Average salary: $93,390 /yearly
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$11.11 per hour
...Representative in Austin, Texas. This role involves assisting the Provider Relations Team to educate the provider community on Prior Authorizations. Candidates should have at least 2 years of relevant experience and be efficient with Microsoft Office. Strong teamwork...SuggestedHourly payWork at office- ...Making phone calls to providers within the current Texas Medicaid provider community to provide them with education regarding Prior Authorizations. Maintaining records of all outreach activities. Performing independent thinking and organizational tasks as required. #J...SuggestedWork at office
$43.2k - $64.8k
...Doing: Develop a flawless strategy to reintegrate patient accounts into the reimbursement process, either through acquiring prior authorization, performing change of insurance, or securing payment on claims. Perform detailed research on patient accounts within our "Error...SuggestedTemporary workWork at officeLocal areaWorldwideWork visaFlexible hours- ...Insurance Verification & Authorization Specialist Department: Revenue Cycle Employment Type: Permanent - Full Time Location:... ...will verify patient insurance eligibility and benefits, obtain prior authorizations and referrals when required, and ensure patients...SuggestedPermanent employmentFull timeWork at office
Aspire Allergy & Sinus
Austin, TX2 days ago - ...schedule appointments across providers, collect payments, verify demographics and insurance, and coordinate with insurers for prior-authorizations. The role requires strong communication skills, ability to multitask, and experience in a fast-paced medical office...SuggestedWork at office
CHRISTUS Health
San Antonio, TX5 days ago - ...managing incoming calls, including triage, opening of cases and authorizing sessions. How You Will Make an Impact Primary duties may... ...authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Obtains intake (demographic...SuggestedFull timeContract workTemporary workLocal areaImmediate startMonday to FridayShift work1 day per week
ANTHEM INSURANCE COMPANIES INC
San Antonio, TX1 day ago - ...Adjuster in State of Texas Skills & Experience to be Successful: Prior Texas Workers Compensation claims adjusting experience (... ...must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting...SuggestedWork at office
$19.8 - $31.25 per hour
...medication review, medication therapy management coordination, clinical support services, drug manufacturer program assistance, prior authorizations, procurement, and other tasks. Requires ability to work independently, coordinate assigned projects efficiently, and...SuggestedFull timeUniversity Health
San Antonio, TX9 hours ago- Actalent is seeking an Insurance Verification Coordinator to verify eligibility, benefits, and prior authorizations for medications and services. The role supports patients, providers, and payors with accurate documentation and timely access to therapies. You will handle...SuggestedRemote job
- ...Be Doing Develop a flawless strategy to reintegrate patient accounts into the reimbursement process, either through acquiring prior authorization, performing change of insurance, or securing payment on claims. Perform detailed research on patient accounts within our "...SuggestedWorldwide
$39.5k - $59.3k
...workflows, and processes Experience managing multiple priorities in a fast-paced environment preferred Knowledge of medical scheduling, registration, insurance verification, or prior authorization processes Experience mentoring or supporting new team members...SuggestedFull timeWork experience placementRemote work$20 - $23 per hour
...effective dates of coverage, benefits, claim status, and other inquiries Inform members and providers on services requiring prior authorization and track the status of pending requests. Maintaining detailed, audit-ready logs of every call, chat, and email interaction,...SuggestedHourly payFull timeRemote workMonday to Friday- Job Description Insurance Verification & Authorizations Specialist Ambulatory Surgery Center Location: Onsite - DFW Area Position Type: Full... ...critical to ensuring accurate benefits verification, timely prior authorizations, and proactive follow-up across multiple payers...SuggestedFull time
$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work$19.8 - $31.25 per hour
...POSITION SUMMARY/RESPONSIBILITIES Prepares pharmacy prior authorization requests for review by nurse/pharmacist/physician reviewers. Completes pharmacy authorization requests and issues review outcome notifications to Community First Health Plans (CFHP) members and...SuggestedFull timeWork at officeUniversity Health
