Average salary: $79,833 /yearly
More statsGet new jobs by email
$18.28 per hour
...insurance payer; verify patients' benefits, eligibility, and seek authorization for services by contacting insurance companies; determine... ...government funded and commercial insurance companies to obtain prior authorizations or referrals. Determine the correct Coordination...SuggestedHourly payImmediate startRemote workMonday to FridayFlexible hoursShift workColoplast
Minneapolis, MN2 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...SuggestedHourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift workMaven Wise
Santa Clarita, CA2 days ago$20 - $25 per hour
...requirements, guidelines and policies, insurance plans requiring pre-authorization Experience in a health care related industry. Description This program verifies benefits and works on prior authorization. Working directly with physician offices regarding coverage...SuggestedContract workTemporary workWork at officeImmediate startRemote workWork from homeMonday to FridayDiversityJobs Inc
Minneapolis, MN4 days ago- ...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...SuggestedTemporary workWork at officeRemote workNight shift
Tekwissen
United States2 days ago - ...Prior Authorization Specialist At The Remedy, our Prior Authorization Specialist plays an integral role in the patient intake and billing process. Prior Authorization Specialists use their experience and knowledge of working with insurance companies to complete the...SuggestedTemporary workWork at officeRemote work
The Remedy Mental Health
North Oaks, MN7 days ago - ...for all positions. Empowers others by driving decision-making, authority, and resources to trusted employees and providing stretch assignments... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeCasual workLocal areaImmediate startRemote workWeekend work
Argonaut Management Services, Inc
Rockwood, PA4 days ago - ...determine allowances and identify root causes of denials Manage various denial types that may result in low-pay appeals, prior authorizations, Clinical and Administration Level 1 and Level 2 appeals Submit corrected claims and appeals in accordance with payer...SuggestedFull timeTemporary workImmediate startRemote work
Lucid Diagnostics
United States5 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...SuggestedRemote workMonday to FridayFlexible hoursAssistRx
Maitland, FL2 days ago$18 - $21 per hour
...Under general direction, provides quality patient care to patients regarding Prior Authorizations and general medication inquiries. Responsibilities include, obtaining prior-authorizations, following up and communicating with patients as to the status of their prior-authorization...SuggestedTemporary workWork at officeWork from homeClearway Pain Solutions
Annapolis, MD1 day ago$23.82 per hour
...Patient Services Specialist 2- Prior Authorization Specialist UW Medicine Primary Care - Prior Authorization Team has an outstanding opportunity for a Patient Services Specialist 2- Prior Authorization Specialist. Full-time, 100% FTE (40 hours per week) Monday...SuggestedHourly payFull timeTemporary workWork at officeMonday to FridayShift workDay shiftAfternoon shift$40k - $50k
EXPERIENCED PERSONAL LINES INSURANCE AGENCY CSR Quite possibly the best insurance agency CSR job ever! No cold calling. No Outside prospecting. Focus on your client relationships First and foremost You advise and counsel clients on coverage options. You help them...SuggestedPermanent employmentWork at officeImmediate startMonday to FridayFlexible hoursBill Flinn Agency
Bethel Park, PA20 days ago- ...equivalent ~ Experience 3 years of benefit verification/authorization experience or equivalent and 1 year Customer Service/Customer... ...patient cases by entering complete and accurate information prior to patient's arrival. Identifies and verifies all essential...SuggestedFull timeWork at officeRemote workMonday to Friday
University Of Texas Southwestern Medical Cent (The)
Dallas, TX3 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, MD4 days ago $15 - $17 per hour
...provides a comprehensive approach to care for our patients. Position Overview The Pharmacy Technician I/II - Prior Authorization at our Wilson Community Health Center is responsible for supporting the collaborative workflow of prior authorizations for...SuggestedBi-weekly payHourly payFull timeWork experience placementWork at officeMonday to FridayFlexible hoursShift workDay shiftCarolina Family Health Centers
Wilson, NC5 days ago- ...RN Pre-Service Authorization Job Description: Conducts Managed Care Programs in conjunction with third party administrators’... ...perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and revising Essentia...SuggestedWork from homeRelocation packageFlexible hoursShift workWeekend work
Vivian Health
Duluth, MN4 days ago $53 per hour
...A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity. Highlights...Hourly payFull timeContract workImmediate startRemote workWork from homeMonday to FridayWeekend workA-Line Staffing Solutions
Charlotte, NC3 days ago$16 - $31.44 per hour
...payers directly, utilizes approved scripting Obtains referral, authorization, and pre-certification information and documents this... ...Preferred Qualifications: ~1+ years of experience with prior authorizations ~ Experience with using Microsoft Office products...Remote jobDaily paidFull timePart timeWork experience placementLive inWork at officeRelocation packageMonday to FridayShift work$30.36 - $43.49 per hour
..., you will lead the coordination and procurement of insurance authorizations supporting the full continuum of care for stem cell transplant... ...interpretation of payer policies and coverage requirements Submit prior authorization requests and compile comprehensive clinical...Hourly payRemote workMonday to FridayUCLA Health
Los Angeles, CA2 days ago$23.69 - $32 per hour
...part of a Revenue Cycle Career Ladder! Job Summary: The Authorization Specialist II is responsible for verifying insurance policy benefit... ...and timely pre-authorizations for professional services prior to the patient's visit, scheduled admission, or immediately following...Hourly payFull timeWork at officeLocal areaImmediate startRemote work61st Street Service Corp
United States2 days ago- ...Arizona. PRUPOSE OF THE JOB The Dental Benefit Examiner is responsible for data entry, review, and processing of dental prior authorization, retro-review requests, and referral requests. REQUIRED QUALIFICATIONS Required Work Experience ~ Two years...Full timeWork experience placementRemote work1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ1 day ago $300k
...integrated with clinic operations Dedicated clinical and operational support, including an MA, triage nurse, practice manager, and prior authorization specialist In-house lab, X-ray, ultrasound, and DEXA to streamline care delivery Schedule Full-time schedule...Full timePart timeRemote workRelocation packageShift workWeekend workCURAtive
Peterborough, NH3 days ago- ...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, TX3 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...Work at officeRemote workRelocation packageMonday to Friday
Duke University
Durham, NC1 day ago - ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote work
Pharmacy Careers
United States2 days ago $1,949.74 per month
...Job Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity determinations, prior authorizations, continued stay reviews, and utilization management using InterQual criteria while ensuring compliance with CMS, Medicare regulations...Weekly payRemote workShift workCynet Health
Eureka, CA5 days ago- ...Job Description Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department...Full timeContract workPart timeWork at officeLocal areaRemote workWork from homeHome office2 days per week
Blue Shield Of California
Rancho Cordova, CA3 days ago - ...Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access...Remote workWork from homeFlexible hours
Pharmacy Careers
United States3 days ago Physician / 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, CA3 days ago- ...medical. Collaborate with & outreach facilities to ensure authorization information is up to date and clinical information and... ...financial responsibility for *** and its members. May also perform prior authorization reviews and/or related duties as needed. Processes...Contract workWork at officeRemote work
Integrated Resources
United States2 days ago - ...upon approval & denial management processes. (20%) ~ Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%) ~6. Performs other related projects and duties as assigned including on...Remote work
Varite
United States9 hours ago
