Average salary: $52,519 /yearly
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$18 - $32 per hour
...thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical...SuggestedHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayShift workUnitedHealth Group
Las Vegas, NV2 days ago- ...Job Description Job Description ** Job description: ** Prior Authorization/ B&E job description: A Prior Authorization Specialist: A prior authorization specialist is a healthcare administrative professional who secures approval from insurance companies before a patient...Suggested
LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC
Las Vegas, NV2 days ago $248.5k - $373k
...clinical and case management staff regarding utilization practices and effective resource management. Provide medical decisions for prior authorization as required for inpatient, post acute and outpatient requests.Position in this function manage the clinical review of long...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal area- ...Per Diem Float Pool Authorization SpecialistThe Per Diem Float Pool Authorization Specialist is a highly adaptable, detail-oriented professional responsible for securing timely prior authorizations for surgical procedures, durable medical equipment (DME), and medications...SuggestedDaily paidImmediate startMonday to Friday
UNLV Health
Las Vegas, NV1 day ago - ...injection administration according to clinic protocol Schedule new and existing patient appointments accurately Complete prior authorization forms and FMLA paperwork Contact pharmacies promptly regarding medication questions and refills Answer phones...SuggestedFull timeWork at officeMonday to Friday
Oasis Counseling LLC
Henderson, NV9 days ago - ...access outcomes. What You'll Do Deliver tailored reimbursement education and consultation to provider offices on payer policies, prior authorizations, denials, appeals, and specialty pharmacy pathways Conduct on-site and virtual engagements aligned with brand strategy and...SuggestedFull timeTemporary workPart timeWork experience placementImmediate startWork from homeHome officeFlexible hours
Neovance
Las Vegas, NV4 days ago - ...Children’s HospitalDedicated team of 3 MDs, and MA supportRotating shared callSocial worker, case manager onsite and dedicated prior authorization pharmacy liaisonAffiliate Faculty Appointment with UNR MedTeaching medical students, residents, and PA studentsCommunity-...SuggestedFull timeTemporary workSummer workRelocation
- ...complex 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.Document case...SuggestedRemote work
Pharmacy Careers
Las Vegas, NV4 days ago - ...physicians and retained medical experts. Alongside clinical work, you'll author expert reports and future cost projections, give deposition and... ...clinical work:We're out of network with health insurance. No prior authorizations, no insurance denials, no utilization review, no...SuggestedFull timeImmediate start
ANDREW HALL MD PLLC
Las Vegas, NV1 day ago - ...Telehealth * Perform routine clinical tasks to support medical staff, such as keeping the back office in stock * Referrals * Prior Authorizations Qualifications: * Medical Assistant license * CPR certification * Ability to thrive in a fast-paced environment Company...SuggestedWork at office
Mario Pineiro MD PC
Las Vegas, NV3 days ago - ...Eligibility & Prior Authorization Specialist Contract: 2-months contract with possible extension Shift: 08:00 AM – 05:00 PM (Monday-Friday) Responsibilities Manage administrative intake of facilities, provider offices and members. Work with hospitals, clinics...SuggestedContract workMonday to FridayShift work
The Judge Group
Las Vegas, NV3 days ago - ...Children’s HospitalDedicated team of 2 MDs, and MA supportRotating shared callSocial worker, case manager onsite and dedicated prior authorization pharmacy liaisonAffiliate Faculty Appointment with UNR MedTeaching medical students, residents, and PA studentsCommunity-...SuggestedFull timeTemporary workSummer work
- ...administrative duties in a timely manner Perform routine clinical tasks to support medical staff Escort patients to exam rooms Prior Authorization Check out New prescriptions/refills Qualifications: Fluent in Spanish Previous experience in healthcare...SuggestedWork at office
Silver State Cardiology LLC
Henderson, NV24 days ago - ...professionalism and compassion. Schedule appointments, procedures, and follow-up visits. Verify insurance and obtain prior authorizations. Answer incoming phone calls and patient messages. Maintain accurate electronic medical records (EMR). Coordinate referrals...SuggestedHourly payFull timePrivate practiceWork at office
