Average salary: $49,698 /yearly
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$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 startRemote workMonday to FridayFlexible hoursShift workColoplast
Minneapolis, MN9 hours agonew$21.88 - $30.87 per hour
...Prior Authorization Specialist 1.0 FTE (40 hrs/wk); Monday Friday, business hours. This position requires initial on-site training at the 455 location in St. Paul, and then will transition to a remote working role. However, the selected candidate must reside in Minnesota...SuggestedHourly payWork experience placementWork at officeLocal areaRemote workMonday to FridayGillette Children's
Saint Paul, MN2 days ago- ...management through coordination of the following functions: verification of insurance eligibility, coordination of referrals and prior authorizations, procedure quotes, patient financial counseling and the reconciliation and audit of patient charges. This position provides...SuggestedFull timePart timeWork at officeLocal areaShift workNight shiftWeekend work
Children's Minnesota
Saint Paul, MN19 days ago - A healthcare provider in Minnesota is seeking a Prior Authorization Specialist to act as a liaison between insurance companies and healthcare services. This role requires strong communication skills and experience in managing prior authorization requests. Responsibilities...SuggestedFull timeMonday to FridayWeekend work
- ...in Minnesota is looking for an individual to manage insurance authorizations effectively. This role involves reviewing patient records and... ...necessary approvals for services. Ideal candidates should possess prior authorization experience and strong communication skills,...Suggested
- A healthcare innovator in Minneapolis is seeking a Prior Authorization Specialist to join the Market Access Team. The role involves verifying insurance coverage, managing prior authorizations, and communicating effectively with providers. Ideal candidates have a strong...Suggested
$55k - $65k
...treatment with Kerecis products including detailed review of patient responsibility for Kerecis treatment Verify authorization requirements and initiate prior authorizations while considering payer coverage criteria information Prepare and send insurance benefit...SuggestedWork at officeHome office$80k - $130k
A healthcare technology company is seeking a Prior Authorization Specialist in Minneapolis, MN. This role involves overseeing the pre-service clearance process for insurance verification and authorizations for innovative neurostimulation therapies. The ideal candidate will...Suggested- ...position is responsible for the end-to-end management of insurance authorizations for Johnson Memorial Health Services’ patients. Acts as a... ...authorizations to ensure approval before services are provided Record prior authorization details including approval dates, billing units,...SuggestedWork at officeShift work
- An established industry player is seeking a Prior Authorization Representative to facilitate patient access to therapies. This role involves verifying insurance coverage, obtaining prior authorizations, and collaborating with healthcare professionals and payers. The ideal...Suggested
- A healthcare organization in Chaska, Minnesota, is seeking a Managed Care Specialist to oversee requests for referrals and authorizations. The ideal candidate should have a high school diploma, two years of experience in a related field, and strong customer service skills...Suggested
$21 - $29 per hour
...will have a high school diploma and at least three years of relevant experience. Responsibilities include obtaining insurance prior authorizations and reviewing patient accounts. The role requires proficiency in Microsoft Office and communication skills. Competitive pay...SuggestedWork at office- ...Eligibility Confirm eligibility for both state and commercial plans prior to appointment Communicate additional information needs and... ...claims accurately and timely. Prepare and submit Prior Authorizations accurately and timely. Communicate necessary corrections to...Suggested
- ...healthcare facility in Minnesota seeks a candidate to manage insurance authorizations for patients, requiring effective communication with providers... ...compliance with regulations. Preferred qualifications include prior authorization experience, clinical healthcare knowledge, and...Suggested
- 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...SuggestedFull timeMonday to FridayWeekend workAfternoon shift
- ...equivalent ~1+ year experience in a medical billing department, provider front office, the Company's imaging center operations, prior authorization department or payer claim processing department. ~ Thorough knowledge and experience with EOB's ~ Proficiency with...Temporary workFlexible hours
Retina Consultants of Minnesota
Minneapolis, MN2 days ago - ...of Job The Managed Care Specialist (MCS) will be responsible for managing requests for incoming and outgoing referrals and prior authorizations. Acts as a liaison between health plans, patients and providers. Brief Description The Managed Care Specialist (MCS) will be...Work experience placementWork at officeShift work
$20.38 - $36.44 per hour
...Pay, Medicare, Managed Care and other third-party payer claims, authorizations, customer service and collections for the Courage Kenny... ...and skilled nursing facility benefits, submission of concurrent prior authorization requests, the preparation and submission of complete...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayShift work1 day per weekOptum
Golden Valley, MN2 days ago- ...Job Title: Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access...
$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- ...patients to communicate important information from their provider. The role includes discussing lab results, medication questions, prior authorizations, immunization queries, and provider messages. Some faxing ability is required. Key Responsibilities: Make outbound...Work at officeLocal area
$80k - $130k
...aims to help stroke survivors regain independence in daily activities and enhance their quality of life. About The Role The Prior Authorization Specialist is part of the Market Access & Reimbursement Team and serves as the primary liaison for providers, hospitals, and...Local area- 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 and...Remote jobWork from homeFlexible hours
- A healthcare provider in Waconia, Minnesota is seeking a Managed Care Specialist to oversee referrals and prior authorizations. This role requires strong customer service and two years' experience in a related field, with the ability to handle a high-stress environment...Remote job
- ...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....Remote job
- A healthcare facility in Chaska, Minnesota is seeking a Managed Care Specialist responsible for managing referrals and prior authorizations. Candidates should have a high school diploma and 2 years of experience in revenue cycle or insurance verification. Strong customer...
- ...Duration: 24 months Recruiter Name: Mary Elbarbary Recruiter Email: ****@*****.*** Job Description JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works...
- ...Pharmacist for a remote position. The role requires a Board Certified Oncology Pharmacist (BCOP) credential and involves reviewing prior authorization requests, providing support to front-line colleagues, and maintaining current oncology therapy knowledge. Candidates should...Remote job
$65k - $115k
...proficiency in medical terminology, medical office workflows, and pre-service clearance processes. Apply working knowledge of prior authorization concepts. Maintain compliance with HIPAA and data privacy regulations at all times. Support continuous improvement of...Work at officeLocal area$100.3k - $150.47k
...Minnesota seeks a Program Manager to lead initiatives in Clinical Services Optimization. The role emphasizes managing the electronic prior authorization (ePA) process and requires collaboration with cross-functional teams. With 8 years of relevant experience and a bachelor's...Work at office
