Average salary: $104,389 /yearly
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$75k - $110k
...underwriting records. ~ Negotiate terms and conditions within authority to balance profitability and competitive positioning.... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaFlexible hoursArgonaut Management Services, Inc
Richmond, VA4 days ago- ...responsible for verifying health insurance eligibility and documenting this in the EMR system. The role involves initiating prior authorizations and communicating with patients regarding their benefits. Applicants should have a High School Diploma or GED and at least one...Suggested
Bon Secours
Virginia Beach, VA1 day ago $86k - $101.5k
...Working under technical direction and within significant limits and authority,adjudicateGarage Bodily Injury claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaArgonaut Management Services, Inc
Richmond, VA2 days ago$121.5k - $144.6k
...external audit requests. Serve as a key point of contact for tax authorities, auditors, and external advisors. Identify and implement... ...or tax experience. ~2-3 years of management experience ~ Prior leadership, project ownership, or information team leadership preferred...SuggestedWork at officeLocal areaArgonaut Management Services, Inc
Richmond, VA3 days ago- ...~ Infusion center on site. Currently, we are prescribing approximately 500 infusions per year. There is a dedicated team for prior authorization of infusion and nursing support. ~ Academic appointment at Virginia Tech Carilion School of Medicine ~ Opportunity for research...SuggestedFull timeH1bVisa sponsorshipRelocation package
$29.1 - $62.32 per hour
...schedules will include holidays and evening hours ~ Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background Familiarity with MedCompass Ambulatory surgery experience BSN preferred Why...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayAfternoon shiftWeekday workCVS Health
Richmond, VA3 days ago- ...Prior Authorization (PA) Pharmacist The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the Preferred Drug list (PDL) to determine proper medication therapy. The PA pharmacist will work with internal and external...SuggestedWork at office
Staffing the Universe
McLean, VA9 days ago $101.18k - $120.46k
...under limited technical direction and within broad limits and authority,adjudicatehighly complexindemnity and federal black lung workers... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaArgonaut Management Services, Inc
Richmond, VA4 days ago- ...Pharmacy Technician Location: Richmond VA 23233 Duration: 12 months+ Hours: 8:00am to 5:00pm Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria....SuggestedWork at office
Careers Integrated Resources Inc
Richmond, VA2 days ago - ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
Pharmacy Careers
Ashburn, VA5 days ago $100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Richmond, VA1 day ago- ...alongside two highly regarded endocrinologists, one nurse practitioner, and endocrine-trained support staff that helps with prior authorizations, pump downloads, inbox management, and more. Our practice offers the full spectrum of endocrine services in the outpatient...SuggestedFull timePart timePrivate practiceFlexible hoursWeekend work
Privia Medical Group LLC
Woodbridge, VA4 days ago - ...alongside two highly regarded endocrinologists, one nurse practitioner, and endocrine-trained support staff that helps with prior authorizations, pump downloads, inbox management, and more Our practice offers the full spectrum of endocrine services in the outpatient...SuggestedFull timePart timePrivate practiceCurrently hiringFlexible hoursWeekend work
Privia Medical Group LLC
Manassas, VA5 days ago - ...as responding to messages from patients and physicians and assisting with patient requests for refills, forms completion and prior authorizations. What awaits you! ~ Medical, Dental, Vision ~403B Savings Plan ~ Paid Time off & Paid holidays ~...SuggestedFull timeWork at officeLocal areaShift workDay shift
Johns Hopkins Medicine
Arlington, VA1 day ago - ...needed; take appropriate action in responding to questions from patients Confirm patient’s insurance provider and either obtain prior authorization or communicate need for prior authorization to appropriate parties as needed Review proper follow-up appointments are...SuggestedTemporary workPrivate practiceWork at officeFlexible hours
SENTA ENT and Allergy Physicians
Reston, VA5 days ago - ...and 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 prescribers received by telephone and/or facsimile using client clinical criteria....Work at office
Careers Integrated Resources
Richmond, VA5 days ago - ...need to have a successful recovery once leaving the hospital. Prior to the day of your discharge, the transition specialist will visit... ..., Retail Pharmacy, Meds to Beds, Outpatient, consult, prior authorization, Rx, #LI-SM1, Sentara to home, transition specialist,...Full timeTemporary workLocal areaRelocation packageMonday to FridayShift workWeekend work
Sentara Health Plans
Norfolk, VA3 days ago $105k - $125k
...benefits packages. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Work at officeLocal areaArgonaut Management Services, Inc
Richmond, VA2 days ago$70.8k - $85k
...attendee communication Support onsite execution with full authority to resolve issues Drive organization and process Build... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Local areaArgonaut Management Services, Inc
Richmond, VA7 days ago- ...receipt of reservation/notification for both inpatient and outpatient services Contact physician to resolve issues regarding prior authorization or referral forms Research patient visit history to ensure compliance with the Medicare 72 hour rule and complete the...Work at officeLocal area
Wellington Regional Medical Center
Richmond, VA4 days ago - .... You will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
Humana, Inc.
Richmond, VA4 days ago $74k - $98k
...$74k - $98k PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Work at officeLocal areaArgonaut Management Services, Inc
Richmond, VA2 days ago- ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such...Contract workNight shift
Allan Myers
Fairfax, VA6 days ago - ...Rehabilitation Therapy and Nursing. Job Description Education Level: High School Graduate/GED Description: Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria....Work at officeMonday to Friday
Careers Integrated Resources Inc
Glen Allen, VA2 days ago $21 - $30 per hour
...eliminate holds and keep the hospital financially viable. Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. Point of coordinator on day of admissions to guarantee that all...Hourly payFull timeMonday to FridayDay shiftSelect Specialty Hospital
Richmond, VA2 days ago$22 - $23.75 per hour
...key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care...Full timePrivate practicePT Solutions
Leesburg, VA2 days ago$22 - $24 per hour
...key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care...Full timePrivate practicePT Solutions Physical Therapy
Manassas, VA5 days ago- ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such...Contract workImmediate startRelocation packageFlexible hoursNight shiftWeekend workAfternoon shiftEarly shift
Allan Myers
Rockville, VA2 days ago - ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such...Contract workFor subcontractorWork at officeNight shift
Allan Myers
Fairfax, VA5 days ago $19.04 - $31.73 per hour
...Tennessee, Texas, Utah, Washington, West Virginia, Wisconsin, Wyoming. Overview Sentara Health Plans is looking to hire Pharmacy Prior Authorization Coordinator 1. The Pharmacy Prior Authorization Coordinator I is responsible for delivering high‑quality customer service by...Full timeTemporary workRemote workMonday to FridayFlexible hoursShift workWeekend workJobRx, Inc.
Virginia Beach, VA4 days ago
