Average salary: $80,762 /yearly
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$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
New York, NY3 days ago- Job Description Job Description Build Your Book. Keep Your Commissions. Grow With a Proven Agency. We are an established, growth-focused insurance agency operating since 2009, offering a full suite of Property & Casualty products. As we continue expanding, we...SuggestedFor contractorsWork at officeRemote work
Rodriguez Insurance Agency
Richardson, TX27 days ago $21.88 - $30.87 per hour
...Prior Authorization Specialist 1.0 FTE (40 hrs/wk); Monday Friday, business hours. This position requires initial on-site training at the 455 location in St. Paul, and then will transition to a remote working role. However, the selected candidate must reside in Minnesota...SuggestedHourly payWork experience placementWork at officeLocal areaRemote workMonday to FridayGillette Children's
Saint Paul, MN1 day 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. About the company: Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
Phil
Scottsdale, AZ3 days ago - ...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...SuggestedFull timeContract workImmediate startRemote workMonday to Friday
Soleo Health
Frisco, TX4 days ago - ...external customers by demonstrating friendliness, helpfulness, and proficiency. Accurately and efficiently processes referral and prior authorization requests of all kinds. Verifies insurance benefits to ensure services are covered. Liaisons and acts as point of contact with...SuggestedFull timeWork at officeRemote workMonday to FridayFlexible hours
Providence Community Health Centers
Bangor, ME19 hours agonew - ...assessments and coordinate necessary prescriptionssuch as antibioticsunder provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients,...SuggestedRemote job
$18.25 - $23.75 per hour
...A Brief Overview Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling...SuggestedWork experience placementReliefWork at officeMonday to FridayShift workDay shiftAvera Health
Sioux Falls, SD1 day ago$18.5 - $24.25 per hour
...A Brief Overview Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling...SuggestedFull timePart timeWork experience placementWork at officeMonday to FridayShift workDay shiftAvera Health
Yankton, SD23 hours ago- ...patient profiles, including demographics, insurance details, and authorization status Generate financial responsibility letters and review... ...by phone in a supportive, easy-to-understand manner Secure prior authorizations and required payer documentation to prevent...SuggestedRemote jobWork at officeLocal areaRotating shift
- Job Description Job Description We are looking for a Bilingual Insurance Sales Agent (English/Spanish)to join our team. In this role, you will play a crucial part in expanding our client base, providing expert advice on insurance products (auto, home, etc.), and delivering...Suggested
JCJM Insurance Agency, LLC
Fort Worth, TX21 days ago $90k - $108k
...Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete (4-6 months) Training... ...NY RN license and registration required CCM preferred Prior Authorization or Utilization Review experience required...SuggestedWork at officeRemote workRelocation package$22.39 - $28.29 per hour
...responsible for obtaining accurate and timely insurance referrals for professional services prior to the patient's visit. This position may also be required to obtain prior authorizations for scheduled services, as needed. Job Responsibilities: Verifies insurance...SuggestedHourly payFull timeWork at officeLocal areaRemote work61st Street Service Corp
United States1 day ago$20.31 - $30.12 per hour
...concerns, which may involve conducting research to provide accurate assistance, such as verifying benefit coverage and initiating prior authorization cases in Highmark's Utilization Management system. You will ensure compliance with all regulatory requirements and service...SuggestedWork at officeLocal areaHighmark Health
Jackson, MS18 hours agonew$22.75 - $35.26 per hour
...The position would part time on the floor with a provider and part time in administration support with medication refills and prior authorizations Minimum Requirements: Graduate of an accredited Practical or Vocational Nursing program. State licensure as a...SuggestedFull timeTemporary workPart timeLocal areaRemote workFlexible hoursShift workUCHealth
Fort Collins, CO23 hours ago$72k
...Manager What You’ll Do Perform intake assessments for individuals served, including submission of required documentation for prior authorization of services as needed based on pay sources Develop care plans based on nursing diagnoses and physician input, including...Full timeImmediate startRemote workRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Louis, MO23 hours ago$38 - $43 per hour
