Average salary: $84,285 /yearly
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- ...Our Client, a Retail Phamacy company, is looking for a Prior Authorization/Insurance Verification Specialist for their Remote location. Responsibilities: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers...SuggestedLocal areaRemote work
ICONMA
Los Angeles, CA3 days ago - ...A leading home infusion service provider in the United States is seeking a Remote Authorization Specialist. This role involves obtaining and maintaining prior authorization for patient medications. Ideal candidates will have at least two years of authorization experience...SuggestedRemote work
New England Life Care
Woburn, MA2 days ago $23 - $26 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 workSoleo Health
Frisco, TX3 days ago$86.3k - $118.7k
...and inquiries, ensuring prompt and accurate resolution in collaboration with internal enterprise business teams (e.g., claims, prior authorization, referrals, provider education). Guide the coordination and facilitation of Service Operating Committee meetings with...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Oklahoma City, OK2 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...SuggestedWork experience placementWork at office
Bryan Health
Lincoln, NE2 days ago $55k - $65k
...treatment with Kerecis products including detailed review of patient responsibility for Kerecis treatment Verify authorization requirements and initiate prior authorizations while considering payer coverage criteria information Prepare and send insurance benefit...SuggestedWork at officeHome officeColoplast
Minneapolis, MN5 days ago- ...determine medical necessity of services, pre and post service as well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement...SuggestedWork experience placementRemote workDay shift1 day per week
Baptist Health
Louisville, KY5 days ago $19.5 per hour
...and fax. Reviews patient information for type of specialty, referral reason, ICD-10 diagnosis, medications, etc. Seeks prior authorization from patient insurance carriers. Responds in a timely manner to patient requests for information. Ensures ongoing compliance...SuggestedHourly payFull timeWork at officeWork from homeMonday to FridayShift workUrban Health Plan
Bronx, NY4 days ago- ...Schedule M-F Day Shift - 8:30am to 5pm Position Summary An Authorization & Account Verification Specialist reviews radiology orders to verify demographic information, insurance eligibility, review prior?authorization requirements, initiate or verify authorization...SuggestedWork at officeWork from homeDay shift
Advanced Radiology Consultants
Shelton, CT1 day ago $21 - $39 per hour
...Room and vital patients Review histories, medications, allergies and HPI in the chart Return phone calls Get prior authorizations Schedule surgeries Call patients with results Review all staff and patient messages Answer phones Welcome patients...SuggestedHourly payWork at officeFlexible hoursDay shiftBASS Medical Group
Ventura, CA4 days ago$22.14 - $28.78 per hour
...Location: UCHealth Admin Lowry, Denver, CO Department: Pharmacy Authorization Center and Pharmacy Atrium Work Schedule: Full Time, 80.00... ...Technician experience or 1 year of experience performing prior authorizations or refill renewals. Summary:...SuggestedFull timeTemporary workLocal areaRemote workMonday to FridayFlexible hoursShift workUC Health
Denver, CO2 days ago$27 per hour
...deliver accurate benefit estimates, verify coverage, obtain pre-authorizations, and help maximize insurance reimbursement for both the clinic... ...procedures. Obtain Pre-Authorizations: Facilitate the prior authorization process by submitting necessary clinical and coding...SuggestedHourly payFull timeRemote workDrSnip
Seattle, WA1 day ago$36 per hour
...peace of mind." – LaKita, Health Services Manager What You'll Do Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses, physician input, and measurable goals Review medical...SuggestedPart timeImmediate startRemote workRelocation packageFlexible hoursRotating shiftSevita
Lees Summit, MO1 hour ago$50 - $55 per hour
...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...SuggestedHourly payLocal areaWork from homeFlexible hoursShift work$100 - $120 per hour
...200~300 patients monthly) Admin Suppor t: Klarity care team will assist practitioners closely on scheduling, billing, prior authorizations, and insurance. Flexible hours : Klarity allows practitioners to see patients on their own schedule with no operation hour...SuggestedPart timeFor contractorsRemote workFlexible hoursKlarity Health
Santa Monica, CA5 days agoPhysician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorizati
$250k - $300k
...San Fernando Valley and be available for occasional on-site meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with nurses, physicians, and provider groups to support cost-effective,...Permanent employmentLive inRemote workIntegrity Healthcare
