Average salary: $105,170 /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...Suggested
- ...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 at office
- ...Job Description Insight Global is seeking experienced Insurance Authorization Specialists to support a large oncology provider. This position will be responsible for obtaining and managing prior authorizations for oncology services, primarily chemotherapy and radiation...Suggested
- ...Specialty Pharmacy or PBM experience. ~1-2 years’ CRM platform experience. ~1-2 years’ experience collaborating with Clinical, Prior Authorization, sales, account management, senior executive, and various external client facing relationships. RxCompass, LLC...SuggestedHourly payFull timeWork at officeLocal areaRemote workNight shiftWeekend work
- ...Perform pre-registration and insurance verification on all patients Contact appropriate parties to resolve issues regarding prior authorizations and necessary referral requirements Assign insurance plans accurately Communicate with appropriate parties to discuss...SuggestedWork at office
$60k - $82.5k
...~ Understanding of broader revenue cycle functions, including claims processing, denial management, accounts receivable, prior authorizations, and reimbursement follow-up; experience with cardiology devices or specialty healthcare billing is a plus. Baxter is committed...SuggestedTemporary workLocal areaWork visaFlexible hours3 days per week- ...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...SuggestedWork at office
- ...computerized scheduling systems Knowledge of customer service principles and techniques Knowledge of insurance and ability to obtain prior authorization Skill in communicating effectively with physicians/ clinicians about referrals/radiology Ability to multitask effectively,...SuggestedWork at office
- ...Prior Authorization Specialist - Northwest Position Type Full Time Category Family Practice Description General Summary: Provides support to the family practice department by processing all medication Prior Authorization requests. Utilizes Athena and Cover My...SuggestedFull timeWork at office
- ...POSITION SUMMARY AND RESPONSIBILITIES Performs utilization management activities including prior authorization review, concurrent review, retrospective review, and appeal review activities utilizing approved medical necessity criteria, organizational policies, contractual...Suggested
- ...Opening: (Sun-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
$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- ...responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit... ...or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including...SuggestedRemote jobFull timeContract workImmediate startMonday to Friday
- ...Job Description Job Description Insurance Verification & Authorizations Specialist Ambulatory Surgery Center Location: Onsite –... ...is critical to ensuring accurate benefits verification, timely prior authorizations, and proactive follow-up across multiple payers...SuggestedFull time
$23 per hour
...an initial check of prescriptions to verify clinical accuracy prior to processing. Communicate with providers to clarify prescriptions... ...denials, rejections, and discrepancies. Initiate prior authorizations or other claim overrides required to secure a payable claim...SuggestedContract workTemporary workWork at officeRemote workMonday to FridayFlexible hours- ...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...Full timeWork at office
- ...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...Full timeLocal 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...Full timeContract workWork at office
- 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
- ...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...Full timeContract workWork at office
- ...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...Full timeWork at office
- ...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...Full timeWork at office
- ...responsible for preparation, submission, and follow up of payer authorization requests. Perform benefit verification of all patient... ...or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including...Remote jobFull timeContract workImmediate startMonday to Friday
$38 - $40 per hour
The Bronx is seeking a Priority Authorization Flow Operator to review complex cases where automation cannot resolve issues, evaluating payer requirements, clinical documentation, policy criteria, and data to decide on approval, need for more information, or routing. This...Remote jobHourly pay- ...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...Monday to Friday
- ...seeking a dependable and detail-oriented Insurance Verification & Authorization Specialist to join our team. This position is responsible for verifying patient insurance coverage and benefits, obtaining prior authorizations and referrals, processing GAP exceptions, and...Shift work
$17 - $19 per hour
...you will manage incoming patient referrals and coordinate the authorization process to ensure patients are efficiently moved into care. The... ...: 1+ year of medical office, referral coordination, or prior authorization experience Strong communication and organizational...Hourly payWeekly payFull timeTemporary workWork at officeMonday to Friday- ...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
- ...Education: High School Experience: 2 years of benefit verification/authorization experience or equivalent. 1 year Functional - Customer... ...patient cases by entering complete and accurate information prior to patient's arrival. Identifies and verifies all essential information...Full timeWork at office
- ...five years Accurate 10-key ability Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, CMS1500, HCPCS Experience in researching denials and how to resolve for payment Knowledge of government and commercial insurance billing, appeals, and prior authorization #J-18808-Ljbffr...Full timeWork at office



