Average salary: $48,036 /yearly
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$24 - $28 per hour
...accurately, this could be the perfect role for you. OUR CORE VALUES People-obsessed Passionate Builder Grateful Position Summary: The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless...SuggestedHourly payLocal area- ...working in the healthcare industry, preferably directly with insurance companies. Medical claim submission experience. Medical prior authorization experience. Medical benefit verification experience. Preferred Experience Two (2+) years of experience working in the...SuggestedTemporary workCasual work
- ...healthcare service provider in Salt Lake City is seeking an Insurance Authorization Specialist to secure approval from insurance companies for... ..., proficiency in medical terminology, and experience in prior authorization processes. The ideal candidate will have strong...Suggested
$116k - $120k
...take proper interventions in the care of the injured employee. This position primarily requires timely reviews of pharmacy prior authorizations to determine appropriateness and medical necessity of treatment. This position assesses the medical appropriateness of proposed...SuggestedWork at officeFlexible hours- ...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...SuggestedFull timeTemporary workCasual work
$91.7k - $163.7k
...materialPresent recommendations, provide written analysis and respond to questions from the board membersReview and recommend clinical prior authorization criteriaFormulate, develop and provide to the P&T Committee recommendations for preferred drugs in each reviewed...SuggestedMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal areaRemote work$179.4k - $242.7k
...Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or...SuggestedFull timeWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week- Harmony Home Health & Hospice in Murray, Utah, seeks an Authorization Representative to join the Accounts Receivable team. The role focuses on processing prior authorizations with diverse carriers, reviewing orders and notes, and maintaining precise documentation to support...Suggested
- ...seeking a qualified individual for a position focused on utilization review coordination. Responsibilities include managing prior authorization requests and assisting both providers and members with verification and communication processes. Candidates must have at least...Suggested
$15.5 per hour
...Authorization Specialist Under the direct supervision of the practice administrator, the Authorization Specialist is responsible for obtaining prior authorization from various insurances for multiple procedures, medications, and studies performed within the department...SuggestedHourly payFull timeShift workWeekend work- ...Clinical Pharmacy TechnicianEvaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.Essential Functions:Determines appropriateness for medications.Communicates decision...SuggestedWork at office
$24 per hour
Onco360 Oncology Pharmacy is seeking a Pharmacy Benefit Verification Specialist for a remote/hybrid role in Mountain Time. The position is full-time and starts at $24 per hour, with a $5,000 sign-on bonus for start before Sept 30, 2026. Flexibility to work remotely is ...SuggestedHourly payFull timeRemote workRelocation package- ...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...SuggestedFull timeWork experience placement
- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...SuggestedOngoing contractMonday to FridayFlexible hours
- ...maintaining collaborative team environment. Ability to respond quickly to emergency situations. Knowledge of EMR systems, prior authorizations, insurance requirements, and specialty medication processes. Experience with allergy immunotherapy, biologic medications,...SuggestedTemporary workReliefWork at officeLocal areaFlexible hours
$155k - $165k
...with a patient call center. Proven experience with payor access and coverage issues; in-depth knowledge of issues related to prior authorization process; experienced in educating on patient access support services across specialty and primary care. Understanding of commercial...Local area$155k - $165k
...with a patient call center. Proven experience with payor access and coverage issues; in-depth knowledge of issues related to prior authorization process; experienced in educating on patient access support services across specialty and primary care. Understanding of commercial...Local area- ...Maintain stock and new supplies as needed • Communicate with patients as needed regarding any test/imaging results and/or prior-authorization requirements/results OTHER JOB DUTIES: • Participates in optimal teamwork within in the clinic •...Full timeWork at office
- ...recordsProcess Tricare, VA Community Care/VA Choice, and other referral or authorization documentationMonitor provider schedules and upcoming... ...and verifying insuranceFamiliarity with referrals, prior authorizations, Tricare, or VA Community CareExperience with Tebra...Work at office
- ...appointments, and compiling results from various providers and prior tests as needed. The role involves interacting with patients... ...before, during, and after their appointment, assisting with prior authorization and referral processes, and routinely collecting payments per...
- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...Remote jobWork from homeFlexible hoursAfternoon shift
$16.75 - $21.75 per hour
...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health ?Benefits Eligibility and... ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables...Hourly payTemporary workLocal areaImmediate startRemote workFlexible hours- ...Health insurance Paid time off Vision insurance Immediate Opening: Authorization Representative We have an exciting opportunity for an... ...MCO/ACO Medicaid Plans, and Medicare Advantage plans. Obtain prior authorization for services from clients' medical insurance carriers...Full timeContract workWork at officeImmediate startMonday to Friday
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Salt Lake City, Utah | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before September 30, 2026! Join a mission-driven team making a difference in the lives of...Full timeTemporary workRemote workRelocation package$75k - $165k
...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and... ...concepts formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers...Contract workTemporary workApprenticeshipWork at officeLocal area- ...diagnostics (including LDTs and CDx) Medicare Clinical Lab Fee Schedule (CLFS) Coverage, coding, and reimbursement frameworks Prior authorization and utilization management Telehealth and digital diagnostics AI and algorithm governance in healthcare...Remote workShift work
- ...Knowledge of insurance verification workflows Understanding of payer rules and coverage determination Experience managing authorization/prior authorization processes Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments Experience...Ongoing contractMonday to FridayFlexible hours
$18 per hour
...What You'll Do Sort revenue cycle (RCM) mail and deposit checks Verify insurance coverage for patients Obtain prior authorizations from insurance companies Submit claims and follow up on claim status Update practice demographics and communication preferences...Full timeWork at officeLocal area$18 - $20 per hour
...responsibilities include: Conducting telephone triage and communicating with parents/guardians Managing insurance authorizations and prior approvals Recording vital signs (blood pressure, temperature, height, weight, etc.) Administering immunizations...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hours$17 - $22.5 per hour
...patient access to specialty medications. This position works with physicians and other health care providers, medical staff, prior-authorization reps, administrative assistants, pharmaceutical reps, pharmacies, and patients to facilitate approval and acquisition of biologic...Full timeTemporary workPart timeWork experience placementWork at officeRemote workShift work3 days per week1 day per week

