Average salary: $72,814 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
Charleston, SC6 days ago$22.4 - $26.4 per hour
...mentor Underwriter(s). Works within assigned underwriting authority (limited) and company underwriting guidelines, to make acceptable... ...information to ensure that proper documentation is in the file prior to referring to the Underwriter. Manages workflow queues...SuggestedWork at officeLocal areaHome officeFlexible hoursArgonaut Management Services, Inc
Omaha, NE3 days ago$22.4 - $26.4 per hour
...the mentor Underwriter(s). Works within assigned underwriting authority (limited) and company underwriting guidelines, to make... ...information to ensure that proper documentation is in the file prior to referring to the Underwriter. Manages workflow queues and...SuggestedWork at officeLocal areaHome officeFlexible hoursAmerican Indemnity
Omaha, NE3 days ago- ...Are We are seeking a highly organized, empathetic, and detail‑oriented Referral Coordinator with deep expertise with insurance prior authorization to support patient access and provider communication within our Ortho Pass program. You thrive in fast‑paced environments,...SuggestedRemote work
- ...VitalCaring Group seeks an Insurance Verification and Authorization Specialist to handle insurance verification, prior authorizations, and maintain records for patients. This remote position requires a minimum of 2 years of experience in home health authorization and...SuggestedRemote work
VitalCaring Group
Dallas, TX6 days ago $101.18k - $120.46k
...Working under limited technicaldirection and within broad limits and authority,adjudicatehighly complexindemnity workers' compensation claims... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Las Vegas, NV4 days ago$101.18k - $120.46k
...under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaRemote workArgo Group
United States3 days ago- ...A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...SuggestedRemote workShift work
Santa Barbara Cottage Hospital
New York, NY4 days ago - ...Summary: Responsible for screening and processing prior authorization requests in the medical care management program. Adheres to policies and procedures to comply with performance and compliance standards and ensure cost-effective and appropriate healthcare...SuggestedWork at officeRemote work
Axelon
Boston, MA2 days ago $26 - $30 per hour
...Job Title: Prior Authorization Specialist Location: Remote, can sit anywhere in the US but must be able to work EST hours Schedule/Shift: Monday- Friday, 9-6pm EST 1 hour unpaid lunch break Pay: $26-30/hr DOE/location Job...SuggestedLocal areaRemote workMonday to FridayShift workMedix
New York, NY6 days ago$28.3 per hour
...Medical Services Authorization Reviewer Site: North Shore Medical Center, Inc. Mass General Brigham relies on a wide range of professionals... ..., as appropriate. Inform patient of authorization concerns prior to admission/procedure, coordinating with appropriate parties...SuggestedHourly payRemote workShift workMass General Brigham
United States4 days ago- ..., Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation. Job Title: Prior Authorization Specialist Location: 100% Remote (Must work EST hours) Duration: 3-Month Contract Position Summary We are seeking...SuggestedContract workRemote work
Lumen Solutions Group, Inc.
United States5 days ago - ...Job Title Insurance Verification & Authorization Specialist Job Description This is a remote position. Only LATAM-based candidates... ...) for visits, procedures, and treatments Obtain referrals and prior authorizations from primary care physicians and insurance...SuggestedContract workFor contractorsWork at officeRemote work
My VA Support
United States4 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, FL2 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 workMonday to FridayFlexible hoursShift workAfternoon shift
PANTHERx Rare Pharmacy
Pittsburgh, PA2 days ago - ...and/or quarterly meetings with provider groups documenting discussions, issues, attendees, action items, researching claims or prior authorization issues on site and routing to the appropriate party for resolution. Consistently document all provider interactions,...Work at officeLocal areaRemote workFlexible hoursNight shift
Avēsis
United States4 days ago - ...Serve as a liaison with insurance carriers and providers to resolve claims issues and aid with the appeals process. Assist with prior authorizations, ID card requests, and network searches. Ensure accurate and up-to-date records by updating system(s) with employee...Temporary workWork at officeLocal areaRemote workFlexible hours
Patriot Growth Insurance Services
Atlanta, GA4 days ago - ...City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring a Pharmacy Prior Authorization Coordinator I - Remote in Virginia and Florida! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST...Permanent employmentFull timeTemporary workCurrently hiringRemote workShift work
Sentara Health
Norfolk, VA3 hours agonew $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...Hourly payContract workTemporary workWork at officeRemote workWork from homeNight shiftTekwissen
Detroit, MI2 days ago- ...Medical Authorization/Surgical Precertification Specialist Established in 1970, Orthopedic Associates of Hartford, P.C. is one of the... ...insurance companies to provide information necessary to obtain prior authorizations. Access online insurance portals to enter and...Remote work
Orthopedic Associates of Hartford P.C
Farmington, CT2 days 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...Hourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift workMaven Wise
Valencia, CA4 days ago- ...Overview Authorization Specialist secures all required Prior Authorizations for Imaging procedures such as MRI, CT Scan & Ultrasound by working with the appropriate Insurance provider or intermediary. Authorization Specialist provides pertinent information requested from...Temporary workWork at officeLocal area
Mana---Medical-Associates-of-Northwest-Arkansa
Fayetteville, AR1 day ago $1,150 - $1,450 per month
...claims adjudication, and medical necessity criteria. Create realistic scenarios based on health insurance workflows, including prior authorization decisions and regulatory audits. Annotate, label, and validate data across health insurance use cases, such as ICD coding...Hourly payContract workSummer workRemote workMercor
New York, NY14 days ago$153.49k - $202.43k
...remote. DESCRIPTION UC San Diego Health is a Magnet‑designated organization, a distinction earned by 10% of U.S. hospitals. The Prior Authorization UM Case Manager will manage the prior authorization process for medical services, procedures, and medications, ensuring that...Hourly payContract workRemote workMonday to FridayDay shift1 day per weekUniversity of California San Diego
San Diego, CA1 day ago- Soleo Health Inc is seeking a Clinical Review Coordinator for a remote full-time position. You will ensure timely and accurate clinical reviews and approvals while collaborating with various departments. The ideal candidate should have experience in specialty infusion...Full timeRemote work
Soleo Health
Frisco, TX4 days ago $24 per hour
...registering patients, verifying insurance coverage, identifying authorization requirements, and ensuring timely and appropriate... ...registration and reimbursement Identify services requiring prior authorization for treatment or referral Obtain and manage authorizations...Contract workTemporary workRemote workTEKsystems
San Pedro, CA4 days ago- ...Lumen Solutions Group Inc. is seeking a Prior Authorization Specialist for a 3-month remote contract. This role involves supporting the Utilization Management team by processing authorizations, handling provider inquiries, and coordinating administrative tasks. The ideal...Contract workRemote work
Lumen Solutions Group Inc.
Baltimore, MD3 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...Temporary workWork at officeImmediate startHome officePharmaCord
Jeffersonville, IN4 days ago$40 per hour
...Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40.00 per hour Expected Hours: 40 hours per week... ...claims, including Medicare Part D. Qualifications Required: Prior experience in home infusion. Preferred: Familiarity with...Hourly payFull timeRemote workThe Misch Group
Los Angeles, CA12 days ago$18.67 - $21.96 per hour
...Rhode Island, South Carolina, South Dakota, Vermont, WestVirginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the...TraineeshipRemote workFlexible hoursShift workSanta Barbara Cottage Hospital
New York, NY4 days ago
