Average salary: $119,544 /yearly
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- ...account management skills. Strong knowledge of dermatology patient access programs, market access, specialty pharmacies and prior authorization pull-through initiatives. Work effectively in collaboration with cross-functional teams. The ability to work...SuggestedWork experience placementLocal areaNight shift
Incyte
Las Vegas, NV18 hours ago - 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
$71.2k - $127.2k
...self-motivated, solid computer skillsBachelor's degree or higher in healthcare related field2+ years of experience providing prior authorization or case management within health plan or integrated systemPay is based on several factors including but not limited to local...SuggestedMinimum wageFull timeWork experience placementLocal areaOptum
Boulder City, NV18 hours ago- A healthcare provider in Las Vegas seeks an Eligibility and Prior Authorization Specialist. The role involves verifying patient insurance benefits and obtaining prior authorizations for medical procedures. Candidates should have a minimum of 6 months’ experience in a medical...Suggested
- ...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, NV3 days 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
- ...A leading health services organization is seeking a physician for a Prior Authorization role based in Nevada. The position involves overseeing prior authorization for Medicare Advantage members, focusing on high-value procedures such as Myocardial SPECT and PET scans....SuggestedRemote work
Optum
Las Vegas, NV2 hours agonew - ...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
- ...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
Renown Health
Reno, NV18 hours ago $20.38 - $36.44 per hour
...the 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...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hoursShift workAfternoon shift- 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
$248.5k - $373k
...industry leader. Position scope This position will support the growing Prior Auth program which covers the New Mexico, Utah, Nevada, and Arizona Markets. The scope of this role will include Prior Authorization for Medicare Advantage members focusing on high value procedures...SuggestedMinimum wageWork experience placementLocal areaRemote workOptum
Las Vegas, NV1 hour agonew- ...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, NV4 days ago - ...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...SuggestedMonday to Friday
UNLV Health
Las Vegas, NV2 days ago - A healthcare provider in Las Vegas is seeking an Eligibility and Prior Authorization Specialist responsible for verifying patient benefits and securing prior authorizations for OBGYN services. The ideal candidate should have experience in medical facilities, strong understanding...SuggestedFull time
- ...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 launching...Work from home
$17 - $28.46 per hour
...shipments. Collect appropriate information needed to ensure insurance coverage for patient medication orders # Verify eligibility, prior authorization, and other reimbursement requirements prior to shipment. # Assist in enrolling and tracking new customer referrals. #...Hourly payFull timeContract workWork experience placementWork at officeLocal areaWork from homeFlexible hoursCVS Health
Las Vegas, NV4 days ago$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
Carson City, NV1 day ago- ...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
- ...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, NV4 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, NV4 days ago $215k - $250k
...Health Partners. This role ensures the quality, safety, effectiveness, and efficiency of utilization review processes, including prior authorization, concurrent and retrospective review, discharge planning, and transitions of care. The Medical Director provides clinical...Work at officeP3 Health Partners
Henderson, NV3 days ago- ...Prior Authorization and Eligibility Coordinator Comprehensive EyeCare Partners is one of the nation's largest vision care management service organization. CompEye is focused on providing best-in-class, full-spectrum practice management and administrative services to...Work at office
- ...healthcare facility in Henderson, Nevada, is seeking a full-time role in their Fast Track Clinic. The ideal candidate will obtain prior authorizations, schedule procedures, and manage patient communications. A minimum of 2 years of medical experience is required, alongside...Full time
- ...brands. They will engage healthcare providers and their staff to communicate and educate on patient pharmacy benefit coverage, prior authorization processes, general payer policy criteria and affordability programs supporting the initiation of the products. They will have...Work at officeLocal area
- A leading vision care management organization in Las Vegas seeks a Prior Authorization and Eligibility Coordinator. In this role, you will handle patient inquiries, verify insurance eligibility, manage pre-authorizations for procedures, and maintain confidentiality. Applicants...
- ...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
- ...*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, NV1 day ago - ...defensive tactics training, firearms training, weapon qualification, and firearms retention training must be completed prior to letter of authorization to carry is issued Successful completion of all pre-employment and post offer assessments to include the Minnesota...Full timeWork at officeImmediate startShift work
CHRISTUS Health
Henderson, NV4 days ago - ...pricing approaches. Organize and prioritize a high-volume book of business while meeting quoting deadlines and adhering to internal authority levels. Maintain accurate documentation of underwriting decisions, assumptions, and required sign-offs in accordance with audit...Work at officeImmediate startFlexible hours
Acrisure LLC
Las Vegas, NV18 hours ago
