Average salary: $83,191 /yearly
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- ...with verifying benefits and coverage for office visits and surgical procedures. Duties will include obtaining referrals and authorizations prior to the service, verifying insurances at least 1-2 weeks in advance prior to service and ensuring any last-minute services have...SuggestedFull timePart timeWork at officeRemote workRelocation
Surgical Specialists Group of Michigan
Saint Clair Shores, MI3 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 - ...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...SuggestedTemporary workWork at officeLocal areaRemote workFlexible hours
Patriot Growth Insurance Services
Atlanta, GA9 hours 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
United States4 days ago- ...is required Strong understanding of health insurance processes, including claims management, benefits coordination, and prior authorization procedures Customer service experience is required Strong phone skills with experience handling inbound and outbound...SuggestedContract workRemote work
Tekwissen
United States4 days ago - ...Prior Authorization Specialist (Part-Time) - Endocrinology The Endocrinology Department at MFM Health in Danvers, MA has an opening for a Part-Time Medication/Supplies Prior Authorization Specialist. This position can be in person or remote. The Prior Authorization...SuggestedPart timeRemote work
MFM Health
Danvers, MA17 hours ago $15.25 per hour
...If your passion is service excellence and top-quality care come join our team and apply today! Responsibilities ~ The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by...SuggestedLive inWork at officeHome officeMonday to FridayFlexible hoursShift workBrightSpring Health Services
Louisville, KY3 days ago$20 - $21 per hour
...Immediate need for a talented Authorization Specialist I . This is a 09 Months Contract opportunity with long-term potential and is located... ...requests for services in accordance with the insurance prior authorization list. Supports and performs data entry to maintain...SuggestedContract workWork at officeLocal areaImmediate startRemote workPyramid Consulting
New York, NY3 days ago$85.5k - $123.5k
...services and specialty product experience Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs Experience with T1D patients or autoimmune conditions Infusion therapy experience Home care coordination...SuggestedRemote workSanofi Group
Cambridge, MA3 days ago- ...Specialist Responsibilities: Verifies patient insurance coverage timely utilizing phone or online resources. Submit prior authorizations to insurances in timely manner via payer specific portals and vendors. Ensures all pertinent medical documentation is...Suggested
Myriad Genetics
Brooklyn, NY9 hours ago - ...ensures that all required information is obtained and documented prior to appointments and procedures, supporting smooth clinical... ...co-insurance, co-pays, and plan limitations Identify prior authorization requirements and communicate them to the appropriate team members...SuggestedFull timeLive inWork at officeRemote work
Princeton Brain Spine and Orthopedics
Newtown, PA1 day ago - ...patient check in and collection of co-pays. Will work and communicate with insurance companies or appropriate entity to ensure prior authorization for procedures is received./ppWhat You Will Do/pulliComplete ordering for all supplies for the office and monitor expiration...SuggestedWork experience placementReliefWork at office
South Dakota Staffing
Mitchell, SD3 days ago - ...Authorization Specialist (Remote) Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment... ...office. The Authorization Specialist's main function is to secure prior authorization for our patients from commercial and government...SuggestedWork at officeRemote work
Kolmac Clinic
Burtonsville, MD9 hours ago $18 - $19.25 per hour
...key support partner to the Case Management and Sales teams by assisting with referral intake, medical records collection, and prior authorization preparation. The Intake Specialist I works closely with patients, providers, and internal teams to ensure accurate, timely,...SuggestedHourly payWork experience placementWork at officeRemote workKandu
Van Nuys, 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... ...Pharmacy Technician experience or 1 year of experience performing prior authorizations or refill renewals. Summary: Responsible for...SuggestedFull timeTemporary workLocal areaRemote workMonday to FridayFlexible hoursShift workUC Health
United States1 day ago- ...financial assistance options. May also include obtaining initial authorization, and notifying payers of patient arrival. The Patient Access... ...). * Working knowledge of eligibility verification and prior authorizations for payment from various HMOs, PPOs, commercial...Part timeLocal areaShift workNight shiftWeekend work
Children's Minnesota
Saint Paul, MN3 days 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...Part timeImmediate startRemote workRelocation packageFlexible hoursRotating shiftSevita
Lees Summit, MO9 hours ago$16 per hour
...Schedule appointments accurately across multiple departments and specialties Assist with insurance verification and prior authorizations for procedures and surgeries Educate patients on payment options, including self-pay, billing processes, and available...Hourly payRemote workMonday to FridayDay shiftNetworks Connect LLC
United States4 days ago$19 - $23 per hour
...regarding insurance verification Verify possible Medicaid coverage for every registration Identify payers where prior authorization is needed and submit authorization request accordingly Create detailed documentation surrounding work performed on each individual...Hourly payFull timeLive inWork at officeLocal areaRemote workMonday to FridayUnited Wound Healing
United States4 days ago- ...with managed services and have experience with Medicare and Medicaid experience are given importance. Responsibilities Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria Report to utilization...Contract workRemote workWork from home
Motion Recruitment
New York, NY4 days ago $26.41 - $61.79 per hour
...divh2Care Review Clinician Inpatient Review BH/h2pThe Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care experience (Nursing...Hourly payPermanent employmentWork experience placementWork at officeRemote workHome officeMonday to FridayWeekend workWashington Staffing
Vancouver, WA4 days ago- ...If you've worked in front-end intake, operations compliance, authorizations submission, clinical review, or audit/appeals review in the specialty... ...and immunology, etc.) ~ Experience with audits, prior authorizations, and appeals is a strong plus ~ Familiarity with...Work at officeRemote work
Tennr
Cleveland, OH9 hours ago $26.41 - $61.79 per hour
...current active license for state of KY and or compact licensure The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care...Hourly payPermanent employmentWork experience placementWork at officeRemote workHome officeMonday to FridayWeekend workMolina Healthcare
Georgetown, KY9 hours ago$22 per hour
...communication methods, including: phone, video, email, slack, text, and patient portal messages Complete a high volume of prior authorizations Perform clinical administrative functions within scope of certification Following provider instructions, demonstrates...Full timeWork experience placementImmediate startRemote workWork from homeMonday to FridayMidi Health
Detroit, MI9 hours ago$120k - $125k
...monographs as needed Research and develop therapy-specific clinical policies and utilization management programs such as Prior Authorization, Step Therapy, Quantity Limit, and/or Coverage Determination programs Support Clinical Operations leadership and coordinate...Work experience placementWork at officeRemote workNight shiftWeekend workAfternoon shiftWeekday workRightway Healthcare
Virginia Beach, VA2 days ago$14 - $24.02 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. # Provides coordination and processing of pharmacy prior authorization requests and/or appeals. # Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...Hourly payWork experience placementLive inWork at officeRemote workMonday to FridayShift workMolina Healthcare
Jacksonville, FL3 days ago- ...and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare... ...and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for...Full timeWork experience placementRemote workWorldwide
IntelyCare
Miami, FL3 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
Long Key, FL2 days ago- ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conduct reviews to determine prior authorization/financial responsibility for Molina and its members. Process requests within required timelines. Refer appropriate...Work at officeRemote workMonday to Friday
Houston Staffing
United States9 hours ago - ...Our Client, a Retail Pharmacy company, is looking for a Pharmacist - Prior Authorizations for their Remote location. Responsibilities: This position is for a Clinical Pharmacist working in the Prior Authorization team. Evaluate and review all prior...Local areaRemote work
ICONMA
Myrtle Point, OR2 days ago
