Average salary: $115,335 /yearly
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- ...Therapy ~ Duration: 18 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel To provide prior authorization of outpatient and home physical and occupational therapy services requiring authorization. This process includes using clinical...SuggestedWork at officeShift work
$17 per hour
...Job Description Job Description Salary: Starts at $17 Hourly Authorizations Coordinator About the Role We are seeking motivated individuals to coordinate prior approval and managed care processes for patient/client services in our in-home provider care...SuggestedHourly payMonday to Friday- ...Authorization Specialist Handles the verification of insurance benefits for patients. Notifies patient of deductibles and co-insurance... ...documentation. Assists with other clerical tasks as needed. Secures prior authorizations prior to services being performed. Demonstrates...SuggestedWork at officeImmediate start
- .... Practice settings may include inpatient decentralized/unit-based care, ambulatory/specialty pharmacy, infusion services, prior authorization or medication access programs, and revenue integrity functions. ESSENTIAL JOB FUNCTIONS · Assess medication regimens...SuggestedFor contractorsLocal area
$14 per hour
...insurance verification, following up on billing utilization in the EHR system, and ensuring timely submission and entry of prior authorizations for selected insurances. This role requires extensive phone communication. Essential Duties and Responsibilities • Process...SuggestedFull timeTemporary workMonday to FridayWeekend work- ...successful candidate will join a growing pharmacy team responsible for providing medication therapy management, assisting with prior authorizations, promoting cost-effective care and providing patient education. Competitive salary and excellent benefits through the UTMB...SuggestedFor contractorsLocal area
- ...~ Bachelor's degree in nursing with Texas RN license (or compact including Texas) is required. Platform migration and prior authorization catalog development experience preferred. Work Experience (Years and Area): Minimum of Five years of work experience...SuggestedWork experience placementWork at office
- ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
$26.41 - $51.49 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...SuggestedHourly payWork experience placementWork at officeRemote workWork from homeFlexible hoursWeekend work- ...EMR, scribing for physician, completing patient call backs, scheduling surgeries, logging & tracking pathology, completing prior authorizations, removing sutures and other duties as assigned. Dermatology experience is a definite plus! We utilize Modernizing Medicine...SuggestedFull time
- ...Job Title: Clinical Review Nurse - Prior Authorization - J00927 Location : Fully Remote, TX, central time zone preferred Pay : Not specified Shift Training: 4-5 weeks (No days off) CAMERA ON, Mon - Fri 8AM 5PM CST Working Shift: Mon - Fri 10 AM-7PM CST, 1 hour lunch Duration...SuggestedHourly payRemote workShift work
$21 per hour
...Irving, TX! Job Description: Checking in/out patients Appointment scheduling Insurance verification Triage Prior authorizations Comfortable with EMR systems Schedule: Monday to Friday 8:30AM-5:00PM Pay/Benefits: Great Pay - up to $21+/...SuggestedContract workTemporary workMonday to Friday- ...multiple physicians and nurse practitioners, supported by LVNs and medical assistants. Administrative staff manage scheduling and prior authorizations for procedures.•Clinic Setting: Outpatient clinic with onsite access to laboratory and radiology services for seamless...SuggestedFull timeRelocation package
- ...Job Title The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...Suggested
$23 - $26 per hour
...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...SuggestedHourly payFull timeContract workImmediate startRemote work$19 - $21 per hour
...Responsibilities Escort patients to and from exam rooms, physician offices, and treatment rooms. Schedule appointments and manage prior authorizations. Assist with patient check-in and check-out, as well as referral processes. Perform phone work with patients,...Contract workTemporary workWork at officeMonday to Friday- ...with LVNs and Medical Assistants for comprehensive clinical support. Our schedulers proficiently manage surgery scheduling and prior authorizations for various procedures. Clinic Setting: Located within the hospital's Outpatient Pavilion, enjoy onsite laboratory and...Full timeRelocation package
$21 per hour
...Irving, TX! Job Description: Checking in/out patients Appointment scheduling Insurance verification Triage Prior authorizations Comfortable with EMR systems Schedule: Monday to Friday 8:30AM-5:00PM Pay/Benefits: Great Pay - up to $21+/...Contract workTemporary workMonday to Friday- ...5p Support Staff: Multidisciplinary teams within managed care and clinical operations Core Responsibilities: Review prior authorization & appeals for medical necessity Peer-to-peer provider reviews Clinical oversight for UM, disease management, and quality management...Permanent employmentLocumLocal areaShift work
- ...Responsibilities: Clinical oversight of utilization management, disease management, and quality management activities Review prior authorizations, appeals, and peer-to-peer calls Develop and monitor medical policies, procedures, and clinical standards Oversight of...Permanent employmentPart timeWork at officeLocal areaFlexible hoursShift work
$18 per hour
...remove sutures Scribe for providers and document accurately in EMA EMR Manage patient callbacks, prescription requests, prior authorizations, and pathology tracking Schedule surgeries and follow-up appointments Float to other clinic locations as needed...Work at officeFlexible hours$20 - $22 per hour
...: ~3+ Years of experience working as Surgery scheduler / Medical Assistant is Mandatory ~ Must Hold front office & prior authorization working Expereince ~ Must Hold Expereince working with Gastro OR obgyn OR family practice OR surgical environment is Mandatory...Temporary workWork at office- ...role requires strong knowledge of managed care operations and Texas Medicaid regulations. Key Responsibilities Review prior authorization and appeals requests for medical necessity decisions. Conduct peer-to-peer consultations to support utilization management...Flexible hours
- ...with senior leadership while influencing care delivery throughout the Parkland ecosystem. Key Responsibilities Review prior authorizations and appeals for medical necessity Conduct peer-to-peer calls supporting Utilization Management Provide clinical...Permanent employmentLocumLocal areaImmediate start
- ...patient registration, check-in, and check-out procedures. # Verify insurance eligibility, coverage, and benefits; obtain prior authorizations when required. # Collect co-pays, deductibles, and outstanding balances; manage cash and credit card transactions. # Maintain...Monday to FridayShift work
- ...timely manner Perform routine clinical tasks to support physicians Communicate with insurance companies for prescription prior authorizations Room patients for physicians Qualifications: Previous experience in busy private practice settings Strong...Private practice
- Job Description Job Description This job requires some experience working in a behavioral health setting. Triage, injections, assessments, prior authorizations of medications and vitals. Possible rotation of clinics. Full Time No weekends No Holidays.Full time
- ...minimize service interruptions. Verify insurance coverage and benefits prior to client appointments using payer portals, clearinghouses, and direct payer contact. Obtain and track pre-authorization numbers, service approvals, and re-authorization renewals when...Contract workLive inImmediate startRemote workNight shift
- ...communicate lab and imaging results and provide instructions to patients as directed by providers.. Prescription Refills/Prior Authorization: Authorize prescription refills as directed, including handling prior authorizations as required by insurance companies....Work at office1 day per week
$20 - $22 per hour
...and regulations. We are looking for a Medical Assistant with prior administrative experience, strong initiative, and the ability... .... Assist Patient Services team as needed to obtain prior authorizations for prescribed treatments and documents. Triage patient phone...Full timeTemporary workMonday to Friday