GODWIN INALEGWU OFIKWU
Henderson, NV11 days ago - ...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...SuggestedRemote work
- ...Dedicated team: 3 MDs; 1 full-time MA; Oncology Care Coordinator RN on site as well as part-time Social Worker Dedicated Prior Authorization Pharmacy Liaison Outpatient Clinic and adjacent Pediatric Infusion Center (located within the hospital) COG member, Children...Full timeTemporary workPart time
$50k - $150k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-...Remote jobPart timeFor contractorsPrivate practiceImmediate startWork from homeShift work- ...appointments, verifying insurance, and processing referrals or authorizations. Maintain accurate patient records and ensure... ...environments while maintaining attention to detail. Experience with Prior Authorizations. Medial Records Experience. BLS Certification...Work at office
Nevada Health Alliance
Las Vegas, NV1 day ago $18 - $32 per hour
...clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shiftUnitedHealth Group
Nellis Air Force Base, NV4 days ago$20 - $36 per hour
...the clinical team to manage requests for services Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Resolve inquiries from members and/or providers Coordinate moves with...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayAfternoon shiftOptum
Henderson, NV20 hours ago- ...reliable, proactive, and detail-oriented Medical Assistant with prior experience in a cardiology setting. Must be a fast and... ...provider dictations in the EMR system Coordinate referrals, prior authorizations, and follow-up appointments Support providers during in-office...Work at office
Premier Medical Consultants, Inc
Henderson, NV8 hours ago $18 - $32 per hour
...the clinical team to manage requests for services from members and/or providersProcess incoming and outgoing referrals, and prior authorizations, including intake, notification and census rolesAssist the clinical staff with setting up documents/triage cases for Clinical...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shiftGenoa Telepsychiatry
Las Vegas, NV4 days ago$20 - $23 per hour
...team! WHAT'S IN IT FOR YOU: REMOTE position Opportunity to grow within managed care Gain experience working with prior authorizations REQUIREMENTS: ~ Experience with prior authorizations ~ Ability to work the below schedule: ~ Monday-Friday, some weekend...Contract workTemporary workWork at officeImmediate startRemote workMonday to FridayActalent
Henderson, NV2 days ago- ...patients' information and accurately enters it in EMA. Identifies payer sources, verifies insurance eligibility, and verifies prior authorization. Recording and collecting patient copays and/or balances at check-in/out. Other duties as assigned. QualificationsEducation...Full timeTemporary workWork at office
Platinum Dermatology Partners
Henderson, NV3 days ago - ...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
$88.94k - $160k
...by other underwriters to ensure a high level of report quality prior to submission for approval; findings to be captured via a standardized... ...resume submissions. Staffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to...Full timeWork experience placement- ...Administer medications/injections ; manage medication inventory. Assist with procedures, prescription refills, and prior authorizations. Coordinate and fit orthopedic DME (braces, boots, slings, etc.). Support pre-op/post-op documentation and patient follow...Full timeMonday to Friday
Kevin P Debiparshad PLLC
Las Vegas, NV12 days ago - ...management system. · Obtains benefit verification and necessary authorizations (referrals, precertification) after patient arrival for all... ...· Working knowledge of eligibility verification and prior authorizations for payment from various HMOs, PPOs, commercial...Work at office
The Center for Orthopedic and Research E
Reno, NV29 days ago - Why Work For Us? Great Pay - opportunity to participate in AAA discretionary annual incentive plan or other incentive plans depending upon position 401k Matching - $1 for $1 company match up to 6% of eligible earnings per pay period Benefits - Medical, Dental, Vision, ...Work at office
AAA Mountain West Group
Las Vegas, NV8 hours ago - ...electronic medical records in the clinic. Candidates must be legally authorized to work in the United States. Please note: UNLV Health does not... ...Prefer experience with the SMI population. Knowledge of prior authorization and referrals. Knowledge and applicability of...Monday to Friday
