Average salary: $49,698 /yearly
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$20.7 - $29.93 per hour
...Of Qualifications: Required: ~ High School diploma or equivalent ~2 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...SuggestedFull timeImmediate startRemote workMonday to Friday- ...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
ARR Healthcare
Minnesota1 day ago $145 per hour
...Worker • Dietitian • Mental health support • Financial navigator • Oncology / Infusion Nurse Manager • Centralized prior authorization support • Palliative Care • Genetic counseling via telehealth Onsite Resources • Laboratory • Radiology • PET...SuggestedHourly payFull timePart timeLocumImmediate startMonday to FridayShift workWhiteCoat Locums
New Ulm, MN1 day ago- ...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...Suggested
$23 - $25 per hour
...Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Edina. Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office. The ability to work a hybrid schedule with...SuggestedHourly payFull timeWork at officeRemote workMonday to Friday2 days per week1 day per weekMinneapolis Radiation Oncology, P.A.
Minneapolis, MN3 days ago$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$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.Ensures...SuggestedContract workShift workWeekend workAfternoon shiftAllina Health
Minneapolis, MN3 days ago$25 - $28 per hour
...Job Description Job Description Medical Assistant / LPN (Remote Prior Authorization) Position Title: MA / LPN Pay Rate: $25.00 - $28.00 / hour (based on experience) Position Type: 3 to 6-Month Contract (Potential for Extension) Location: Remote (Candidate...SuggestedRemote jobContract workLocal areaWork from homeMonday to FridayMedix
Bloomington, MN2 days ago- ...support • Financial navigation • Oncology Provider Coordinator • Oncology/Infusion Department Nurse Manager • Centralized prior authorization support • Genetic counseling available through telehealth Collaborative Care • Collaboration with surgeons,...SuggestedWeekly payFull timeContract workLocumImmediate startMonday to Friday
WhiteCoat Locums
New Ulm, MN1 day ago - ...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...SuggestedRemote job
$80k
...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...SuggestedHourly payWork at officeBrown & Brown
Bloomington, MN3 days ago$75k - $98k
North Risk PartnersAre 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 management needs...SuggestedFull timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shiftNorth Risk Partners
Saint Paul, MN2 days ago$23 - $27 per hour
...Responsibilities 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,...SuggestedContract workWork at officeLocal areaWork from homeFlexible hoursBehavioral Health Group
Minneapolis, MN1 day ago$176.7k - $302.9k
...aligned with PBM business goalsOversee the architecture, development, and integration of GenAI models into PBM workflows such as prior authorization, formulary management, medication adherence, and claims processingCollaborate cross-functionally with Product, Clinical, Data...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$65 per hour
...analytical, and organizational skills. Preferred Qualifications Prior Pharmacy Benefit Management (PBM) experience. Doctor of... ...plans. Experience with Coverage Determinations, Prior Authorizations, and Appeals processes. Knowledge of pharmacy reimbursement...SuggestedWeekly payWork at officeRemote workMonday to FridayWeekend workThe Judge Group
Eden Prairie, MN3 days ago$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 placementBrown & Brown
Minneapolis, MN1 day ago$18 - $32 per hour
...working in a hospital, physician's office OR medical clinic setting Knowledge of ICD-10 and CPT codes Experience with Prior Authorization and Benefit Verification Experience working within the health care Industry and with health care insurance Telecommuting...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workRotating shiftAfternoon shiftGenoa Telepsychiatry
Minneapolis, MN5 days ago$21 - $22 per hour
...- Will be on taking inbound calls all dayGreat customer service and communication skills neededJob Duties:Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.Determines...Work at officeShift workC4 Technical Services
Saint Paul, MN2 days ago$200k - $250k
...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 payBrown & Brown
Minneapolis, MN4 days ago$18 - $32 per hour
...Monday - Friday. Training will be conducted virtually from your home.Primary Responsibilities:Lead insurance verification and prior authorization coordination by partnering with patients, payers, and clinical teams to support timely access to care.Oversee Prior...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayShift workUnitedHealthcare
Minneapolis, MN6 hours ago$386.5k
...care programs, quality improvement initiatives, and optimizing site of careProcess OptimizationIdentify pain points in current prior authorization processes and propose innovative solutionsSupport effective implementation in partnership with teams in clinical operations...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work$390.1k
...product innovation, and growth agenda.This role also provides oversight of key areas of clinical operations, including Pharmacy Prior Authorization (PA) operations. This will include both maintaining the highest level of operations, clinical integrity and patient...Full timeTemporary workLocal areaWork from home- ...site expectations based on business needs. The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for...Flexible hours
$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...Contract workTemporary workRemote workDay shiftActalent
Saint Paul, MN4 days ago$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 workMcKesson’s Corporate
Virginia, MN4 days ago$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...Temporary workWork experience placementWork at officeLocal areaFlexible hoursTSP, a Syneos Health company
Minneapolis, MN1 day ago$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 jobTemporary workWork at office$20.2 - $30.09 per hour
...the computer system, resulting in accurate claim submissions. Key Responsibilities: Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteria Accurately identifies required insurance...Local areaRemote workWork from homeFlexible hoursShift workWeekend work$17 - $31.3 per hour
...Authorization Specialist We're building a world of health around every individual shaping a more connected, convenient and compassionate... ...and fast-paced role, you will be responsible to obtain prior authorization for both new and existing patients in order to process...Hourly payDaily paidFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...Billing and Revenue Cycle Specialist to support the Withdrawal Management program. This role handles insurance verification, prior authorizations, claim submission, payment posting, denial management, and accounts receivable follow-up to ensure accurate reimbursement....Remote job
