in PM/EMR software. Creates diagnostic orders,...Full timeWork at officeMonday to FridayWeekend workDay shiftAfternoon shift
Twin Cities Pain Clinic
Edina, MN7 days ago - ...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 workWork from homeFlexible hours
Pharmacy Careers
Saint Paul, MN3 days ago - ...ideal candidate must have a Compact or Virginia RN license and over 3 years of acute care experience. Responsibilities include prior authorization reviews, care coordination, and managing appeals for services denied. In addition to competitive medical benefits, the...Remote work
170 Sentara Health Administration, Inc.
Virginia, MN3 days ago $18 - $20.7 per hour
...through Friday, between 5 to 12am CST Pay: $18 to $20.70 an hour Responsibilities of the Pharmacy Technician: Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to...Hourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursNight shiftAdecco Colombia S.A.
Lake County, MN5 days ago$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 shiftAllina Health
Minneapolis, MN4 days ago$21 per hour
...CNA or CMA certification ~1-2 years of healthcare or clinical experience ~ Experience with insurance verification and prior authorizations Responsibilities Administer excimer laser and nbUVB phototherapy treatments Educate patients on laser and...Hourly payFull timeMonday to FridayDay shiftTareen Dermatology
Lakeville, MN7 days ago$115.88k - $261k
...actions needed to ensure the programs are implemented correctly. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Specialty Guideline Management UM processes is required. The leader will feel comfortable...Hourly payFull timeTemporary workWork at officeLocal areaHispanic Alliance for Career Enhancement
Virginia, MN2 days ago
