Average salary: $80,172 /yearly
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- ...hours/week) – Onsite Compensation: Competitive wage based on experience Benefits: Eligible for benefits Now Hiring – Prior Authorization Specialist: About the Position Cherry County Hospital is seeking a dedicated and detail-oriented Prior Authorization...SuggestedFull timeTemporary workWork at officeImmediate startFlexible hours
- ...information of patients at KHS, Making information available to authorized users timely. Maintain storage and retrieval of health... ...including, but not limited to, the following: Receive requests for prior authorizations through the electronic health record (EHR) and/or...Suggested
- Pender Community Health is seeking a Part-Time Prior Authorization Specialist to verify insurance, obtain authorizations, and liaise with departments and providers. The role emphasizes accuracy, timely processing, and clear communication within an ambulatory care setting...SuggestedPart timeMonday to Friday
- Pender Community Health is seeking an entry-level Prior Authorization Specialist to support timely patient care by securing insurance approvals for procedures and hospital admissions. This role requires knowledge of health insurance plans, ICD/CPT coding, and EMR systems...SuggestedFull time
- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers on regimens and disease-state management....SuggestedRemote work
- ...Communicate information to patients as requested by providers when clinical judgment and knowledge is not required. · Perform Prior-Authorizations for Medication · Comply with federal and state standards and laws · Maintain accurate documentation · Report any...SuggestedFull time
- Authorization Specialist Full Time Clerical/Admin Regional West Medical Center, SCOTTSBLUFF, NE, US Regional West Medical Center is seeking an Authorization Specialist to support timely, accurate prior authorization for patient services. This role is responsible for obtaining...SuggestedFull time
- # Prior Authorization SpecialistCozad Community Hospital - Cozad, NE 69130## OverviewSalary Range$18.75 - $31.25 HourlyLevelEntryPosition TypeFull Time## Description**Our Mission:** To improve the health and well-being of the communities we serve demonstrating compassionate...SuggestedWork at officeLocal area
$19 - $20 per hour
...accreditation requirements. Amber Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA: Non... ...Function Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber's offices, and...SuggestedHourly payFull timeWork experience placementWork at officeLocal areaRemote workMonday to Friday$120 per hour
...Stephen Center serves approximately 250 people daily in all programs. Purpose: The primary purpose of the Pre-Authorization Specialist is to obtain prior authorizations from Nebraska Medicaid to ensure timely reimbursement for services provided within the HERO program...SuggestedPermanent employmentTemporary workWork experience placementWork at office$26.01 - $62.32 per hour
...schedules will include holidays and evening hours · Associate Degree in Nursing Nice to Have · Utilization Management or Prior Authorization experience · Managed care background · Familiarity with MedCompass · Ambulatory surgery experience · BSN preferred...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work$17 - $22 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$27.02 - $48.55 per hour
...the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential... ...in either central or eastern time zone United States and have prior utilization management or review experience. Evaluates member’...SuggestedHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours- ...Job Description Job Description Job Title: Prior Authorization LPN/RN Location: Johnson County Hospital, Tecumseh, NE Department: Nursing Reports To: DON Position Summary: The Precertification Specialist is responsible for obtaining prior authorizations...Suggested
- ...appropriate guidance and demonstrating a respectful rapport with all staff and patients. 4) Clinical Support: Performs medication prior authorizations, refill requests, patient requested paperwork, and reviews imaging, labs, and pathology reports. Acts as a liaison between...Suggested
- ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring Education: PharmD or Bachelor of Pharmacy. Licensure: Active...Remote work
- ...lanes and maintaining order work areas. Sending prescriptions to patients’ pharmacies as requested by the doctor, and handling prior authorization requests as needed. Participating in regular team meetings and reporting team progress to ensure effective team and inter‑...Full timeLive outShift work
$54.1k - $142.58k
...download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work,...Hourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend work$74k
Cherry County Hospital seeks a detail-oriented Prior Authorization Specialist to secure timely approvals for medical services and procedures. Responsibilities include verifying insurance coverage, submitting and tracking authorization requests, interpreting medical necessity...- ...organize patient medical records, ensuring accurate documentation of all procedures, treatments, and medications. Perform prior authorizations and appeals Triage incoming phone calls and messages Perform basic medical procedures such as collecting vital signs...Full time
- ...Medication Access Pharmacist Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on reducing access barriers and improving patient outcomes...Remote work
$695 - $799 per week
...workflow Maintain and update health records with accurate patient information Handle insurance verifications, billing, and prior authorizations for procedures and medications Ensure exam rooms are clean, stocked, and prepared for each patient visit Perform other...Temporary workShift workAfternoon shift$26.01 - $62.32 per hour
...Proficiency in Microsoft Office (Outlook, Teams, Excel) ~ Associates degree in nursing Nice to Have Utilization Management or Prior Authorization experience Managed care and/or Medicare experience MedCompass or similar system experience Ambulatory surgery...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work$300k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so...Remote jobWeekly payFull timePart timeFor contractorsPrivate practiceImmediate startWork from home$75k - $165k
...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and... ...formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers...Full timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...thorough, accurate and timely manner in the EMR. Gathers necessary information and facilitates the process for obtaining prior authorization of psychotropic medications. Provides relevant patient education. Responds to questions from patients, relays information...Part timeImmediate start
$75k - $115k
...Maintain accuracy and quality of policy documentation and underwriting records. ~ Negotiate terms and conditions within authority to balance profitability and competitive positioning. ~ Build and maintain effective working relationships with agents, brokers...Full timeWork at officeLocal areaFlexible hours- ...and survey readiness activities. Demonstrates behaviors consistent with Radiology service standards. Obtains insurance prior authorizations for CT and MRI studies Provides patient care and education according to the patient population served. Required...Full time
- The Senior Underwriter at Front Porch Investments is responsible for leading the financial and credit analysis of affordable housing loans. This role will independently evaluate and structure transactions, conduct due diligence, prepare credit recommendations, and coordinate...Permanent employment
- ...request and/or renewal policies from agents for acceptability prior to quoting. Follows up with agent or broker for additional information... ...routine insurance risks and refers risks outside underwriting authority to appropriate referral underwriting resource, as appropriate....Full timeCasual workWork at officeImmediate start




