Average salary: $94,919 /yearly
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- ...agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Prior Authorization Specialist to join their team. The primary responsibilities include receiving fertility specialty prescriptions and managing...SuggestedTemporary workLocal areaShift work
- VitalCaring Group seeks an Insurance Verification and Authorization Specialist to handle insurance verification, prior authorizations, and maintain records for patients. This remote position requires a minimum of 2 years of experience in home health authorization and knowledge...SuggestedRemote work
$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$86k - $101.5k
...Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal area- ...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
$21 - $28 per hour
...Prior Authorization & Insurance Support Specialist Location: Plano, TX Schedule: M-F 8:30am-5pm Pay Range: $21.00 - $28.00/hour (Based on Experience) Position Type: Full-Time, Contract-to-Hire Are you a healthcare...SuggestedFull timeContract workLocal area- ...Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage...SuggestedHourly payFull timeWork at officeRemote workWork from homeHome officeMonday to Friday
- ...Caremed-Specialty-Pharmacy in Houston, TX is looking for a Pharmacy Prior Authorization Specialist. This full-time position focuses on ensuring patients receive necessary medications by managing authorization requests and working with insurance carriers. Candidates should...SuggestedFull timeRemote workRelocation package
- Soleo Health Inc is seeking a Clinical Review Coordinator for a remote full-time position. You will ensure timely and accurate clinical reviews and approvals while collaborating with various departments. The ideal candidate should have experience in specialty infusion...SuggestedFull timeRemote work
$21 - $24 per hour
...handle various duties that may include vital signs, phlebotomy, EKG’s, telephone triage, calling patients with lab results, prior authorizations, refills, assisting with in-office procedures, and other clinical duties as needed. Monday - Thursday 8 am - 5 pm early dismissal...SuggestedHourly payWork at office- ...Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and...SuggestedFull time
- Senior PsychCare in Houston is hiring an Authorization Specialist responsible for obtaining pre-authorizations and processing referrals accurately... ...providers and insurers to resolve issues related to prior authorization. The ideal candidate will have a high school diploma...Suggested
$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote work$47.37k - $55.73k
...location. Job Duties Obtain benefits and verify insurance authorizations for medical procedures, treatments, and services in a timely... ...Qualifications EPIC experience. Medical insurance verification, prior authorization, or related healthcare administrative work....SuggestedWork at officeMonday to FridayShift work- ...Job Location: WoundCentrics Corporate Office – New Braunfels, TX 78130 Education Level: High School The Prior Authorization and Referral Coordinator is responsible for processing referrals and initiating and following up on prior authorizations to insurance carriers prior...SuggestedWork at officeMonday to Friday
- ...managing incoming calls, including triage, opening of cases and authorizing sessions. How You Will Make an Impact Primary duties... ...authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Obtains intake (...Full timeContract workTemporary workLocal areaImmediate startMonday to FridayShift workDay shift1 day per week
$10 per hour
...Laser Hair Removal by 2x Get notified about new Registered Nurse jobs in North Richland Hills, TX . Clinical Review Nurse - Prior Authorization Staff Nurse Outpatient Clinic PHP/IOP CCFM Staff Nurse Outpatient Clinic PHP/IOP CCMF Dallas, TX $54,000.00-$111,000.00 4 months...Full timeContract workPart timeWork at officeImmediate startVisa sponsorshipRelocation packageShift workDay shift$40 per hour
...supports daily utilization management operations by reviewing authorization requests, ensuring timely and accurate processing, and maintaining... ...Preferred: Previous Utilization Management or Prior Authorization experience Experience with EPIC and/or IQ Cloud...Weekly payContract workCasual workRemote workMonday to Friday$23 - $27.3 per hour
.... Duties include, but are not limited to the following: focused physical assessments (vital signs, EKG's, labs) prior authorizations timely concurrent computer documentation / prescription drug ordering injectable medication administration frequent...Hourly payFull timeMonday to FridayShift work- ...when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established...Part time
€85 - €100 per day
...~ Potential for extension ~ Start date: July 27, 2026 Clinical Pharmacist 1 Responsibilities Review completed prior authorization requests and pharmacy technician recommendations for appropriateness Verify member eligibility, prescription benefits, and...Full timeContract workWork at officeImmediate startRemote workMonday to Friday- ...with all questions answered. I lead guest flow including rooming guests, taking vitals, setting up injections, obtaining prior authorizations for injections, taking inventory/ordering supplies, educating guests and applying DME. I apply safety techniques, register...Local areaFlexible hours
- ...Remote, TX Contract Job Title: Prior Authorization Pharmacist Location:Remote Duration: 6+ months contract Job Description: ~ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities...Contract workRemote work
- ...or equivalent Experience: 3 years of benefit verification/authorization experience or equivalent and 1 year Customer Service/Customer... ...registers patient cases by entering complete and accurate information prior to patient's arrival. Identifies and verifies all essential...Full timeWork at office
- ...experience in a healthcare environment. Prefer experience in surgery scheduling, referral processing, insurance verification and prior authorization. This position is located at our Vintage Campus location. Job Duties: Schedules, reschedules, and coordinates, patient...
- ...Process all non‑clinical PBM rejections which may include but are not limited to rejections for plan limits, coverage terms or prior authorization. Assist physicians in the prior authorization process including initiation of prior authorizations. May be cross‑trained...Remote jobHourly pay
- ...Pharmacy Technician - Prior Authorizations Location: Irving, Texas (Onsite) A rapidly growing, licensed non-dispensing pharmacy is seeking Pharmacy Technicians to support prior authorization and intake operations. This organization uses advanced workflow automation...
- ...cultures. At IRI, we know that our success is directly tied to our clients' success. Job Description Evaluates and authorizes approval of prior authorization pharmacy requests from prescribes received by telephone and/or facsimile using client clinical criteria....Work at office
- ...with HCPs and office staff Utilize data, insights, and reporting tools to drive performance Navigate and support prior authorizations (PA) and pharmacy pull-through processes Consistently meet or exceed sales targets while operating within compliance guidelines...Work at office
$23 per hour
Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Houston, TX | 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 workRemote workRelocation package


