Average salary: $119,085 /yearly
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$90.9k - $129.9k
...opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary The Prior Authorization (PA) Pharmacist is responsible for reviewing prior authorization requests from providers to ensure safe and effective...SuggestedFull timeWork at officeRemote workFlexible hours$115.9k - $165.6k
...seeking a Senior Manager to lead technical service delivery and platform transformation for Third-Party Liability (TPL) and Prior Authorization (PA) systems. This role will drive engineering delivery, automation, and platform modernization to improve scalability, performance...SuggestedPermanent employmentFull timeRemote workMonday to FridayFlexible hours- ...joined Brown & Brown, and teams at both companies are growing. One80 Intermediaries offers exclusive programs and in-house binding authority for property & casualty, financial lines, personal lines, life insurance, medical stop loss risks, travel/accident and health,...SuggestedHourly payFull timeLocal areaWorldwide
- ...anticipate at least 50% of volume would come from headache patients. Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Majority outpatient position with some inpatient coverage....Suggested
$75k - $165k
Zurich gives you the tools and support to construct a rewarding career in the Insurance industry. We are looking for a Construction Property Underwriter to cover our Midwest territory. While this position will be based out of our Pittsburgh, PA office, you will have the...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaFlexible hours3 days per week$70k - $162.5k
Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. ...SuggestedFull timeWork at officeFlexible hoursShift workDay shift$45k
Ability to sell through multiple insurance carriers Access to sell to our millions of AAA members for preferred lead generation Company paid incentive trips for top performers Sales focused with a dedicated Customer Service & Policy Retention teams Opportunity to build ...SuggestedFull timeWork at officeLocal areaRemote workWork from home$86.8k - $124k
...preferably within PBM or healthcare space. Hands‑on experience with PBM implementations, including POS claims adjudication and prior authorization. Strong knowledge of Medicaid line of business (LOB). Demonstrated ability to manage ad refine product roadmaps, prioritize...SuggestedFull timeRemote workFlexible hours$43.89k - $122.4k
CVS Health is seeking a Data Analyst in Columbus, Ohio. This full-time position involves developing analytic solutions for the Prior Authorization program and requires proficiency in SQL, Python, and Tableau. The ideal candidate will have experience in data extraction and...SuggestedFull time- ...review of all referrals as designated by hospital assignment, which includes submitting insurance benefit verifications and prior authorizations. Additionally, in this role you will approve or escalate referrals based on clinical or financial capabilities of each campus...SuggestedWeekly payWork at officeLocal areaWork from homeHome office
Trilogy Healthcare Services
Kings Mills, OH3 days ago - ...duties such as returning patient phone calls, refilling medication requests, making pathology result phone calls, and completing prior authorizations. Medical assisting experience is necessary and dermatology experience is preferred. This position will be will be full...SuggestedFull timeWork at office
Universal Dermatology
Lewis Center, OH20 days ago - ...specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred • Previous prior authorization and appeals experience highly desired # of Positions: 2 Location: Lewisville, TX 2730 S Edmonds Ln...SuggestedFull timeContract workRemote work
Mindlance
Dublin, OH2 days ago $18 - $21 per hour
...effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. Title: Insurance Specialist - Prior Authorization Schedule: Eastern & Central Time Zones, Monday – Friday Location: Remote Paid Training: 3 weeks Compensation: $18 - $21 per...SuggestedHourly payRemote workMonday to FridayMed A/Rx
Rocky River, OH2 days ago$18 - $21 per hour
Med A/Rx is looking for an Insurance Specialist to manage claims processing, specializing in resolution of billing challenges. This remote position offers a salary of $18 to $21 per hour. Candidates should have 2+ years in Denials Management and Medical Billing, with proficiency...SuggestedHourly payRemote workMed A/Rx
Rocky River, OH1 day ago$36.9 per hour
...Care Coordination activities consist of addressing medical issues/concerns, communicating test results, medication refills/prior authorizations, patient/family education, and communicating with ancillary services such as dieticians, home care companies, insurance companies...SuggestedFull timeWork at officeMonday to FridayDay shift$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Hourly payTemporary workLocal areaRemote work- ...This is a temporary position without guarantee of conversion to full-time employment. Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies...Full timeTemporary workFlexible hoursDay shift
Nationwide Children's Hospital
Columbus, OH3 days ago - A healthcare insurance company is seeking a Supervisor for Prior Authorization Nurses in Cleveland, Ohio. This role oversees utilization review processes, ensures compliance with medical necessity guidelines, and supports the professional development of nursing staff. Candidates...
- ...Here General Dermatology with no call Dedicated support team including two medical staff and a secretary Seamless prior authorizations with support from our specialty pharmacy team Teaching and mentorship opportunities with residents and medical students...Work at officeRelocation package
Holzer Health System
Gallipolis, OH1 day ago $250k
...competitive intelligence via both personal and formal development plans and utilize to compete effectively in the local market. * Must have prior experience selling employee benefits to be considered for this role * * Must live in Cincinnati or Columbus, OH to be considered for...Full timeLive inLocal areaRemote workHome office2 days per week3 days per week$16.75 - $21.75 per hour
Cardinal Health is seeking a Senior Coordinator, Prior Authorization to support effective order management for durable medical equipment. The candidate will obtain and track payer approvals, engage in phone communications, and ensure compliance with HIPAA standards. This...Remote jobHourly pay- ...modifications to physician. Evaluate need for techniques and alternative devices for enhanced communication; prepare paperwork to obtain prior authorization for communication devices; set up devices and train resident and staff in their use; evaluate need for sign language, voice...
Montgomery County - Stillwater Center
Dayton, OH5 days ago - A prominent healthcare institution located in Columbus, Ohio is seeking a skilled administrative professional to provide varied support to the Section Chief or VP. The role includes scheduling appointments, managing travel arrangements, and ensuring excellent service to...
- ...further notice. Key Responsibilities Provide excellent provider-relations support Educate providers regarding payor referral, prior authorization and claims submission policies and procedures as well as Child & Family Health Collaborative resources, payor education...Full timeWork at officeFlexible hours
- ...as assigned to clients who have a severe mental health disability in the community mental health center setting. Obtain prior authorizations for medications and treatments for clients. Enroll clients in drug assistance programs. Medical case management for the...Monday to Friday
Zepf
Toledo, OH2 days ago - ...outcomes and notifications in the denial tab. Ability to multitask phone calls, emails, and faxes. Scheduling and obtaining prior authorization for outpatient testing, labs, infusion, etc. Obtaining prior authorization for post-acute services. Ability to interact with...Work at office
Aultman Health Foundation
Canton, OH1 day ago $150k - $300k
...program management; complex business processes, strategic and business planning or related is required. A minimum of three (3) years of prior management experience is required Competencies, Knowledge and Skills: Proficient in Microsoft Excel, Word, PowerPoint and Excel...Hourly payFull timeContract workWork experience placementLive inWork at officeLocal area- ...at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all...Work at office
Careers Integrated Resources Inc
Columbus, OH3 days ago $44.09 - $78.7 per hour
...coordinate care with providers, payers, and manufacturers to ensure therapy access and continuity Demonstrated ability to oversee prior authorizations and utilization management, ensuring compliance with payer and program requirements Demonstrated ability to monitor...Hourly payDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayUnitedHealth Group
Gallipolis, OH1 day ago$243.5k
...access to facilities with labs, radiology, physical therapy which are all useful to our patients support staff helping with prior authorizations for various drugs which is needed in Rheumatology work hours are Monday to Friday, in office only no inpatient...Full timeWork at officeMonday to FridayCleveland Clinic
Akron, OH1 day ago
