Average salary: $119,544 /yearly
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- ...Prior Authorization Specialist Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete...SuggestedContract workRemote work
US Tech Solutions
Reno, NV1 day ago - ...Operation of patient monitoring and diagnostic equipment following universal precautions. Basic understanding of billing, prior authorization processes, and insurance verification tools. Other Specific Skills Required Strong understanding of HIPAAand infection...SuggestedWork at office
Las Vegas Staffing
Las Vegas, NV1 day ago - ...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, NV2 days 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
- ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
Hire Talent
Reno, NV3 days ago - ...What it takes to be part of our team Are you an exceptional Authorization & Referral Specialist who can interact comfortably with direct... ...and maintain up-to-date referral databases. Obtains prior authorizations for imaging studies and various procedures ordered...SuggestedFull timePart timeMonday to FridayShift work
Cure 4
Las Vegas, NV24 minutes agonew - ...Job Title: 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...SuggestedFull timePart timeWork at office
Hera Women's Health
Las Vegas, NV14 hours ago $20 - $23 per hour
...A healthcare organization in Las Vegas is seeking a Prior Authorizations & Referrals Coordinator to assist patients with specialty care and medication prior authorization requests. The ideal candidate will have strong customer service skills and at least 1-3 years of...SuggestedHourly payFull timeWork at officeAstrana Health, Inc.
Las Vegas, NV6 hours 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
- ...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,...SuggestedFull timeTemporary workSummer workRelocation
Renown Health
Reno, NV1 day 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, NV4 days ago - ...manufacturer's program Maintain patient database for follow-up, tracking and reporting Receive notification of new patient's prior authorization/or review daily rejected and paid claims Other duties may be assigned Competencies: Planning/organizingthe...SuggestedHourly payDaily paid
Brown & Brown
Reno, NV1 day ago $248.5k - $373k
...Fortune 4 industry leader. 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 workUnitedHealth Group
Las Vegas, NV6 hours ago$18 - $19 per hour
...Troubleshoots pharmacy claims submission and documents calls in the ticketing system Provides clinical call support for prior authorization-related calls and documents in the ticketing system Understanding of pharmacy benefit plans and how to access the plan information...SuggestedFull timeShift workAfternoon shiftLucyRx
Las Vegas, NV4 days ago$32.64 - $39.02 per hour
...Bachelor's degree in nursing Current Nevada RN licensure Qualifications Prefer experience with the SMI population Knowledge of prior authorization and referrals Knowledge and applicability of ICD-10 codes Knowledge of medications Physical Requirements May include...SuggestedFull timeMonday to Friday- ...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 ICD...Monday to Friday
- ..., 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
$20 per hour
...pick ticket. Maintain appropriate forms pending return of material. Inspect condition of returned material prior to completing return authorization forms. Pull stock and return it to the correct location pending credit memo, sale or return to supplier....Contract workLocal areaRelocationMaxonic
Sparks, 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, NV6 hours 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 $202k - $303k
...stroke teams, including neurology, cardiology, pharmacy, and care coordinators Understanding of formulary management and prior authorization for chronic secondary prevention therapies Familiarity with population health, adherence challenges, and real-world evidence...Local areaFlexible hoursBayer
Reno, NV2 days ago$16 - $27.69 per hour
...with internal departments and external provider office staff as pertains to performance of job duties Review and process prior authorization requests to meet departmental key indicator productivity Verifies patient insurance eligibility & benefits to include applicable...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift workUnitedHealth Group
Las Vegas, NV4 days ago- Job Description Job Description We are seeking an Insurance and Financial Sales Representative to join our team. You will be responsible for expanding the company's book of business by selling various types of insurance policies to new and existing clients. If you...Full timePart timeFor contractorsWork at office
C A Munoz Ins & Fin Svc, Inc.
Las Vegas, NV5 days ago - A leading insurance company in Las Vegas seeks an Underwriter to evaluate submissions and issue proposals. The ideal candidate will manage a high-volume workload with strong attention to detail and 5-7 years of experience in medical underwriting, preferably in stop-loss...
$18 - $22 per hour
...assurance, 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...- ...knowledgeable point of contact for patients and outside providers, expertly triaging calls, processing medication refills, and managing prior authorizations. Your attention to detail helps maintain accurate electronic medical records, updated demographics, and correct insurance...Full timeWork at office
Nevada Staffing
Reno, NV1 day ago - ...Fast Track Clinic Location: Henderson Position Type: Full Time Experience: 2 years’ experience Responsibilities Obtain Prior Authorizations for Procedures Schedule Procedures, Inform Patients of Test and Schedule follow ups FMLA and Disability forms Home Health...Full time
$17.98 - $32.12 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...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursAfternoon shift- ...and Triage patients Preparation of Clinic Respond to Patient Portal Requests Scheduling new and return appointments Obtain Prior Authorizations for Procedures Schedule Procedures, Inform Patients of Test and Schedule follow ups FMLA and Disability forms Home Health Referrals...Full time
- A leading insurance company is seeking a Production Underwriter to evaluate and price proposals for stop-loss coverage. This remote role requires 5-7 years of medical underwriting experience, preferably in self-funded plans, and strong attention to detail. Responsibilities...Remote job
