Average salary: $104,389 /yearly

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  • $101.18k - $120.46k

     ...Working under limited technicaldirection and within broad limits and authority,partner with adjuster, auto/property owner, and/or our vendor(s...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Full time
    Work experience placement
    Local area

    Argonaut Management Services, Inc

    Henrico, VA
    18 hours ago
  • $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... 
    Suggested
    Full time
    Local area
    Flexible hours

    Argonaut Management Services, Inc

    Henrico, VA
    18 hours ago
  •  ...spinal healthcare practice in the Washington D.C. metropolitan area, is seeking an Insurance Authorization Specialist to join our team. This role is responsible for obtaining prior authorization for various medical procedures, services, and medications. This is a... 
    Suggested
    Full time
    Work at office

    Virginia Spine Institute

    Reston, VA
    2 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... 
    Suggested
    Work at office
    Local area

    Argonaut Management Services, Inc

    Midlothian, VA
    18 hours ago
  • $101.18k - $119.78k

     ...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Full time
    Local area
    Remote work

    Argonaut Management Services, Inc

    Midlothian, VA
    18 hours ago
  •  ...Working under technical direction and within significant limits and authority,adjudicateindemnity and federal black lung workers'...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Hourly pay
    Traineeship
    Work experience placement
    Local area

    Argonaut Management Services, Inc

    Richmond, VA
    18 hours ago
  • Avala in Covington, VA seeks an Authorizations Representative to secure prior authorizations and maintain accurate insurance data for timely patient care. You will communicate with payers, document in the EMR, and inform staff of authorization status. The role requires... 
    Suggested

    Avala

    Covington, VA
    2 days ago
  • $100k

     ...Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost effective manner. Processing...  ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered... 
    Suggested
    Local area
    Remote work

    Argo Group

    Richmond, VA
    2 days ago
  • $100k

     ...adjudicategeneral liability bodily injuryclaims at the highest authority limits on assignments reflecting the highest degree of technical...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Full time
    Local area

    Argonaut Management Services, Inc

    Glen Allen, VA
    1 day 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... 
    Suggested
    Work at office
    Local area

    Alan B. Miller Medical Center

    Richmond, VA
    2 days ago
  • $100k

     ...adjudicate general liability bodily injury claims at the highest authority limits on assignments reflecting the highest degree of...  ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Local area

    Argo Group

    Richmond, VA
    1 day 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... 
    Suggested
    Full time
    Local area

    Argonaut Management Services, Inc

    Henrico, VA
    3 days ago
  •  ...Specialty role is responsible for processing benefit verification and authorization responsibilities of specialty patient accounts. Roles...  ...out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility... 
    Suggested
    Work from home

    ContinuumRx

    Chantilly, Loudoun County, VA
    3 days ago
  •  .... This role partners closely with provider offices, pharmacy, authorization teams, and patient care coordinators to ensure referrals move...  ...coordination Medical terminology Electronic Medical Records (EMR/EHR) Prior authorization knowledge Specialty pharmacy or infusion... 
    Suggested
    Full time
    Work experience placement
    Work at office

    Lucas James Talent Partners

    Fishersville, VA
    3 days ago
  •  ...tenured team of 4 physicians with a 1:1 MA-to-provider ratio, plus a dedicated clinical RN who manages medication refills, prior authorizations, and inbox flow. Phlebotomist and Ultrasonographer on-site. Compensation and Benefits: Competitive guaranteed base salary... 
    Suggested
    Full time
    Private practice
    Work at office
    Weekend work
    Afternoon shift

    Privia Health

    Alexandria, VA
    4 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.... 
    Work at office

    Careers Integrated Resources Inc

    Richmond, VA
    1 day ago
  •  ...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 Inc

    Richmond, VA
    1 day ago
  •  ...experts in their fields. This has helped us expand into new sectors and steadily grow. 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 Inc

    Richmond, VA
    1 day 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 office
    Local area

    Alan B. Miller Medical Center

    Richmond, VA
    1 day ago
  • $19.04 - $31.73 per hour

     ...Sentara Healthcare Inc is seeking a Pharmacy Prior Authorization Coordinator I to join their remote team. This role involves managing prior authorization requests for pharmacy medications while ensuring compliance with regulations and client standards. The candidate will... 
    Remote work

    Sentara Healthcare

    Virginia Beach, VA
    18 hours ago
  • $17 - $20 per hour

     ...answer clinical questions, and provide timely communication Coordinate medication delivery, injection administration, and prior authorizations Assist with securing referrals and coordinating with pharmaceutical representatives Perform additional... 
    Hourly pay
    Work at office
    Flexible hours

    Langer Recruiting, LLC

    Midlothian, VA
    1 day 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 office
    Local area

    Universal Health Services

    Richmond, VA
    4 days ago
  • $18 per hour

     ...Schedules patient appointments and confirms appointments over the phone with patients. Checking Vital Signs Rooming Patients Prior Authorization Generate and maintain clear, concise and accurate records and files. Vigilantly maintain cleanliness and safety of check-in/check... 
    Hourly pay
    Work at office

    Quadrant

    Fredericksburg, VA
    4 days ago
  • $26.01 - $68.55 per hour

     ...information from providers via phone and electronic systems Authorize services and procedures within established guidelines Refer...  ...Associate Degree in Nursing required Preferred Qualifications Prior Authorization or Utilization Management experience BSN... 
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Weekday work

    CVS Health

    Richmond, VA
    2 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... 
    Work at office

    Staffing the Universe

    McLean, VA
    23 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... 
    Full time
    Part time
    Private practice
    Flexible hours
    Weekend work

    Privia Medical Group LLC

    Manassas, VA
    3 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... 
    Full time
    Work at office
    Local area
    Shift work

    Johns Hopkins HealthCare

    Arlington, VA
    49 minutes agonew
  • $15.9 - $17 per hour

     ...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally....  ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee... 
    Hourly pay
    Temporary work
    Work at office
    Local area
    Immediate start
    Remote work
    Home office
    Flexible hours

    Accendra Health

    Richmond, VA
    4 days ago
  •  ...PTCB License*** The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax... 
    Work experience placement
    Remote work
    All shifts
    Weekend work

    Virginia Commonwealth University Health Systems

    Richmond, VA
    4 days ago
  • $94.4k - $293.8k

     ...Qualifications Clinical background (RN, MD, PA) or significant experience working with clinical leaders Experience with prior authorization, or throughput optimization Exposure to EHR‑enabled workflow redesign (e.g., Epic, Cerner) Ability to translate clinical... 
    Work at office
    Local area
    Worldwide

    Accenture

    Arlington, VA
    1 day ago