Average salary: $104,389 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaArgo Group
Richmond, VA15 hours ago- ...support billing operations across multiple locations. PRIMARY RESPONSIBILITIES MAY INCLUDE: Insurance Verification/Prior Authorization Accurately perform insurance verifications, pre-certification/pre-authorization functions as required/assigned in a timely...SuggestedTemporary workWork at office
Jordan Young Institute
Virginia Beach, VA14 days ago $108.02k - $127.19k
...upon company underwriting guidelines and granted underwriting authority.* Utilize underwriting tools to determine accurate classifications... ...:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedWork at officeLocal area$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, VA1 day ago$108.02k - $127.19k
...upon company underwriting guidelines and granted underwriting authority. Utilize underwriting tools to determine accurate classifications... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedWork at officeLocal area$56k - $70k
...comprehensive 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...SuggestedWork at officeLocal areaFlexible hours- ...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...SuggestedHourly payTraineeshipWork experience placementLocal area
Argonaut Management Services, Inc
Richmond, VA4 days ago $111.38k - $132.5k
...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, VA2 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...SuggestedFull timeLocal areaArgonaut Management Services, Inc
Richmond, VA2 days ago- ...Systems in Richmond, VA is seeking a Reimbursement Specialist to improve revenue collection for high-cost medications requiring prior authorization. Responsibilities include managing approvals, conducting benefit investigations, and coordinating Patient Assistance Programs...Suggested
Virginia Commonwealth University Health Systems
Richmond, VA3 days ago $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- ...professionalism. Ensure the proper identification of the patient prior to performing any care. Begin the check-in part of the... ...patient charges or questions about insurance. Obtain prior authorizations for patient medications as needed. Work with pharmaceutical...SuggestedPrivate practiceWork at officeImmediate start
RICHMOND ALLERGY & ASTHMA SPECIALISTS
Henrico, VA6 days ago $25 per hour
...a schedule of M-F, 8-4:30pm . The ideal candidate will have experience reading medical charts and working on insurance prior / pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of healthcare innovation, while having predictable...SuggestedFull timeTemporary workWork at officeLocal areaFlexible hoursLocal Infusion
North Chesterfield, VA20 days ago- ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTraineeshipWork experience placementLocal areaImmediate start
Argo Group
Richmond, VA15 hours ago - ...University Health is looking for a Reimbursement Specialist to improve revenue collection for high-cost medications requiring prior authorization. This position involves managing prior authorizations, coordinating Patient Assistance Programs, and working with healthcare...SuggestedFull timeRemote work
Virginia Commonwealth University Health
Richmond, VA3 days ago - ...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...Full timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Richmond, VA16 days ago $100k
...management direction, adjudicate highly complex 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...For contractorsLocal areaArgo Group
Richmond, VA15 hours ago$16.75 - $21.75 per hour
Cardinal Health is hiring a Senior Coordinator, Prior Authorization in Richmond, Virginia, to manage payer approvals for durable medical equipment orders. Responsibilities include obtaining payer approvals, submitting requests, and following up with payers and providers...Remote jobHourly pay- ...for experienced Medical Assistants to join our team. Responsibilities include but are not limited to chart preparation, prior authorizations, gathering patient medical history and reason for visit, rooming patients, reviewing current medications and allergies,...Full timeWork at office
The Endocrinology Group
Falls Church, VA7 days ago - ...A managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests. This remote role offers flexibility and the chance to influence patient access to effective therapies. Candidates should hold a PharmD or Bachelor's degree...Remote work
Pharmacy Careers
Annandale, VA3 days ago - ...A confidential managed care organization seeks a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This 100% remote position is ideal for pharmacists looking to transition from retail or hospital settings. Responsibilities...Remote work
Pharmacy Careers
Ashburn, 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...Full timePart timePrivate practiceFlexible hoursWeekend work
Privia Health
Manassas, 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...Full timePart timePrivate practiceCurrently hiringFlexible hoursWeekend work
Privia Health
Woodbridge, VA7 hours ago - ...Virginia responsibilities include coordinating scheduling, obtaining authorizations, and tracking diagnostic imaging procedures. This role also... ...system to be sure to schedule patient later o Perform any prior authorizations needed per facility/insurance requirements....Hourly pay
Urology of Virginia PLLC
Virginia Beach, VA12 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...H1bVisa sponsorshipRelocation package
StaffDNA
Roanoke, VA3 days ago $71k - $87k
...New York City, NY.*****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...Full timeLive inLocal area$18 - $24 per hour
...assisting during procedures Preparing and turning over procedure rooms Coordinating surgical scheduling Obtaining prior authorizations Assisting with additional tasks to support the team What We're Looking For: At least 1 year of medical experience...Lange Recruiting
Richmond, VA3 days ago$26.01 - $68.55 per hour
...from providers. Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as... ...paced environment Preferred Qualifications ~ Previous prior authorization experience Education Associates degree required...Hourly payFull timeTemporary workLocal areaAfternoon shiftCVS Health
Richmond, VA3 days ago- ...environment where every team member has a voice. You will be supported by a 1:1 MA-to-Provider ratio, with dedicated staff managing prior authorizations, inbox management, and routine callbacks. Dr. Singh's background in leadership and his presence as a national healthcare...Full timeWork at officeMonday to FridayWeekend work
Privia Health
Aldie, VA2 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
Alan B. Miller Medical Center
Richmond, VA3 days ago
