Average salary: $78,401 /yearly
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$18.28 per hour
...insurance payer; verify patients’ benefits, eligibility, and seek authorization for services by contacting insurance companies; determine... ...government funded and commercial insurance companies to obtain prior authorizations or referrals. Determine the correct Coordination...SuggestedHourly payImmediate startRemote workMonday to FridayFlexible hoursShift workColoplast
Texarkana, TX5 days ago$19 - $22 per hour
...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through...SuggestedTemporary workLocal areaImmediate startRemote workMonday to FridayFlexible hoursAssistRx
Orlando, FL6 days ago- ...Verifies medical benefits accurately on patient's behalf. Obtains authorizations & overrides as needed in coordination with insurance providers... ...pharmacy. Strong understanding of benefit verification/prior authorization process. Experience with CPR+ Work...SuggestedFull timeTemporary workPart timeWork at officeLocal areaRemote workFlexible hours
Pantherx Specialty Llc
Pittsburgh, PA1 day ago $52 - $58 per hour
...Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager, Case Management,...SuggestedHourly payTemporary workImmediate startRemote workMonday to FridayFlexible hoursShift workDay shiftA-Line Staffing Solutions
Bronx, NY1 day ago$22 per hour
...calculate deductibles and co-pays. Verify benefits, prepares pre-authorization requests. Document approvals and follow-up with appeals in... ...or GED ~ Experience in medical insurance and medical device prior authorization (preferred) ~3+ years of reimbursement process...SuggestedHourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift workMaven Wise
Valencia, CA1 day ago$22 per hour
...providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience: 2-4 years Specialty and/or Retail Pharmacy Experience in provider/member call center or...SuggestedHourly payContract workTemporary workWork at officeRemote workWork from homeNight shiftTekwissen
Detroit, MI5 days ago$15.87 - $27.25 per hour
...including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa... ...Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of...SuggestedHourly payFull timePart timeH1bWork at officeRemote workMonday to FridayFlexible hoursAcariaHealth
Florida, NY5 days ago$23 - $27 per hour
...responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit... ...or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including...SuggestedHourly payFull timeContract workImmediate startRemote workMonday to FridaySoleo Health
Frisco, TX5 days ago- ...focused on insurance verification and medical billing. Responsibilities include obtaining insurance eligibility, performing prior authorizations, and billing insurance companies. The ideal candidate possesses a high school diploma and a minimum of 1 year of experience...SuggestedRemote workFlexible hours
AcariaHealth
Florida, NY5 days ago $23 - $27 per hour
...responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit... ...or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including...SuggestedHourly payFull timeContract workImmediate startRemote workMonday to FridaySoleo Health
Frisco, TX3 days ago$68.1k - $125k
...range is $68100 - $125000 PLEASE NOTE Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeFor contractorsLocal areaRemote workArgonaut Management Services, Inc
New York, NY4 days ago- ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts. Founded in 2015, PHIL is a San Francisco-based health-tech startup, pioneering the first Software Therapy...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
Phil
Scottsdale, AZ1 day ago - ...rewarding career! JOB SUMMARY The Insurance Specialist II is responsible for completing insurance verifications, obtaining prior authorizations, and coordinating referral requirements for scheduled Cancer Center services. Ensures accurate eligibility and benefit information...SuggestedFull timeLive inWork at officeWork from homeMonday to FridayShift work
UTSW
Wausau, WI5 days ago $27 - $35 per hour
...answering phone calls, processing referrals, working through authorization and billing issues, and reconciling medication history. This position... ...phone and prefers working in an office setting and has some prior knowledge of pharmacy and medical insurance processing....SuggestedContract workTemporary workWork at officeLocal areaRemote workShift workTEKsystems
San Diego, CA5 days ago$50k
...Completion of the template forms that provide patient level benefits Coverage Determination Summary. Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance. Patient Assistance: Review of patient...SuggestedFull timeTemporary workWork at officeImmediate startHome officeValeris
Jeffersonville, IN3 days ago$17 - $19 per hour
