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
$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$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work- ...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
- ...St. Cloud Orthopedics in Sartell, MN seeks an Authorization Clerk to obtain prior authorizations for clinic services, verify insurance data, and submit authorizations and pre-certifications to insurers. The role supports clinical staff, stays current on payer requirements...SuggestedWork at office
- ...strategies, work cross-functionally, and set priorities. The CMO will also be responsible for clinical operations oversight, prior authorization transformation, and clinical product development and innovation. Strong leadership, communication, and relationship-building...SuggestedTemporary work
$26.44 - $36.06 per hour
...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 payContract workLocal area- ...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
$200.4k - $343.5k
...This role will guide the modernization of radiology health plan medical management programs, including utilization management, prior authorization, post-service clinical review, clinical decision support, and evidence-based care pathways, with the goal of improving...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$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$23 - $25 per hour
...Job Duties Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Minneapolis (near the Edina area). Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office....SuggestedHourly payFull timeWork at officeRemote workMonday to FridayFlexible hoursShift work2 days per week1 day per week- ...seeks a results-driven Patient Access & Reimbursement Specialist to guide patients and providers through insurance benefits, prior authorizations, and coverage pathways. You will educate on coding, billing, and HIPAA requirements while supporting access across infused...Suggested
- ...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
- General Summary Of Duties Responsible for obtaining prior authorization for patient services which includes verifying insurance data and submission of authorizations and pre-certifications for all clinic services to insurance companies. Communicate with clinical staff and...SuggestedWork at office
$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 hours$26.44 - $36.06 per hour
...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$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 hours$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...Hourly payCasual workLocal areaMonday to FridayFlexible hoursShift workDay shift- ...Prior Authorization Pharmacy TechnicianThe Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring excellent customer service, accuracy...Remote 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....Hourly payContract workTemporary workShift workDay shiftAfternoon shift- ...applications and initial and ongoing training.Coordination and authorization of payer mandated white bagging when required by MN State Law... ...Benefits and copay assistance.Coordinate with outside facilities on prior authorization and access as needed for MHFV providers.Research...Temporary workWork from homeRelocation package
$22 - $32.05 per hour
...end patient facing or patient supporting roles and knowledge (Financial Advocate, Patient Access, Verification of Benefits, Prior Authorization). Working directly with a patient population regarding insurance and finances. Experience working in a virtual environment...Work at office$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- ...management system Obtain restricted Medicaid and VA referral authorizations Ensure referral information, preferred pharmacy, flag alert messages... ...patient if insurance information is not available Notify the Prior Authorization Specialist if the patient has changed insurance...Work at office
$134.6k - $230.8k
...digital therapeutics. The role orchestrates cross functional reviews and recommendations for coverage and management -e.g., prior authorization (PA), reimbursement policy, medical benefit placement, digital formulary inclusion, value based or network/contracting strategies...Minimum wageFull timeWork experience placementLocal areaRemote workFlexible hours$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$200.4k - $343.5k
...based care programs, quality improvement initiatives, and care managementProcess OptimizationIdentify pain points in current prior authorization processes and propose innovative solutionsSupport effective implementation in partnership with teams in clinical operations and...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...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
- ...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...Remote job
$17 - $20 per hour
...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 placementWork at office

