Average salary: $119,544 /yearly
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- A leading healthcare organization in Las Vegas is seeking an Eligibility and Prior Authorization Specialist. The ideal candidate will verify patient benefits and obtain prior authorizations for procedures and medications, ensuring compliance with insurance guidelines. Responsibilities...SuggestedFull time
- ...team of 2 RD CDE, 1 RN CDE, Care Coordinator RN on site as well as Social Worker and Community Healthcare worker. ~ Dedicated prior authorization Pharmacy Liaison & Pediatric Infusion Center onsite. ~ Affiliate Faculty Appointment with UNR Med ~ Teaching medical...SuggestedFull timeTemporary workSummer workRelocation
- ...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,...SuggestedFull timeTemporary workPart time
Renown Health
Reno, NV2 days ago $60 - $65 per hour
...and care teams to manage patient outcomes • Maintain accurate records and ensure compliance with pharmacy policies • Support prior authorization and insurance coordination as needed Requirements • Active, unrestricted state pharmacist license • PharmD or BS in Pharmacy...SuggestedContract workLocal areaAccess Healthcare Staffing and Recruitment
Las Vegas, NV20 hours 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, facilities...SuggestedContract workMonday to FridayShift work
The Judge Group
Las Vegas, NV4 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 Qualifications:...SuggestedTemporary workWork at office
Platinum Dermatology Partners
Henderson, NV3 days ago - ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband...SuggestedWork at officeLocal area
PhyNet Dermatology LLC
Henderson, NV4 days ago - ...ensuring compliance with medical necessity guidelines, insurance authorizations, and regulatory requirements. Manage patient caseload... ...documentation and treatment schedules. Ensure proper insurance prior authorizations are obtained for occupational therapy services....Suggested
Hatch Global Search
Henderson, NV1 day ago - ...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...SuggestedMonday to Friday
UNLV Health
Las Vegas, NV20 hours ago $16 - $18 per hour
...and Casualty Insurance Agent , you’ll help customers find the best coverage for their auto, home, and renters insurance needs. No prior experience is necessary — we provide complete training and licensing support to help you become a licensed insurance professional....SuggestedHourly payL.A. Insurance
Las Vegas, NV9 days ago$27.73 - $54.06 per hour
A healthcare provider is seeking a Clinical Member Services position in Las Vegas, NV. This role involves assessing clinical member services and ensuring compliance with guidelines. A Registered Nurse (RN) license is required along with at least 2 years of relevant experience...SuggestedHourly pay$18 - $20 per hour
...and confirm patient appointments for consultations, orders, or follow-ups. Coordinate the scheduling of tests, treatments, prior authorization, or specialist referrals as needed. Perform additional tasks, duties, and assignments as specified by your supervisor....SuggestedHourly payFull timeMonday to FridayBehavioral Health Solutions
Henderson, NV3 days ago- ...patients Prepping for injections (administering injections optional) Submitting referral and pharmacy orders Obtaining prior authorizations Replying to patient voicemails, emails, and answering medical related patient calls Other MA duties as needed...Suggested
ORTHOPAEDIC INSTITUTE OF HENDERSON, L.L.P.
Henderson, NV20 hours ago - ...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...SuggestedRemote jobWork from homeFlexible hours
$27.73 - $54.06 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 officeRemote work- ...administrative support tasks such as answering phones, scheduling appointments, accurately maintaining patient records, and medication prior authorizations - Assist healthcare providers with patient examinations and procedures - Take and record vital signs, including blood...Full timeWork at office
CONCIERGE CARE PHYSICIANS, LLP
Henderson, NV1 day ago - ...education. 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...Full timeMonday to FridayFlexible hours
Kevin P Debiparshad PLLC
Las Vegas, NV20 hours ago $20 - $25 per hour
...timely and accurate documentation in systems Develops spreadsheets and other tools to support Medical Management team Create prior authorizations from incoming portal entrees and faxes Outreach to facilities to follow up on member's discharge Verify eligibility...- ...specialty biologics, oncology, neurology, gastroenterology, or immunology markets Knowledge of third-party reimbursement, prior authorizations, and specialty pharmacy workflows Experience working with EMRs, CRM systems, and care coordination teams Prior success...Work from home
- ...skills required. Client Care Assist psychiatry providers in the management of client scheduling, medication refills, prior authorizations, service coordination, vital signs, and fulfillment of psychiatric-specific case management needs. Assess the clients...Full timeTemporary workPart timeWork experience placementWork at officeFlexible hours
GEORGIA COMMUNITY SUPPORT AND SOLUT
Gardnerville, NV1 day ago - ...physician # Assist with pre and post op patient education as well as ensure paperwork is signed and accurate # Assist with prior authorizations # Cleans exam rooms according to standard protocols to include stocking of rooms as needed. # Maintains a clean and...Full timeTemporary workWork at office
Elko Community Health Center LLC
Elko, NV4 days ago - ...addressed in a timely manner. This position is responsible for supporting patients with referrals, provider communication, prior authorizations, and medication refill requests, appointment scheduling and other needs that require clinical actions. The position works in...
Nevada Health Centers
Las Vegas, NV1 day ago - ...*Communicate with insurance companies for insurance verification & proper billing procedures *Verification will include prior authorizations, insurance eligibility, policy terms, etc. *Maintain Compliance for various state and local organizations *Flexibility...Full timeWork at officeLocal area
SUSAN R FERNANDEZ PC
Henderson, NV2 days ago - ...Answer phone calls, schedule appointments, and manage patient inquiries efficiently Verify patient insurance information and prior authorizations Maintain electronic medical records (EMR) accurately and confidentially Collect payments and all required...Full timeWork at office
Hera Women's Health
Las Vegas, NV14 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, NV15 days ago $18 - $22 per hour
...and facilitating seamless communication among our providers and facilities. This position will float between scheduling, prior authorization, and our census operations teams. Responsibilities Schedule Management Create, maintain, and optimize schedules for...Behavioral Health Solutions
Henderson, NV24 days ago- ...clinical support staff Identify operational issues and proactively escalate or resolve them Support scheduling, referrals, prior authorizations, and medical records as needed Ensure accurate and timely documentation in the EHR Assist with inventory management...Remote work
Premier Medical Consultants, Inc
Reno, NV20 hours ago - ...Henderson Position Type: Full Time Experience: 2 years' experience Essential Duties and Responsibilities: Obtain Prior Authorizations for Procedures Schedule Procedures, Inform Patients of Test and Schedule Follow Ups FMLA and Disability Forms Home...Full time
- ..., chart preparation, and follow-up documentation. Assists with the flow of patient care by managing schedules, obtaining prior authorizations, and ensuring chiropractors have complete documentation prior to treatment. Serves as a liaison between chiropractic providers...Work at officeLocal area
Excelsia Injury Care
Henderson, NV4 days ago - ...will be responsible for answering the phone and scheduling patients' appointments, scheduling surgical procedures, obtaining prior authorizations, managing the reception area in an organized fashion, accepting and/or collecting co-pays and balances (cash receivables),...Full timeWork at office
Mesa View Regional Hospital
Mesquite, NV2 days ago
