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
$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 work- ...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
- ...Prior Authorization Specialist The Prior Authorization Specialist secures insurance approval for medical services, treatments, physical therapy, imaging, EMGs, injections or other related procedures by verifying patient eligibility, collecting clinical info, submitting...SuggestedFull timeSummer workWork at officeLocal areaRelocationWeekend work
$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...SuggestedHourly payImmediate startFlexible hours$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 week- Boston Scientific is seeking a Patient Access Case Manager to guide cases through insurance authorization and appeals. You will collaborate with Interventional Spine team members and external physicians and patients to navigate reimbursement challenges. The role supports...SuggestedRemote jobRelocation
$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 shift- ...treatment. Conducts daily review of individual cases and has necessary case level conversations as requested. This includes prior authorizations and denial decisions for cases that do not meet established evidence-based criteria Provides clear and concise documented...SuggestedPermanent employmentFull timeCasual workRemote work
$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 Friday$23.48 - $33.95 per hour
...duties as assigned Required: ~ High School diploma or equivalent ~5+ years' experience in a medical billing department, prior authorization department or payer claim processing department ~ Knowledge of Workers Compensation, HMO's, PPO's, MA and other third party...SuggestedFull timeImmediate startMonday to Friday- ...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
- ...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
$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...Full timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shift$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,...Contract workWork at officeLocal areaWork from homeFlexible hours$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...Hourly payWork at office$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 work$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...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work$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$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 shift$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
$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...Weekly payWork at officeRemote workMonday to FridayWeekend work$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$20 - $36 per hour
...transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. *Employees in jobs labeled with 'SCA' must support a...Hourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayFlexible hoursShift workAfternoon shift$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- ...Authorization Specialist Park Nicollet is looking to hire an Authorization Specialist to join our team! Come join us as a Partner for... ...completing insurance verification, obtaining and documenting prior authorization approvals from insurance companies for procedures...Work at office
$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



