Average salary: $80,239 /yearly
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- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedWork experience placementRemote workWorldwide
- ...operate within its assigned intermediate level of Underwriting Authority to evaluate, qualify and rate individual insurance applications... ...Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown...SuggestedRemote work
- ...Prior Authorization Specialist About Our Company: At Infinx, we are a dynamic and rapidly expanding company dedicated to providing innovative technology solutions and services tailored to our clients' needs. Our mission is to collaborate closely with healthcare providers...SuggestedWork at officeRemote workFlexible hours
$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedTemporary workLocal areaRemote work- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedFull timeTemporary workWork at officeLocal areaRemote work
$21 per hour
...candidates to the right opportunities! We have partnered with a reputable health insurance company to recruit for an experienced Prior Authorization Clerk to join their team! This is an excellent opportunity to bring your expertise to a company devoted to helping New York...SuggestedPermanent employmentFull timeTemporary workLocal areaRemote workMonday to Friday$20.7 - $29.93 per hour
...Of Qualifications: Required: ~ High School diploma or equivalent ~2 years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the...SuggestedFull timeImmediate startRemote workMonday to Friday- ...To support patient access services, the full-time Prior Authorization Specialist will verify insurance, obtain authorizations, and coordinate financial clearance activities remotely, ensuring compliance with healthcare delivery standards. Key responsibilities Processes...SuggestedFull timeWork at officeRemote work
- OncoHealth is seeking a Sr Provider Relations Specialist to drive adoption of digital prior authorization platforms. You will build strong relationships with physician partners, coordinate onboarding and training, and support ongoing optimization across practices and health...SuggestedRemote job
$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 work- ...Job Summary The Treatment & Authorization Representative serves as the primary point of contact for patients following diagnosis by communicating... ...accurately in the electronic medical record (EMR). Prior Authorizations & Insurance Process prescription prior...SuggestedWork at officeWork from homeMonday to Friday
$18 per hour
...dedicated professionals working to ensure coverage, eligibility, and authorizations are handled accurately and efficiently. We're looking for... ...with insurance verification, benefits investigation, prior authorizations, or healthcare revenue cycle functions. ~ Knowledge...SuggestedHourly payFull timeCasual workWork at officeRemote work$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 shift- ...Working remotely, the part-time Remote Prior Authorization Specialist will manage tasks related to care coordination services, including insurance verifications, prior authorizations, and electronic filing of medical documents. Key responsibilities Process assigned tasks...SuggestedPart timeWork at officeRemote work
- ...support the meaningful work of community oncologists and the patients we serve. Job Description: Job Purpose The purpose of the Prior Authorization Specialist is to ensure all necessary prior authorizations have been obtained in an effective and efficient manner. Essential...Suggested
- ...working in the healthcare industry, preferably directly with insurance companies. Medical claim submission experience. Medical prior authorization experience. Medical benefit verification experience. Preferred Experience Two (2+) years of experience working in the...Temporary workCasual work
$39k
...and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health,... ...Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown...Hourly payFull timeContract work$350k
...Employer: Curative Pay: $350,000 to $450,000 per year Start Date: ASAP About the Position Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part of this skilled team of...Full timeImmediate startRemote workRelocation package- ...Gainwell Technologies is seeking a Prior Authorization Registered Nurse Consultant - Personal Care Services to review prior authorization requests and determine medical necessity for Medicaid programs. This fully remote role supports providers and stakeholders while aligning...Remote work
- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Part timeRemote work
$80k
...communicating directly with patients and healthcare professionals to provide benefit summaries, verify insurance coverage, obtain prior authorizations and support appeals processes. As part of your role, you’ll make sure patients are referred to the right resources like...Remote work- ...assessments and coordinate necessary prescriptions—such as antibiotics—under provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients, providers,...Full timeTemporary workWork at officeImmediate startRemote workWork from home
- ...eligibility and benefits information to support accurate intake, authorization, and billing processes. This role focuses on analyzing... ...information against source systems to ensure accuracy and completeness prior to authorization, service delivery, or billing. Issue...Full timeTemporary workWork at officeRemote work
$20 - $23 per hour
...Actalent is Hiring a Team of Remote Pharmacy Technicians This remote Pharmacy Technician role focuses on reviewing prior authorization requests and making coverage determinations for a pharmacy services department within a large health insurance organization. You will...Permanent employmentContract workTemporary workWork at officeLocal areaRemote workHome officeMonday to FridayShift work- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience...Remote workWork from home
$50 - $60 per hour
...compliance with regulatory and organizational standards. Responsibilities for the Clinical Pharmacist include: • Evaluate prior authorization and coverage review requests by applying clinical guidelines, plan benefits, and formulary requirements to determine...Hourly payLong term contractContract workRemote work- ...families, managing office flow, collecting payments, and verifying authorizations. Responsibilities include answering and triaging calls,... ...payments during check in or out or via phone call. Check for prior authorizations for services and assist with prior authorization...Full timeWork at office
$1,800 per week
...experience • Outpatient PT/OT experience OR inpatient bariatric/surgical elective experience • Medical necessity review • Prior authorization / care management experience Outpatient / Infusion RN Seeking RNs with: • Outpatient healthcare experience •...Contract workFor contractorsWork at officeRemote workWorldwideMonday to FridayShift work- ...support managed care programs, the full-time Minnesota Licensed RN Authorization Specialist will conduct complex care coordination and referral... ...Conduct managed care activities including referral and prior authorization processes Provide clinical expertise and leadership...Full timeRemote work
- ...Seeking a highly organized and empathetic Referral Coordinator for a part-time temporary role, who will manage insurance prior authorizations, process incoming referrals, and support patient scheduling within the Ortho Pass program, all in a remote environment. Key responsibilities...Temporary workPart timeRemote work



