Average salary: $73,171 /yearly
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- ...Prior Authorization Specialist Cherry County Hospital is seeking a dedicated and skilled Prior Authorization Specialist to join our team. In this vital role, you will be responsible for obtaining pre-certifications and pre-authorizations for medical procedures and medications...SuggestedWork at office
Cherry County Hospital & Clinic
Valentine, NE2 days ago $86k - $101.5k
...Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal area$77k - $87k
...; and San Antonio, TX. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedFull timeLive inLocal area$111.4k - $132.5k
...under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial general liability bodily... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal area- A specialized healthcare facility is seeking an Authorization Specialist (RN or LPN) for a remote position. The role involves collaborating with clinical teams and payers to obtain prior authorizations, manage appeals, and ensure compliance with medical regulations. Candidates...SuggestedRemote job
- ...backgrounds to apply. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedFull timeCasual workLocal areaRemote workWeekend work
$90.8k - $140k
...0 - $140,000 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaArgonaut Management Services, Inc
Omaha, NE2 days ago- ...and clients alike.****PLEASE NOTE:***Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedWork at officeLocal area
- ...and clients alike.****PLEASE NOTE:***Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedWork at officeLocal area
$111.4k - $144.6k
...comprehensive benefits packages. Notice Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedWork at officeLocal area$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Kearney, NE8 hours agonew$100k
...adjudicate general liability bodily injury claims at the highest authority limits on assignments reflecting the highest degree of... ...Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal area- Authorization Specialist CMA, FT-Remote Work Eligibility Base on Experience & Department Needs (Healthcare) SUMMARY The Authorization Specialist... ...clinics, and third party payers for the purpose of obtaining prior authorization or pre-certification and resolves appeals to...SuggestedRemote jobLocal area
$26.41 - $61.79 per hour
...appropriate benefits, eligibility, and expected length of stay for requested treatments or procedures. Conduct reviews to ascertain prior authorization and financial responsibilities for Molina and its members. Process requests promptly, adhering to required timelines....SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Offutt Air Force Base, NE12 hours ago$20.4 - $25.5 per hour
...benefits packages. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedHourly payWork at officeLocal areaArgo Group
Omaha, NE4 days ago- ...obtained through: A high school diploma (or equivalent) and 3 years' prior relevant work experience; or A vocational or technical... ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the...Full timeWork experience placementLocal areaImmediate start
$201k - $241k
...comprehensive benefits packages. Please Note Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...Local area$185k - $254k
...comprehensive benefits package. Please Note Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...Local area$80k - $138k
...benefits packages. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Local areaArgonaut Management Services, Inc
Omaha, NE1 day ago$49 per hour
...include: Conduct inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. Refer appropriate cases to Medical Directors and present them in a consistent and...Work experience placementRotating shift- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist. This role involves evaluating prescription requests, communicating decisions, and collaborating with healthcare professionals. Ideal for pharmacists aiming to transition from retail...Remote job
- ...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,...Full timeContract workLocal 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
- ...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
- Authorization Specialist RN or LPN FT-Remote Work Eligibility Base on Experience & Department Needs (Education) SUMMARY The Authorization... ...service areas, physician clinics, and third-party payers to obtain prior authorizations or pre-certifications and resolve clinical...Remote jobLocal area
$20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...For contractorsWork at officeLocal areaHighmark Health
Lincoln, NE12 hours ago- ...Schedule pre- and post-operative appointments and assist with patient inquiries. Confirm patient insurance coverage and obtain prior authorizations if required. Accurately complete patient charting and documentation. Pathology log management: Act as liaison between...Full timeWork at officeLocal area
Forefront Dermatology
Omaha, NE3 days ago - ...applications quickly Excellent interpersonal and communication skills; the ability to interact professionally with a wide variety of individuals Excellent organizational and time management skills Prior experience in insurance or business a plus GBLI | Global IndemnityInternshipFlexible hours
- ...personal injury protection). This is an in-office position out of the Nebraska claims office. Responsibilities Obtains necessary authorization from the Claims Supervisor to pay claims in excess of authority. Performs a variety of duties which require in-depth knowledge...Work at office
$20.25 - $29.25 per hour
...patients to provide comprehensive financial planning and financial advocacy. Responsible for prescription insurance verification, prior authorizations and compassionate care medication programs. Works to reduce access and financial barriers to medications for patients....Full timePart timeWork experience placementRelocation packageShift workDay shift
