Average salary: $52,519 /yearly
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$100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Las Vegas, NV20 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
Renown Health
Reno, NV20 hours ago - ...environment • Knowledge of specialty medication dosing, frequency, and administration • Knowledge of requirements prior to dispensing (labs, authorizations, monitoring, etc.) • Comfortable working onsite Monday-Friday Nice to Have Skills & Experience •...SuggestedMonday to FridayWeekend work
Insight Global
Henderson, NV4 days 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, 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
- ...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
- ...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, NV13 days ago $55 per hour
...(100% Remote, PBM) Candidates will be reviewing members' Utilization Management (UM) requests (i.e., formulary exceptions, prior authorization, step therapy, quantity limit exceptions). Client-specific criteria are referenced to determine if a prior authorization can...SuggestedRemote jobContract workTemporary work- ...class physicians, driving superior clinical and surgical outcomes, and optimizing the patient experience.Position SummaryAs a Prior Authorization and Eligibility Coordinator you’re responsible for answering a high volume of incoming calls promptly using excellent...SuggestedWork at office
Comprehensive EyeCare Partners
Las Vegas, 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 assignedEducation:High School Diploma...SuggestedWork at office
Platinum Dermatology Partners
Las Vegas, NV20 hours ago - ...consultations. Dedicated team: 2 MDs; 1 full-time MA; Oncology Care Coordinator RN on site as well as Social Worker Dedicated Prior Authorization Pharmacy Liaison Outpatient Clinic and adjacent Pediatric Infusion Center (located within the hospital) COG member, Children...SuggestedFull timeTemporary workSummer workRelocation
Nevada
Reno, NV3 days ago - ...and route incoming phone calls, respond to patient inquiries, and relay messages to clinical staff Coordinate referrals, prior authorizations, and communication with insurance providers Ensure front desk area is organized, stocked, and compliant with HIPAA privacy...SuggestedFull timeWork at office
WILLIAM ROSENBERG MD LLC
Henderson, NV13 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...SuggestedTemporary workWork at office
- ...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...SuggestedFull time
Nevada Orthopedic & Spine Center
Henderson, NV4 days ago $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...SuggestedContract workTemporary workApprenticeshipWork at officeLocal areaZurich Insurance Company Ltd
Carson City, NV3 days ago- ...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, NV8 days ago - Job Description Underwriter is responsible for underwriting first Mortgage and Home Equity Lines of credit that fall outside standard underwriting guidelines. A thorough credit analysis and justification for each credit decision is required. Responsible for ensuring compliance...
Mindlance
Reno, NV2 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...Hourly payFull timePrivate practiceWork at office
GODWIN INALEGWU OFIKWU
Henderson, NV25 days ago $25 - $27 per hour
...professionally with patients and providers to gather required information, lab results, and prescription renewals Submit insurance re‑authorizations and prior authorizations as needed to prevent delays in therapy Ensure clinical and regulatory compliance by asking required...Monday to FridayDoist
Henderson, NV9 hours agonew- Job Title: Senior Underwriter Location: Remote Job Type: Full-Time Company: Village Capital & Investment LLC Introduction: Village Capital is a well-established mortgage company committed to delivering a quick, efficient, and quality mortgage loan ...Full timeRemote work
Village Capital & Investment
Henderson, NV3 days ago - ...with established underwriting guidelines and timelines. Manage cases through the approval process with a goal of securing funding authorization within 3–5 business days. Proactively follow up with attorneys and case managers every other day to obtain status updates and...Live inWork at officeFlexible hours
Libra Solutions, LP
Las Vegas, NV20 hours ago $95k - $120k
...decisions based on individual risk characteristics, exposure analysis, hazard recognition and controls. Adheres to individual authority levels. Prices business according to company underwriting and pricing guidelines. Must balance effective pricing and risk selection...Hourly payTemporary workCasual workLocal areaFlexible hoursCopperPoint Insurance Companies
Carson City, NV20 hours ago$55.01k - $91.69k
Why Choose CIG’s Personal Lines Underwriting Team? This is your perfect opportunity to join a company that is building momentum with our independent agents and protecting the dreams and assets of our policyholders. Join the CIG Underwriting team in helping build a safer...Temporary workWork at officeLocal areaWork from homeFlexible hoursCapital Insurance Group
Reno, NV2 days ago$16 - $29 per hour
...health care setting ~1+ years of experience with insurance programs and basic managed care principals such as referrals and prior authorization ~ Knowledge/understanding of CPT/ICD-10 coding ~ Experience working with an electronic health record ~ Medical office...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayShift workdivvyDOSE
Las Vegas, NV9 days ago- ...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, NV26 days ago $16 - $29 per hour
...health care setting + 1+ years of experience with insurance programs and basic managed care principals such as referrals and prior authorization + Knowledge/understanding of CPT/ICD-10 coding + Experience working with an electronic health record + Medical office setting...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayShift workUnitedHealth Group
Las Vegas, NV4 days ago$62.7k
Company: Highmark Inc. Job Summary This role serves as a point of contact for sales teams and assigned customers, delivering insights and recommendations to aid customer acquisition and retention while maintaining performance goals. The incumbent analyzes data such as ...Contract workWork at officeLocal areaHighmark Health
Reno, NV20 hours 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),...Part timeReliefWork at office
Mesa View Regional Hospital
Mesquite, NV1 day ago - ...standardized situations. CERTIFICATES, LICENSES, REGISTRATIONS Authorization to work in the United States. To conform to U.S. export... ...Written, Oral, Or Visual Form To Any Foreign National Without Prior Export Authorization From The Department Of State. A Foreign National...Permanent employmentFull timeRemote work
Vitesse Systems
Carson City, NV1 day ago - Job Description Personal Lines Producer at Valley West Insurance is responsible for maintaining and maximizing profitable relationships with personal lines clients and for growing the book of business through new client sales. Benefits 401(k) Employee discounts Paid time...Work experience placement
Valley West Insurance
Las Vegas, NV4 days ago
