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
- ...This role is crucial for assisting patients and caregivers in navigating insurance coverage for Amgen therapies, addressing prior authorization and reimbursement challenges. The ideal candidate will have substantial experience in patient services with a clinical background...Suggested
- ...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
- ...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
- ...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,...SuggestedFull timeWork at officeRemote workMonday to FridayWeekend workDay shiftAfternoon shift
- 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
- 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
- ...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...SuggestedPart timeLocumLocal areaImmediate startMonday to FridayShift work
$40k - $52.3k
...for chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to... ...years' experience working in an administrative support capacity Prior professional experience of Microsoft Word, Outlook and Excel with...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$17 - $24 per hour
...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...SuggestedLocal area$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- ...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....SuggestedRemote 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...SuggestedHourly payWork experience placement- ...roundtrip flights per month. Any airfare over 1000 roundtrip needs prior approval. Lodging: Not to exceed 200/night for hotel to... ...supported o Oncology/Infusion Department Nurse Manager o Prior Authorization – centralized and supported by Allina _______________________...SuggestedWeekly payDaily paidFull timeContract workLocumLocal areaImmediate startShift workNight shiftDay shift
$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 pay$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- ...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
$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...Full timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shift- Summary The Prior Authorization Specialist works under the direction of the Health Information Manager. This role ensures that payers are prepared to reimburse Mille Lacs Health System for scheduled services in accordance with payer-provider contracts. Responsibilities...Full timeMonday to FridayWeekend workAfternoon shift
$15.9 - $17 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- ...S RESPONSIBILITIES INCLUDE THE FOLLOWING Reviewing medication authorizations submitted by clients Performing appropriate actions based on client... ...to obtain additional information or guidance related to prior authorization submission Assisting clinics with submitting appeals...Full timeRemote workWork from home
- ...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 timeMonday to FridayAfternoon shift
$72k
...balance. What You’ll Do Perform intake assessments for individuals served, including submission of required documentation for prior authorization of services as needed based on pay sources. Develop care plans based on nursing diagnoses and physician input, including...Immediate startRemote workRelocation packageFlexible hoursRotating shift$44 - $79 per hour
...gaps and root causes, prepare reports and collaborates on remediation Use existing technology and validation tools to review prior authorization set up and gain insight into drug specific prior authorization information Work on program prior authorization...Hourly payDaily paidMinimum wageFull timeWork experience placementLocal areaRemote work10 hours per week$26.19 - $36.09 per hour
...care support as delegated by Provider or RN. Administers therapies including medications, scheduling follow up visits (and prior authorization) or other support unique to a specialty provider. Provides patient care pre/post encounter or procedure, preventative or...Hourly payTemporary workRemote workShift workWeekend workDay shiftAfternoon 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 jobFull timeTemporary workWork at officeShift work- ...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...Relocation packageFlexible hours
$22 - $27.5 per hour
...general insurance/referral guidance; maintaining current physician surgery calendars; documenting in the EHR; confirming needed prior authorizations, referrals, and pre-certifications; and managing cancellations/reschedules in a way that reduces disruption for patients and...Full timeTemporary workWork at officeMonday to FridayFlexible hoursWeekend workDay shift$22 - $27.5 per hour
...maintaining accurate physician surgery calendars. You'll document in NextGen/UroChart and help ensure needed pre-certifications, prior authorizations, and referrals are in place. Required qualifications/skills: - High school diploma or equivalent - At least 1 year of...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work

