Average salary: $42,500 /yearly
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- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedFull timeContract work
$1,937 - $2,214 per week
...vulnerability or safety risk, Knowledge of cultural issues, Medicaid, Medicare, Patients with communication problems (hearing, speech), Prior Authorization, Provide / reinforce individualized patient/caregiver education, Provide crisis intervention, Psychiatric Disorders, Refers...SuggestedWeekly payDaily paidPermanent employmentFull timeContract workLocal areaImmediate startRelocationShift workAya Healthcare
Springfield, OR2 hours agonew$22.3 - $30.11 per hour
...credit and collection guidelines. Communicates appropriate provider and facility information to health plan as part of the prior authorization or admission notification process. Has intermediate patient access knowledge of registration & insurance within the EMR....SuggestedHourly payFull timeWork at officeShift workDay shiftSt. Charles Health System
Bend, OR3 days ago$179.4k - $242.7k
...Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or...SuggestedFull timeWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week- ...responsible for managing all insurance-related processes for behavioral health services, including eligibility verification, prior authorizations, benefits coordination, claims support, and payer communications. This role ensures accurate insurance processing,...SuggestedWork at officeFlexible hours
Kairos
Grants Pass, OR1 day ago - A healthcare facility is seeking a Prior Authorization Specialist in Eugene, Oregon. This role involves managing insurance approvals for medical and ancillary services while ensuring accurate submissions of clinical documentation. The ideal candidate will have 2 to 5 years...Suggested
$22.3 - $30.11 per hour
...obtains accurate benefit coverage. Communicates appropriate provider and facility information to health plan as part of the prior authorization or admission notification process. Maintains working knowledge of Medicare, Medicaid, Commercial and HMO payors....SuggestedHourly payFull timeWork at officeShift workDay shift- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedContract workLocal area
Brown & Brown
Medford, OR1 day ago - ...processing issues in the claims adjudication system. Communicate problems and concerns to management. Document relevant claims and prior authorization information in the system. Perform additional duties as assigned. Qualifications: Education : High School Diploma or...SuggestedDaily paidFull timeWork at officeRemote workWork from homeMonday to FridayFlexible hoursShift workWeekend work1 day per week
GrabJobs
Portland, OR2 days ago $41.6k - $47k
...Utilization Review Specialist supports Umpqua Health Alliance by coordinating the intake, review, processing, and completion of prior authorization requests within Medical Management. This role is responsible for ensuring accurate and timely handling of authorizations,...SuggestedWork at officeLocal areaImmediate startRemote workMonday to FridayShift workUmpqua Health
Roseburg, OR1 day ago- ...minor charting, collecting samples, etc. Setting up and preparing sterile trays Recovering patients post procedure Processing prior authorizations and other administrative tasks Answering calls and returning voicemails Qualifications Qualifications for The Job: 1-year...SuggestedWork at office
COLUMBIA PAIN MANAGEMENT PC
Portland, OR3 days ago $24.8 - $34.45 per hour
...knowledge on medical insurance. Notifies all insurance companies of outpatient and inpatient admissions for authorization, audits IP/OP procedural accounts, obtains prior authorizations for facility services that require such. Provides excellent customer service to patient...SuggestedDaily paidImmediate start- ...access outcomes.What You'll Do:Deliver tailored reimbursement education and consultation to provider offices on payer policies, prior authorizations, denials, appeals, and specialty pharmacy pathwaysConduct on-site and virtual engagements aligned with brand strategy and...SuggestedFull timeTemporary workPart timeWork experience placementImmediate startWork from homeHome officeFlexible hours
Neovance
Portland, OR1 day ago $22 - $32 per hour
...by navigating insurance portals and obtaining all appropriate authorizations. With a focus on authorizations for infusion drugs, radiation... ...rate is dependent on many factors, including but not limited to prior work experience, education, job responsibilities, location,...SuggestedFull timeWork experience placementWork at officeShift workUS Oncology
Eugene, OR3 days ago- ...are Medicaid/Medicare patients. All administrative tasks such as; scheduling, checking in patients, insurance eligibility, prior authorizations, record requests and contracting/credentialing is managed by Oregon Integrated Health. Physical Therapy sets their own...SuggestedPart timeWork at officeFlexible hours
$22.51 - $27.57 per hour
...0 days. Enters information in the system for reverse billing. Completes third party billing form and contacts Provider if prior authorization is required. Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services...InternshipWork at officeYakima Valley Farm Workers Clinic
Tualatin, OR2 hours agonew- ...Home Health Eligibility & Authorization Coordinator Coordinates insurance verification, payer eligibility review, prior authorizations, and documentation requirements to ensure timely admission and continuation of home health services. Essential Duties and Responsibilities...
- ...administrative work, insurance verification, and customer service in a supportive office environment. You'll begin by focusing on prior authorizations before expanding into medical billing responsibilities as your training progresses. What You'll Do Obtain...Temporary workStart working todayWork at officeLocal area
Express Employment Professionals Defunct
Tigard, OR2 days ago $370k
...-first model that lets you reclaim your time and passion for medicine. What Does This Look Like For Your Practice? ~ No prior authorizations. Seamless collaboration with specialty care ~ No call. You can unplug while team physicians cover your patients and your inbox...Part timeImmediate start- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...Full timeWork at office
$25k
...currently hiring a Claims Review Specialist to join our team!As the Claims Review Specialist, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and...Currently hiringFlexible hoursMarquis Companies
Portland, OR1 day ago$90k - $115k
...Qualifications BS Pharmacy or PharmD is required 5+ years’ experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy. Comprehensive knowledge of both pharmacy and medical benefit utilization management...Full timeTemporary workWork at officeLocal areaRemote workFlexible hoursNorstella
Salem, OR1 day 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...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeCenterwell
Salem, OR4 days ago$16 - $29 per hour
...requests for services from members and/or providers Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Handle resolution/inquiries from members and/or providers Ability to...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift workUMR
Corvallis, OR1 day ago$85.99k - $105.34k
...Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants should have an active RN license and at least five years...Remote jobFull time- 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...Remote jobWork from homeFlexible hoursAfternoon shift
$88k - $129k
The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been...Full timeTraineeshipWork at officeLocal areaRemote work- ...State Board of Pharmacy Technician Licensure -6+ months of call center experience in healthcare environment, ideally with prior authorizations exposure -Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet...Remote work
Insight Global
Myrtle Point, OR8 days ago $19.69 - $24.12 per hour
...verifying refill availability as allowed by state regulations Completes third party billing form and contacts Provider if prior authorization as allowed by state regulations Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources...InternshipWork at officeYakima Valley Farm Workers Clinic
Athena, OR2 hours agonew- ...reactions; Maintaining narcotic records accurately within scope of practice; Completing medication interchange and insurance prior to authorization as assigned; Ordering or arranging for ordering of pharmaceuticals; Notifying physicians of automatic stop orders;...Local areaShift work
Curry Village Health and Rehabilitation
Brookings, OR1 day ago
