Average salary: $52,519 /yearly
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$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- ...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
- ...physicians and retained medical experts. Alongside clinical work, you'll author expert reports and future cost projections, give deposition and... ...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, NV4 days ago $20 - $23 per hour
...Job Title: Remote Pharmacy Technician Job Description This remote Pharmacy Technician position focuses on reviewing pharmacy prior authorization requests and supporting coverage determinations for a large healthcare insurance organization. You will evaluate requests for...SuggestedPermanent employmentContract workTemporary workWork at officeLocal areaRemote workMonday to FridayShift workActalent
Reno, NV1 day ago$20.98 - $30.12 per hour
...recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts. Handles patient concerns...SuggestedImmediate startRemote workGrabJobs
Reno, NV4 days ago- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...SuggestedOngoing contractMonday to FridayFlexible hours
Teleperformance USA
North Las Vegas, NV4 days ago $53 per hour
...pm EST / 7:30am - 4pm PST Job Requirements: Pharmacist license in state of residence, active and in good standing Prior authorization experience in PBM or managed care environment Experience in PBM, Managed Care, or VA Veterans Hospital Job...SuggestedHourly payPermanent employmentContract workRemote workWork from homeMonday to FridayA-Line Staffing Solutions
Las Vegas, NV5 days ago- ...for 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 Ability to work...Suggested
ORTHOPAEDIC INSTITUTE OF HENDERSON L L P
Henderson, NV15 hours ago - ...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...SuggestedWork at office
Nevada Health Alliance
Las Vegas, NV15 hours ago - ...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...SuggestedFull timeTemporary workPart time
- ...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 \...SuggestedWork at office
Mario Pineiro MD PC
Las Vegas, NV8 days ago $89k - $121.4k
...development of SQL Server Integration Services (SSIS) projects using Microsoft Visual Studio Experience with healthcare systems and prior authorization data Navigate change management processes in a large enterprise environment Experience working with an enterprise...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeCenterWell
Carson City, NV1 day ago- ...Pharmacy Technician Sr - Medi-Cal Rx **Job Description** The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits, and claims using established clinical criteria. This role serves as a technical...SuggestedWork experience placementWork at officeLocal areaVisa sponsorshipWork visa
Prime Therapeutics
Carson City, NV1 day 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
- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...SuggestedRemote jobWork from homeFlexible hoursAfternoon shift
$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$75k - $165k
...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and... ...concepts formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers...Contract workTemporary workApprenticeshipWork at officeLocal areaZurich Insurance Company Ltd
Carson City, NV4 days ago- ...management system. • Obtains benefit verification and necessary authorizations (referrals, precertification) before patient arrival for all... ...• Working knowledge of eligibility verification and prior authorizations for payment from various HMOs, PPOs, commercial...Work at office
Healthcare Outcomes Performance Co. (HOPCo)
Reno, NV4 days ago - ...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...Full time
Nevada Orthopedic & Spine Center
Henderson, NV4 days ago - ...exam rooms, ensuring proper sterilization and stocking of medical supplies Coordinate lab work, referrals, and medication prior authorizations as needed Assist with patient and pharmacy calls Requirements: Bilingual in English and Spanish required, both...
Velazquez Pain Relief Center
Las Vegas, NV8 days ago - 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, wellness program ...Work at office
AAA Mountain West Group
Las Vegas, NV4 days ago $92k - $115k
A prominent insurance company is seeking an Underwriter with a focus on renewal business in Las Vegas. The role requires at least 7 years of commercial underwriting experience, extensive technical skills, and a strong ability to communicate effectively with agents and ...Selective Insurance
Las Vegas, NV15 hours ago$150k - $300k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so...Remote jobWeekly payFull timePart timeFor contractorsPrivate practiceImmediate startWork from home- ...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...Work at office
Silver State Cardiology LLC
Henderson, NV3 days ago - ...degree preferred or relevant and equivalent industry experience required. 2 or more years experience working with drugs requiring prior authorization and use of specialty pharmacies for prescriptions to be filled. Strong understanding of drug acquisition and dispensing in...Temporary workWork at office
- ...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...Full timeTemporary workWork at office
- ...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...Hourly payFull timePrivate practiceWork at office
GODWIN INALEGWU OFIKWU
Henderson, NV20 days ago - ...Hospital Dedicated team of 3 MDs, and MA support Rotating shared call Social worker, case manager onsite and dedicated prior authorization pharmacy liaison Affiliate Faculty Appointment with UNR Med Teaching medical students, residents, and PA students...Full timeTemporary workSummer workRelocation
$90k - $125k
Job DescriptionLocation: Remote (United States)About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together...Full timeContract workImmediate startRemote workFlexible hours$29 - $52 per hour
...years Utilization Management experience in managed care, acute or rehab setting ~ Knowledge of utilization review process and prior authorization process in a managed health care industry ~ Knowledge of ICD9 / CPT coding and Milliman Care Guidelines Soft Skills:...Hourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayUnitedHealth Group
Blue Diamond, NV6 hours agonew
