Average salary: $49,698 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' 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 work- Ridgeview in Chaska, MN is seeking a dedicated professional to manage prior authorizations, coordinate between patients, providers, and payors. The ideal candidate will have a CMA or LPN certification and at least one year of experience. Responsibilities include communicating...Suggested
- ...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 quality...SuggestedRelocation packageFlexible hours
Jackson Physician Search
Duluth, MN13 days ago $21 per hour
...monitor TMS equipment, ensuring proper coil placement and machine calibration. Perform clerical work such as requesting prior authorizations, reviewing medical records, and various phone calls. Maintain a clean and organized office area for patients. Prep exam...SuggestedWork at officeValley Medical
Saint Paul, MN20 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...SuggestedHourly payCasual workLocal areaMonday to FridayFlexible hoursShift workDay shiftLake Region Hospital
Fergus Falls, MN3 days ago- ...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, MN17 days ago $67k - $75k
...Prior Authorization Resolution Specialist - Remote (MN Residents Only) Fully Remote $67,000-$75,000 Monday-Friday | Flexible within regular business hours Temp - to - Hire...SuggestedPermanent employmentContract workTemporary workLocal areaRemote workMonday to FridayFlexible hours- 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
Pharmacy Careers
Saint Paul, MN4 days ago $75k - $98k
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 management needs...SuggestedFull timeTemporary workLive outWork at officeFlexible hoursWeekend workAfternoon shiftNorth Risk Partners
Saint Paul, MN2 days ago- ...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
Visante® Inc.
Saint Paul, MN2 days ago $60.2k - $107.4k
Optum is seeking a Prior Authorization Nurse to work flexibly from anywhere in the U.S. You will handle authorization processes for Oncology services, working closely with healthcare professionals to ensure compliance with regulations. The ideal candidate must be a licensed...SuggestedRemote job$67k - $75k
...Insurance Response Analyst (Prior Authorizations) Location: Fully Remote Schedule: Monday-Friday | Flexible business hours Type: Temp-to-Hire (conversion after 720 hours)...SuggestedShorter hoursContract workTemporary workLocal areaRemote workMonday to FridayFlexible hours$21 - $25 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 phototherapy...SuggestedHourly payTareen Dermatology
Saint Paul, MN2 days ago$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 authorizations...SuggestedContract workTemporary workRemote workActalent
Saint Paul, MN4 days ago$159.3k - $273.2k
...programs using evidence-based guidelines, clinical data, and authorization insights that drive meaningful affordability, quality, and experience... ...the development of automation-first and technology-enabled prior authorization workflows to improve real-time approvals to...Minimum wageFull timeWork experience placementWork at officeLocal areaImmediate startRemote workUHC
Minnetonka, MN12 hours ago- 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
- ...insurers. Insurance Navigation & Access Support Complete and interpret benefit verifications for coverage, cost-share, and prior authorization needs. Resolve insurance challenges, including exclusions, exceptions, and appeals. Share payer insights with internal...
$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 areaWork from homeMonday to FridayFlexible hoursNight shiftAdecco US, Inc.
Lake County, MN12 hours ago- Brief Description This position is responsible for managing prior authorizations, coordinating between providers and payors, verifying clinical documentation, resolving denials, and supporting efficient, compliant access to treatments, medications, and services. Job Functions...Shift work
- ...delivery, and promoting diversity, equity and inclusion in their organizations and the industry. Position Summary The Sr Prior Authorization Specialist promotes an excellent patient experience by ensuring authorizations are in place for services performed at...Full timePart timeWork at officeLocal areaRemote workShift workNight shiftWeekend work
Children's Minnesota
Minneapolis, MN3 hours agonew - ...Management System. Obtain restricted Medicaid and VA referral authorizations. Ensure referral information, preferred pharmacy, flag alert... ...from patient if insurance information is not available Notify Prior Authorization Specialist if patient has changed insurance that...
$24 - $27 per hour
...prescription claims adjudication, including communication with insurance companies regarding rejected claims, eligibility, prior authorizations, or other issues as needed; make corrections as necessary and rebill claims as required. Develop knowledge and understanding...Hourly payFull timeTemporary workFlexible hours$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...Work at office- ...Requires the ability to work as part of a team, helping to coordinate scheduling across multiple sites and departments. Coordinate prior authorization needs for scheduling approval. Independent paperwork and filing responsibilities. Medical Terminology or Medical Assistant...Local area
HealthPartners
Minnesota4 days ago - ...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...Odd jobTemporary workWork at office
- ...improved pharmacotherapy outcomes. The specialty pharmacy technician will play a key role in managing patient intake, managing prior authorizations, performing benefit investigations, coordinating patient financial assistance and patient outreach along with inventory...Local areaMonday to Friday
HealthPartners
Minnesota4 days ago $24.5 - $32.77 per hour
...collection, and clinic testing (as assigned) Support phone triage, prescription refills, and patient communication Assist with prior authorizations and documentation tasks Collaborate with providers, clinic supervisors, and healthcare team Maintain compliance with...Permanent employmentFull timeShift workLancesoft INC
Minneapolis, MNa month ago- ...evidenced within medical record, client and health care team feedback. Client Admissions Narcotics Count Completing Prior Authorizations MAR audits and compliance Assist in assuring that effective communication exists with patients as reflected in the...Work at officeShift work
Northstar Behavioral Health
Saint Paul, MN2 days ago $36 - $44 per hour
...understand pediatric disorder • An understanding of the various payer sources with their specific documentation requirements and prior authorization procedures • Ability to apply knowledge in speech-language pathology or availability and creativity to access resources...Flexible hoursShift workSt. Davids Developmental and Therapeutic Services
Hopkins, MN2 days ago