San Antonio, TX9 hours 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...Remote jobHourly payTemporary workLocal area$23 - $27 per hour
.... Join us in Simplifying Complex Care! At least 2 years of home infusion specialty pharmacy experience required, including prior authorizations, benefit verifications, running test claims, and HCPC calculations. The hours are 9am - 5:30pm eastern time zone. Soleo Health...Hourly payFull timeContract workImmediate startRemote workMonday to Friday- Prior Authorizations Specialist CNC Management Solutions LLC West Lake Hills, Texas, United States About this position ABOUT THE CRANE CENTER The Crane Center is a world-renowned Transgender surgical practice, with locations in Greenbrae, California, Boulder, Colorado...Full timePrivate practiceWork at officeRemote workMonday to Friday
- ...Insurance Authorization & Pharmacy Tech The Insurance Authorization & Pharmacy Tech is responsible for obtaining and managing insurance... ...therapies. This role verifies insurance eligibility, benefits, prior authorizations, and coverage requirements for both clinical...Work at office
Urology San Antonio
San Antonio, TX5 days ago $63.84k - $100.8k
...identified during assessmentImplements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through... ...preferred.Previous experience with utilization review and/or prior authorization.Clinical case management experience in an...Full timeWork experience placementWork at officeLocal areaMonday to FridayANTHEM INSURANCE COMPANIES INC
Grand Prairie, TX3 days ago$20 - $23 per hour
.... Hiring is contingent on an open, funded position and client authorization. Submitting an application and completing our interview process... ...inquiries Inform members and providers on services requiring prior authorization and track the status of pending requests. Maintain...Remote jobHourly payFull timeMonday to Friday- ...necessary based on company needs.The Pharmacy Technician I responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.How you will make an impact.Primary duties may include, but are not...Full timeTemporary workLocal areaMonday to FridayShift work1 day per week
ANTHEM INSURANCE COMPANIES INC
San Antonio, TX4 days ago - Georgetown Behavioral Health Institute is seeking an Intake Clerk to support admissions by obtaining prior authorizations and greeting patients and visitors. This full-time role ensures timely processing within the admissions workflow and contributes to a smooth patient...Full time
$41.54k - $66.46k
...Be Part of Who We Are! Position Summary The Surgical Authorization Specialist is responsible for efficiently working accounts receivable... ...customer service. This position will focus on obtaining prior authorization for procedures. *Fully Remotebut must be...Minimum wageFull timeRelocation- North Texas Rehabilitation Institute in Plano, TX is seeking a full-time Payor Relations Specialist to manage prior authorizations and payer communications, ensuring timely reimbursement and compliance. The role collaborates with insurers, managed care organizations, and...Full time
- A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote job
- ...fully remote Utilization Specialty Therapist role. This 9-month contract focuses on clinical utilization review and therapy prior authorization, with a Monday-Friday schedule. Responsibilities include reviewing requests, ensuring policy compliance, maintaining required...Remote jobContract workMonday to Friday
- ...building an in-house molecular genetics laboratory and is hiring an experienced genetic testing authorization professional to run the front end of the program. This role requires prior experience securing coverage for genetic or molecular testing. Candidates are expected...Full timeWork at office
CLS Health
Webster, TX14 hours ago $120k - $130k
...diagnosis, treatment options, surgery, and recoveryKeep accurate, timely documentation in the EHRHandle prescription refills, prior authorizations, and patient calls as neededQualificationsGraduate of an ARC-PA accredited Physician Assistant programCurrent NCCPA...Full timeWork at officeLone Star Orthopaedic
Burleson, TX1 day ago- ...Job Specifications And Competencies Verifies member eligibility, benefit coverage and facility contract status prior to processing authorization requests. Complies with established referral, precertification and authorization policies, procedures, and processes by...Contract workWork experience placementRemote work
Harris Health
Houston, TX3 days ago