...Overview Remote Insurance Verification & Authorization Specialist – Experienced Only . Build a career , not just a job, with FYZICAL—the... ...Indeed Search : Insurance Verification, Insurance Authorization, Prior Authorizations, Benefit Verification, Payer Portals, Physician...Full timeWork at officeRemote workMonday to FridayFyzical
Sarasota, FL5 days ago- ...Join our Shields team today! Shields Health Solutions is redefining patient care through specialty pharmacy. We’re hiring a Prior Authorization Pharmacy Technician - Patient Support Advocate to support the growth of the specialty pharmacy program. This role supports patient...Temporary workLocal areaRemote work
Shields Health Solutions LLC
California, MO5 days ago - ...Job Description Job Description Insurance Verification & Authorizations Specialist Ambulatory Surgery Center Location: Onsite –... ...is critical to ensuring accurate benefits verification, timely prior authorizations, and proactive follow-up across multiple payers...Full time
North Texas Team Care Surgery Center
Dallas, TX3 days ago - ...A leading sports management company in New York is seeking a Prior Authorization Coordinator to facilitate insurance authorization processes for clients. This role includes verifying coverage, submitting requests, and educating clients about the process. Strong communication...Remote workFlexible hours
Evolution Sports Group
New York, NY5 days ago - ...in the review of telephonic and faxed clinical information to authorize medically necessary inpatient and outpatient care, utilizing nationally... ...eligibility, benefit coverage and facility contract status prior to processing authorization requests. Complies with established...Contract workWork experience placementWork at officeRemote work
Harris Health System
Houston, TX4 days ago $24.02 - $33.37 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...Immediate startHillsboro Medical Center
Hillsboro, OR1 day ago$60.2k - $107.4k
...disease states. In this role you will be preparing appeal letters for submission, obtaining support documents, following up on prior authorization outcomes, and addressing issues and handling concerns from other corresponding departments. In addition, the Registered...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workWork from homeMonday to FridayUnitedHealth Group
Jeffersonville, IN5 days ago- ...Note: This is a fully remote position. Are you an Entrepreneur Physician who is tired of completing Prior Authorizations for medications YOU KNOW your patients need? Are you tired of waiting for insurance to approve your patient's treatment plan that YOU KNOW will work...Private practiceRemote work
The Health Pals Company, LLC.
California, MO5 days ago - ...policies to ensure all the payer required guidelines are met prior to the service being rendered to ensure maximum reimbursment.... ...authorizaiton of services. Responsible for any required retro-authorizations as well as communicating any peer-to-peer review requirements...Work experience placementWork at office
Bryan Health
Lincoln, NE2 days ago $18 - $21 per hour
...Under general direction, provides quality patient care to patients regarding Prior Authorizations and general medication inquiries. Responsibilities include, obtaining prior-authorizations, following up and communicating with patients as to the status of their prior-authorization...Temporary workWork at officeWork from homeClearway Pain Solutions
Annapolis, MD2 days ago$80k
...Access Specialist II to offer timely support to patients and healthcare providers. You will verify insurance coverages, obtain prior authorizations, and ensure patients have access to necessary resources for their care. This remote role offers a competitive salary of $80k...Remote workCycle Pharmaceuticals
Detroit, MI5 days ago- ...for all positions. Empowers others by driving decision-making, authority, and resources to trusted employees and providing stretch assignments... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Full timeCasual workLocal areaImmediate startRemote workWeekend work
Argonaut Management Services, Inc
Rockwood, PA5 days ago - ...A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will...Remote workFlexible hours
VALID8 Financial
Austin, TX3 days ago - ...on insurance and administrative pharmacy tasks. What You’ll Do Verify insurance coverage for patient prescriptions Process prior authorizations and refill requests Communicate with providers and pharmacies regarding missing details Update patient profiles and prescription...Remote work
New Paradigm Staffing
New Bremen, OH5 days ago - ...Join a dedicated healthcare team in the heart of the Midwest region, where your role as an Insurance Verification and Prior Authorization Specialist is vital to patient care coordination. This position involves verifying patient insurance eligibility, determining benefits...Work at office
MLee Medical Employment
Lynchburg, MO3 days ago
