Average salary: $74,926 /yearly
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- ...VillageMD is seeking an Authorization Specialist to obtain approvals for surgeries, diagnostics, medications, and referrals as part of the... ...navigate insurance policies and clinical guidelines to secure prior authorizations. You will monitor schedules, complete authorizations...Suggested
Summit Health
Bend, OR23 hours 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
Slocumcenter
Eugene, OR23 hours ago - VillageMD is seeking an Authorization Specialist in Bend, Oregon to obtain prior authorizations for surgical procedures, testing, medications, and referrals as part of the Revenue Cycle team. You will work closely with physicians, office staff, and patients to ensure timely...Suggested
$25k
...issue resolution, including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals) Work with internal resources and systems (e.g., claims, reimbursement, provider enrollment) to provide the...SuggestedFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$1,083 - $1,208 per week
...vulnerability or safety risk, Knowledge of cultural issues, 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, OR1 hour agonew$2,541 per week
...teams is necessary. Candidates should have experience in care coordination, discharge planning, insurance verification, and prior authorizations. Knowledge of CMS guidelines and HIPAA regulations is essential. Experience with community resources, home health, hospice...SuggestedFull timeContract workShift workWeekend workTravelNurseSource
Portland, OR23 hours ago- Blackbird Health is seeking an Insurance Verification & Authorization Specialist to help families access care by verifying benefits, coordinating prior authorizations, and resolving coverage barriers. This fully remote role supports Eastern Time business hours and emphasizes...SuggestedRemote job
- ...population 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
Oregon Integrated Health
Florence, OR1 day ago $26 - $29.8 per hour
...Prior Authorization Specialist/Insurance Reviewer - ClinicalIn this role, you will help secure insurance authorizations for patient treatments, testing, and surgical procedures. By working closely with insurance companies and our care teams, you will help ensure patients...SuggestedWork experience placementWork at officeArizona Oncology
Eugene, OR2 days ago$41.54k - $66.46k
...equity. Be Part of Who We Are! Position Summary The Authorization and Benefits Specialist is responsible for efficiently working... ...maintaining customer service. This position will focus on obtaining prior authorization for procedures. *Fully Remotebut must be...SuggestedMinimum wageFull timeRelocation- ...Oregon is seeking a Healthcare Services associate to support the Medical Management team. You will review referrals, determine prior authorization requirements, and educate members and providers on processes. This is a FT work-from-home role. The position requires 1-2...SuggestedRemote jobWork at officeWork from home
$23 - $25 per hour
...children for the better! About This Role As an Insurance Verification & Authorization Specialist, you'll help children and families access care by verifying insurance benefits, coordinating prior authorizations and referrals, and identifying potential coverage barriers...SuggestedHourly payFull timeRemote workMonday to Friday$17.87 - $26.24 per hour
...interfaces with hospital staff, clinical staff, patients, and visitors in a professional manner. May be responsible for obtaining prior authorization for office referrals and applying knowledge of current clinical diagnosis and billing codes. DEPARTMENT DESCRIPTION The...SuggestedWork at officeRemote workSamaritan Health Services
Corvallis, OR23 hours ago$45.44 - $55.66 per hour
...collaboratively with community partners as applicable. Communicates with insurance companies and managed care plans regarding prior authorizations, formulary rejections and other requests as directed by medical providers. Performs clinical responsibilities in...SuggestedFull timeWork at officeRelocationRelocation packageYakima Valley Farm Workers Clinic
Stanfield, OR8 days ago$21 - $27 per hour
...designed to reimagine what is possible for independent cardiology. About the Job We’re seeking an experienced, detail-oriented Prior-Authorization Specialist to join our team at CardioOne. You will be responsible for obtaining and verifying prior authorizations within the...SuggestedHourly payFull timeWork at officeRemote work$54.1k - $116.77k
...schedules will include holidays and evening hours ~ Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background Familiarity with MedCompass Ambulatory surgery experience BSN preferred Why...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work- ~ Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. ~ Researches and resolves authorization and referral claim denials, while coordinating with physicians, providers, and insurance payers to file...Work at officeRemote work
Slocumcenter
Eugene, OR23 hours ago $35 - $40 per hour
...Job Title: Clinical Prior Authorization Reviewer Job Description This role focuses on reviewing prior authorization requests to determine the medical necessity of services and the appropriate level of care. The position ensures that each request aligns with national standards...Contract workTemporary workWork at officeRemote workShift workActalent
Portland, OR2 days ago- ...complex patients.Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions.Support prior-authorization and appeals processes when needed.Educate patients and caregivers on regimens and disease-state management.Document case...Remote work
Pharmacy Careers
Portland, OR2 days ago - ...Moda Health is seeking a skilled pharmacist to join its clinical pharmacy team in a temporary, remote role focusing on prior authorization functions. You will make coverage determinations and process appeal requests using established criteria and plan designs, impacting...Hourly payTemporary workRemote work
Moda Health
Portland, OR3 days ago $200k
...a PCP-first model that lets you reclaim your time and passion for medicine.What Does This Look Like For You In Practice?No prior authorizations. Seamless collaboration with specialty careNo call. You can unplug while team physicians cover your patients and your inboxTrue...Immediate startRelocation packageNorthwest Permanente
Eugene, OR4 days ago$54.1k - $142.58k
...Mbps download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work, Counseling, or...Hourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend workCVS Health
Salem, OR3 days ago$16.76 - $27.53 per hour
...by law. The Utilization Management Representative I (US) will be responsible for coordinating cases for precertification and prior authorization review. How you will make an impact Manage incoming calls or incoming post services claims work. Determine contract and benefit...Full timeContract workTemporary workWork experience placementWork at officeLocal areaDay shift1 day per weekElevance Health
Salem, OR3 days ago$23.43 - $33.5 per hour
...such as initial patient registration, scheduling evaluation(s), referral, insurance authorization, charge and coding review. Key Responsibilities: Processing of all referrals and prior authorizations to ensure timely handling in order to meet the department’s...Work at officeLegacy Health
Portland, OR23 hours ago$21.86 - $29.52 per hour
...they have completed all consultations and preoperative visits prior to scheduling surgery. The scheduler will monitor and analyze... ...procedures, including verification of completion of the prior authorization process. Provides concise, specific patient instructions for...Full timeWork at officeMonday to FridayShift workDay shift- Gainwell Technologies LLC is seeking a seasoned Manager to lead and grow a healthcare operations team. You will guide staff, optimize processes, and ensure high-quality service while achieving account goals and outcomes. You will establish routines, coach staff, and work...Remote workFlexible hours
Gainwell Technologies LLC
Salem, OR3 days ago - ...appointments, and complete pre-registration with accuracy. The role verifies insurance, collects co-pays, ensures referrals and prior authorizations are in place, enters data into the electronic health record, and delivers courteous service to patients and providers. #J-1...
$50k
...comply with relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients... ...patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements....Temporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work- ...businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any...Local areaRemote workNight shift
GSK LLP
Salem, OR8 hours agonew $38.4k - $54.9k
...Prior Authorization Pharmacy Technician - Remote USIt takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career...Full timeWork at officeRemote workFlexible hoursGainwell Technologies
Myrtle Point, OR3 days ago