Northridge, CA1 day ago$4,000 per month
...administrative in nature and will include: Taking and recording vital signs Processing medication refill requests Managing prior authorizations Acting as a key liaison between patients, families, and providers You'll be part of a supportive, inclusive team...Daily paidFull timePart timeWork at officeRemote workRelocation packageFlexible hoursMaineHealth
Portland, ME8 hours ago$2,900 per month
...accurate collection and documentation of patient information prior to appointments. This role typically reports to the Clinic Manager... ...Marginal or Periodic Functions Assist with Insurance Authorizations Complete prior authorizations for procedures and testing...For contractorsWork at officeThe University of Texas at Austin
Austin, TX2 days ago- ...responsibilities include: registration and scheduling of appointments, collection of copays, verification of demographic information, prior authorization for therapy treatment at PRH and PRHC in Beaver Dam and Sun Prairie, obtaining physician certification for therapy plan of...Remote workMonday to FridayShift work
Prairie Ridge Health
Beaver Dam, WI3 days ago $155k - $160k
...an initial psychiatric evaluation and 30 minutes for follow up appointments. You would also have medical assistants handle prior authorizations. The patient population is almost 100% adults ages 25 years and older with various mental illnesses. You would see patients...Remote workFlexible hoursWeekend workSmith Arnold Partners
New York, NY5 days ago$104.5k - $156k
...collaboration. Support: Our dedicated care teams support your practice, allowing you to focus on patient care while they handle prior authorizations, medication refills, insurance, billing, and so much more. Our clinician team provides coverage for each other, so you never...Minimum wageWork experience placementWork at officeLocal areaWork from homeFlexible hoursOptum
Everett, WA4 days ago- ...responsibilities include the following : Reviewing medication authorizations submitted by clients Performing appropriate actions based... ...to obtain additional information or guidance related to prior authorization submission Assisting clinics with submitting...Full timeRemote workWork from home
Visante® Inc.
Saint Paul, MN4 days ago - ...appointments and referrals for lab testing and imaging procedures prior to first visit in communication with program liaisons and... ...clinicians, administrative staff and providers. Obtains patients’ authorization and verifies that all medical records, pathology slides and...Full timePart timeWork at officeRemote workShift work
The University of Chicago Medicine
Chicago, IL5 days ago $174.07k - $374.92k
...precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy,...Hourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend workCVS Health
Austin, TX5 days ago$54k - $70.88k
...setting ~ Experience implementing process improvements ~ Prior healthcare or health insurance experience ~ Proficiency navigating... .... Experience in utilization management and/or prior authorization processes. At Oscar, being an Equal Opportunity Employer...Full timeWork at officeRemote workOscar Health
Albuquerque, NM1 day ago$54k - $70.88k
...setting ~ Experience implementing process improvements ~ Prior healthcare or health insurance experience ~ Proficiency navigating... .... Experience in utilization management and/or prior authorization processes. At Oscar, we cultivate an environment where people...Full timeWork at officeRemote workOscar Health
Dallas, TX1 day ago$37 per hour
...part of the Utilization Management team, primarily responsible for inpatient medical necessity reviews, concurrent reviews, and prior authorization activities. The role ensures members receive the right care at the right time in the most appropriate setting, while...Remote workCareers Integrated Resources Inc
Atlanta, GA4 days ago- ...the flexibility to work remotely as needed Responsibilities Conduct medical necessity reviews and determinations of prior authorizations and referrals, including reviews of previously denied and appealed decisions Oversight and day-to-day management of a team...Full timeRemote work
Quartz Health Solutions
Madison, WI5 days ago $25 - $28 per hour
...Duration: 24 months Location: Virtual Connecticut 06355 (Remote) Pay Rate: $25 - 28/hr Patient Access Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works...Remote workArtech
Denver, CO5 days ago- ...hours of receipt). Work and school notes. Use of Centricity, and Exscribe EMR to support patient care. Obtain prior authorizations for any assigned advanced imaging studies, specialty injections, prescriptions and accurately update order statuses....Work at officeLocal area
ORTHOPAEDIC & NEUROSURGERY SPECIALISTS P.C.
Warwick, RI2 days ago
