Average salary: $79,531 /yearly
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- ...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
Arrowhead Programs
Fort Wayne, IN18 hours ago - ...all product lines and can modify or reject risks with moderate authority. Handles underwriting referrals for new and renewal business, particularly... ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown...SuggestedWork at officeRemote work
Brown & Brown
Tampa, FL2 days ago $22.4 - $26.4 per hour
...the 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 and...SuggestedWork at officeLocal areaHome officeFlexible hoursFarm Family
Albany, NY1 day ago- ...provide excellent customer service Performs support for online authorization of routine services Provides support to providers regarding... ...necessary Receive pended claims reports on claims received without prior authorization to research and review eligibility and benefit...SuggestedFull time
My Billing Company
Florida, NY1 day ago - ...Working remotely in a full-time capacity, the Prior Authorizations Specialist will manage the process of obtaining pre-certifications and pre-authorizations for procedures and medications while coordinating patient appointments and ensuring compliance with insurance requirements...SuggestedFull timeRemote work
Virtual Vocations Inc
United States3 days ago - ...Job Title 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 delivery...SuggestedWork at officeRemote work
Axelon
Charlestown, MA4 days ago $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 FridayMed-Scribe
Johnson City, NY4 days ago$130k - $165k
...behavioral health clinicians, acupuncturists, chiropractors, and nutritionists Robust administrative support – staff assist with prior authorizations and forms Integrated care model with psychiatric, PCP, and wellness support Compensation & Benefits: $130,000 - $165...SuggestedWeekly payFull timeLocumWork at officeImmediate startRemote workFlexible hours1 day per weekAAS Locum Tenens
Northampton, MA1 day ago$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...SuggestedImmediate startRemote workFlexible hoursColoplast
Minneapolis, MN3 days ago- ...approval for patient MRI scans is available at Des Moines Orthopaedic Surgeons, P.C. We are seeking individuals with prior experience submitting prior authorizations to insurance companies for advanced imaging and/or experience working with insurance company websites. As a...SuggestedFull timeWork at officeWork from homeMonday to Friday
DMOS
West Des Moines, IA1 day ago - ...Job Summary: At The Remedy, the Prior Authorization Specialist plays an integral role in the patient intake and revenue cycle process. This role will focus on the coordination and management of medication and treatment prior authorizations for a mental health organization...SuggestedTemporary workWork at officeVisa sponsorshipWork visa
The Remedy Mental Health
Hugo, MN2 days ago $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 unsolicited...SuggestedTemporary workLocal areaRemote workAmerican Indemnity
United States2 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 the process...SuggestedTemporary workLocal areaImmediate startRemote workFlexible hoursAssistRx
Florida, NY5 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
Valencia, CA2 days ago- ...Prior Authorization Specialist Our client, a leading healthcare service provider specializing in cutting-edge technology to treat skin cancer, is seeking a detail-oriented and self-motivated Prior Authorization Specialist to join their Centralized Services Department...SuggestedWork from home2 days per week
MRINetwork
Kankakee, IL2 days ago $18.67 - $21.96 per hour
...Job Title Prior Authorization Specialist I Company Lumicera About Us Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our...TraineeshipRemote workFlexible hoursShift workNavitus Health Solutions
United States1 day 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 the process...Temporary workLocal areaImmediate startRemote workFlexible hoursDormont Manufacturing Company
Poland, NY3 days ago- ...physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations. Requirements: ~ High School Graduate of GED equivalent required. ~ Two (2) years of college preferred....Work at officeRemote work
ICONMA
United States4 days ago $23 per hour
...pharmacy! See below for open job opportunities. If you do not see any listings at this time, please check again later. Position: Prior Authorization Specialist Location: Indianapolis, IN Job Id: 707 # of Openings: 1 Pharmacy Prior Authorization Specialist – CareMed...Full timeTemporary workLocal areaRemote workRelocation packageShift workCareMed Specialty Pharmacy
Indianapolis, IN4 days ago$23 per hour
...Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy Buffalo, NY | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before July 31, 2026. Join a mission-driven team making a difference in the lives of cancer patients...Full timeTemporary workLocal areaRemote workRelocation packageCareMed Specialty Pharmacy
Buffalo, NY5 days ago- ...Week: 40. Responsibilities Verify patient insurance eligibility, benefits, and coverage details prior to appointments, including copays, deductibles, referrals, and authorization requirements. Contact insurance carriers via phone or online portals to confirm active...Work at office
Delaware Orthopaedic Specialists
Wilmington, DE5 days ago - ...Insurance Verification & Authorization Specialist This is a remote position. Only LATAM-based candidates (bilingual in Spanish and English... ...visits, procedures, and treatments Obtain referrals and prior authorizations from primary care physicians and insurance companies...Contract workFor contractorsWork at officeRemote work
My VA Support
United States2 days ago - ...industry. Preferred One (1+) years’ experience working in the healthcare industry. Medical Claim submission experience Medical Prior authorization experience Medical benefit verification experience Knowledge in Availity, TriZetto, Waystar, other clearinghouses Benefits...Full timeTemporary workCasual work
TruHearing
Draper, UT5 days ago $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...Hourly payContract workTemporary workWork at officeRemote workWork from homeNight shiftTekwissen
Detroit, MI5 days ago$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 workCycle Pharmaceuticals
Detroit, MI5 days ago$23 per hour
...Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy Full-Time | Starting at $23/hour and up. Shift times: 9:00 am – 5:30 pm EST or 9:30 am – 6:00 pm EST. Position located in Indiana (must be licensed). Remote work possible after initial on‑site training...Full timeTemporary workRemote workRelocation packageShift workCareMed Specialty Pharmacy
Indiana, PA5 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 should...Remote workShift work
- ...frameworks Fluency with AI assisted development (actively use tools like Claude Code) Healthcare Background (claims, eligibility, prior authorization, or pharmacy and Rx data) NICE TO HAVE SKILLS AND EXPERIENCE Experience in a regulated environment such as HIPAA or HITRUST...Full timeWork at officeRemote work
Insight Global
Montana4 days ago - ...Prior Authorization Specialist Responsible for screening and processing prior authorization requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order...Work at officeRemote work
Saviance
Charlestown, MA4 days ago $101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Full timeLocal areaRemote workArgonaut Management Services, Inc
Lake Forest Park, WA1 day ago
