Average salary: $42,500 /yearly
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- 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
Slocum Center
Eugene, OR3 days ago $24.79 - $30.13 per hour
...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,...SuggestedHourly payFull timeTemporary workWork at officeFlexible hoursTheuniversityunion
Grants Pass, OR4 days ago$301.4k - $335k
...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 care ~ No call . You can unplug while team physicians cover your patients and your...SuggestedPart timeImmediate startRelocation packageNorthwest Permanente
Portland, OR4 days ago- ~ 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...SuggestedWork at officeRemote work
Slocum Center
Eugene, OR9 hours ago $85k - $105.34k
...clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health...SuggestedFull timeWork at officeLocal areaImmediate startRemote workMonday to FridayUmpqua Health
Roseburg, OR3 days 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/position responsibilities,...SuggestedFull timeWork experience placementWork at officeShift workUS Oncology Network-wide Career Opportunities
Eugene, ORa month ago- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access to therapies. This fully remote position allows pharmacists to build expertise in managed care. Responsibilities include...SuggestedRemote workFlexible hours
Pharmacy Careers
Portland, OR4 days ago - ...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 workWork from homeFlexible hours
Pharmacy Careers
Portland, OR1 day ago - ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
Pharmacy Careers
Portland, OR2 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 financial,...SuggestedWork at officeLegacy Health
Portland, OR4 days ago- ...other care settings. Conduct utilization reviews and determine medical necessity according to established guidelines. Manage prior authorizations and assist with appeals/denials as needed. Maintain knowledge of regulations and standards related to care management,...SuggestedWeekend work
TLC
Portland, OR9 hours ago $22.32 - $29.72 per hour
...Advanced Practice Provider (APP) direction. Ensure all related patient information is in electronic records prior to appointments. Prepare FMLA, prior authorizations, and disability paperwork. Collaborate and work closely with other medical assistants and ancillary...SuggestedContract workTemporary workWork at officeMonday to FridayActalent
Salem, OR4 days ago- ...record (EHR). Ensure smooth workflow by handling administrative tasks such as scheduling, verifying insurance, and obtaining prior authorizations. Maintain cleanliness and organization of exam rooms, medical instruments, and supplies. Educate patients on post-...SuggestedFull timeMonday to Friday
Clear Choice Dermatology
Warrenton, OR1 day ago - ...experience within relevant practice setting Required Skills 3+ Years in a Managed Care Environment Required (meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings, etc) Experience in writing, including research protocols, medical papers for...SuggestedContract workRemote workShift work
Accede Solutions Inc.
Portland, OR9 hours ago $16.75 - $21.75 per hour
...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health Benefits Eligibility and... ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables...SuggestedHourly payTemporary workLocal areaImmediate startRemote workFlexible hoursCardinal Health
Salem, OR4 days ago- ...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...Contract workWork at office
Brown & Brown
Portland, OR1 day ago $1,300 - $1,730 per week
...strong background in managed care pharmacy operations. This role supports pharmacy benefit management functions, including prior authorizations, claims processing, eligibility reviews, audits, and regulatory compliance. The ideal candidate will possess advanced Excel...Shift workNight shiftNavitas healthcare LLC
Portland, OR4 days ago- ...involves overseeing daily operations, supporting staff development, and ensuring compliance with regulatory policies while managing prior authorization requests. The successful candidate will have significant experience in leadership and claims processing, with a focus on...
$25k
...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 physicians...Currently hiringFlexible hoursMarquis Companies
Portland, OR21 hours ago$29 per hour
...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...Full timePart timeLocal areaShift workCurry Village Health and Rehabilitation
Brookings, OR3 days ago$25k
...Claims Review Specialist to join our team! As the Claims Review Specialis t, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and physicians...Currently hiringFlexible hoursConsonus Healthcare
Portland, OR4 days ago- ...Experience with biologic therapies and immunosuppressive treatments Prior experience in a multidisciplinary or dermatology-integrated... ...and continuity of care Dedicated support staff for prior authorizations and biologic coordination Compensation & Benefits (Optional...Full timeRelocation package
CLEAR CHOICE DERMATOLOGY LLC
Hillsboro, OR4 days ago - ...understanding of their needs and range of necessary care. ESSENTIAL FUNCTIONS: Coordinates and processes independently pharmacy prior authorizations taking into consideration pharmacy benefits, medication utilization policies, documented technician approval criteria,...Zero hours contractWork at officeImmediate startWeekend work
Carenest Health Services
Portland, OR10 days ago - Job Description Agent In Training | Christi Schmidt - Farmers Insurance Agency Insurance Sales Producer with Career Path to leading your agency At my agency, we believe the best sales professionals deserve more than just commissions and quotas; they deserve a future. This...TraineeshipFlexible hours
The Juris Agency
Scappoose, OR9 hours ago - ...professionally with coworkers, managers and patients via phone, email or in person. Receives and coordinates all referrals and prior authorization requests, submitting appropriate information in a timely manner. Maintain current knowledge of all insurances including...Work at office
Evergreen Family Medicine
Roseburg, OR22 hours ago $20.5 - $22.5 per hour
...referrals at the request of the providers, obtain/review pre-authorization/pre-certification, and coordinate communications with physician... ...Resolves pre-certification, registration and case-related concerns prior to a patient's appointment. Gather pertinent information...Work at officeLocal areaRemote workMonday to FridayFlexible hours$22.93 - $35.12 per hour
...payments/co-payments, verifying insurance coverage, reminding patients of appointments, ensures referrals are available and prior authorizations have been completed for appointments, filing all paperwork into patient chart, correctly taking messages and ensuring their...Hourly payWork at officeGood Shepherd Health Care
Hermiston, OR1 day ago$16.8 - $21 per hour
...within. 2. Assists with processing referrals, Rx refills, pre-authorization for medications and procedures, input of numbers on... ...consistent with the effective and efficient completion of drug prior authorization requests relative to assigned clinic departments...Hourly payWork at officeCorvallis Clinic Business Office
Corvallis, OR1 day ago- ...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...Work at office
Brown & Brown
Portland, OR5 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...Contract workTemporary workApprenticeshipWork at officeZurich Insurance Company Ltd
Clackamas, OR9 hours ago