...Collaborate with physicians, nurses, case managers, and other healthcare staff.Essential SkillsExperience in healthcare.Proficiency in prior authorization processes.Strong case management skills.Experience in Skilled Nursing Facilities (SNF).Additional Skills &...Contract workTemporary workWork at officeRemote workMonday to FridayDay shiftActalent
Sacramento, CA19 hours agonew- ...Position Title: Clinical Review Nurse - Prior Authorization Work Location: Remote - Texas Assignment Duration: 03 Months Possibility to extend or convert Work Schedule: Schedule may vary: Training will be 8am-5pm Monday through Friday. Once training is completed, the scheduled...Remote workMonday to FridayWeekend work
Spectraforce Technologies
Houston, TX4 days ago $34 - $40 per hour
...SkillsRegistered Nurse (RN) with a compact license.Experience in Utilization Management (UM).Proficient in concurrent review and prior authorization.Strong computer skills and ability to use medical management software.Familiarity with InterQual guidelines.Experience in...Hourly payContract workTemporary workRemote workFlexible hoursActalent
Saint Louis, MO19 hours agonew- ...Responsibilities: Provide real-time support to pharmacies with point of service inquiries. Educate prescribers on formulary and prior authorization processes. Enter customer data and other relevant information into our documentation tool. Assist members with pharmacy...Start working todayRemote workShift workDay shift
Careers Integrated Resources Inc
Philadelphia, PA1 day ago - ...special assignments/projects. Provides other support to staff within the department as required. Will work extensively with the prior authorization department to support timely scheduling and enhancing patient care. Education Qualifications: Required Qualifications: 1 year...Work at officeLocal areaWork from homeRelocation packageFlexible hoursShift workNight shiftWeekend work
Minnesota Staffing
Duluth, MN19 hours agonew - ...automation and integration best practices. ~ Working knowledge and experience researching insurance plan requirements for prior authorization, claims, and appeals. ~ Moderate to advanced excel skills (Pivot tables; v-look up) ~ Typing speed of 35 or more words per...Full timeH1bWork at officeRemote workVisa sponsorshipWork visaMonday to Friday
Castle Biosciences Inc
Friendswood, TX23 hours ago - ...interested Infusion center on site. Currently, we are prescribing approximately 500 infusions per year. There is a dedicated team for prior authorization of infusion and nursing support. Academic appointment at Virginia Tech Carilion School of Medicine Opportunity for research,...H1bWork from homeVisa sponsorshipRelocation package
Carilion Clinic
Roanoke, VA4 days ago - ...telephone calls and in basket messages within scope. Forms management Participates in performance improvement projects. Obtain prior authorizations for medications and durable medical equipment as indicated. JOB ELIGIBILITY REQUIREMENTS: Graduation from accredited Medical...Part timeWork at officeRemote work
Duke University
Durham, NC19 hours agonew - ...% effort): Nurses and CMAs in the Engagement Center provide telephone triage, in-basket management, medication refills, and prior authorizations. The APP in this role would be the primary contact for the Engagement Center to escalate clinical interactions with patients...Remote workMonday to FridayFlexible hoursWeekend work
Duke Clinical Research Institute
Durham, NC19 hours agonew - ...through PRC department. Track lab cases and lab pickups. Check in patients, answer telephones, schedule appointments, and obtain prior authorizations for clinic dental patients. Provide clerical support related to the daily operations of the dental department. Requirements/...Temporary workWork at office
Redding Rancheria Tribal Health Center
Redding, CA1 day ago - ...hands-on field training and mentorship in your assigned area. Your field trainer will cover basic sales cycles and advanced techniques. Prior sales experience is appreciated but not required; we will always prioritize training the right person. You'll manage your local...Weekly payWork experience placementLocal area
Alleviation Enterprise LLC
Arlington, TX14 days ago - ..., and benefits. Address any discrepancies in coverage and communicate with patients or facilities when needed. Request prior authorization on drugs that are denied for prior authorization. Notify facilities of changes and exceptions when appropriate. Other duties...Local areaHome officeAfternoon shift
Trilogy Healthcare Services
Louisville, KY1 day ago - ...Pharmacist Duration - 3 months Shift - 9 am to 6 pm EST Location – Remote TX Responsibilities Reviews a completed prior authorization request received from the provider and/or reviews the pharmacy technician’s recommended denial, suggested formulary...Work at officeRemote workShift work
Pacer Group
Houston, TX10 days ago - ...contact third-party payers regarding claims, update account information and provide administrative tasks on accounts. Obtain prior authorizations for major medical benefits, including services covered by Medicaid, Medicare, and commercial insurance plans. Secure...Full timeRemote workFlexible hoursShift work
