Average salary: $119,544 /yearly
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- A leading eye care service organization is seeking a Prior Authorization and Eligibility Coordinator in Las Vegas, Nevada. This position involves verifying insurance eligibility, obtaining pre-authorizations, and communicating effectively with patients, staff, and doctors...Suggested
- 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
- ...knowledge of insurance and mental health treatment. Strong problem-solving and communication skills are essential. Experience with prior authorization and appeals processes is preferred. Join a dedicated team to facilitate patient access to vital healthcare services. #J-18808...Suggested
- ...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, 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, facilities...SuggestedContract workMonday to FridayShift work
The Judge Group
Las Vegas, NV6 hours 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, NV1 day ago- Eligibility and Prior Authorization Specialist Location: Las Vegas, NV Job Type: Full-Time At Hera , we believe women’s healthcare deserves higher standards where value is placed on the quality of care provided, and the best patient outcomes are achieved. We believe by...SuggestedFull timeWork at office
- ...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, NV6 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, NV10 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, 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 Qualifications...SuggestedFull timeTemporary workWork at office
Platinum Dermatology Partners
Las Vegas, NV14 hours 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, NV1 day ago $27.73 - $54.06 per hour
A healthcare company in Las Vegas seeks a Clinical Support Specialist to provide clinical member services support, ensuring services meet established guidelines. Responsibilities include analyzing clinical requests, identifying benefits, and collaborating with teams to ...SuggestedRemote jobHourly pay- ...specialty pharmacy operational workflows Assistwith prescription processing and documentation Help with insurance tasks (prior authorizations, follow-ups) Maintainaccuraterecords in pharmacy systems Support communication with providers and internal teams Assistwith...SuggestedFor contractorsInternship
$27.73 - $54.06 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conduces reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases...Hourly payWork experience placementWork at officeRemote work$20 - $25 per hour
...medical management processes. The role involves gathering clinical information, ensuring timely documentation, and facilitating prior authorizations. Candidates should have a high school diploma, strong problem-solving skills, and excellent communication capabilities. This...$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...Hourly 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....Hourly payFull timeMonday to FridayBehavioral Health Solutions
Henderson, NV4 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...
ORTHOPAEDIC INSTITUTE OF HENDERSON, L.L.P.
Henderson, NV1 day ago - ...This position will be accountable to serve as an expert resource in patient access services including, benefits verification, prior authorization, pre-service appeals and post service claims appeals. Key Responsibilities: Participation on weekly program calls as needed....Work experience placementWork at office
- ...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...Remote jobWork from homeFlexible hours
- ...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, NV2 days 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, NV1 day 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...- ...Executive Director of Clinical Operations. 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
- ...infusion centers. Interpret physician pharmacy orders to ensure the patient receives the highest quality of care. Submit prior authorizations to insurance companies to ensure drug coverage for the patient. Communicate with patients regarding medication refill requests...Full timeWork at officeShift work
- ...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
- ...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 - ...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, NV2 days ago
