Average salary: $82,583 /yearly

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  • A healthcare services provider in Washington, D.C. seeks a dedicated individual to handle inbound phone inquiries for utilization management review. Responsibilities include assessing requests, verifying benefit coverage, and ensuring compliance with regulations. Applicants...
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    Work at office

    Highmark Health

    Washington DC
    5 days ago
  • $20 per hour

     ...be able to work in a fast paced environment Must have strong computer/EMR skills Scheduling appointments Obtaining prior authorizations Handling administrative duties Answering phones DUTIES: Medical assistant will be responsible for the following... 
    Suggested
    Hourly pay
    Part time
    Flexible hours

    Quadrant

    Washington DC
    2 days ago
  •  ...patients, and unit staff. The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the Utilization Review Department for the certification of patients... 
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    Temporary work
    Work at office
    Local area
    Flexible hours
    Weekend work

    Universal Health Services

    Washington DC
    4 days ago
  •  ...pediatric brain tumor patients at Children's National Hospital (CNH). This role manages referrals, insurance verification, and prior authorizations for CNH-based services, and collaborates closely with Sibley Hospital teams to help coordinate PM&R/PT services across sites... 
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    Work experience placement

    Children's National Hospital

    Washington DC
    1 day ago
  •  ...addition, the CMA will assist the provider with any patient care issues including but limited to follow up, prescription refills, prior authorizations, vital signs, scheduling, referrals, etc. The CMA will contribute to a positive patient experience. The CMA will be an... 
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    Good Samaritan Hospital - Indiana

    Washington DC
    3 days ago
  • $89k - $121.4k

     ...Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc. Ensure data integrity in program administration... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Flexible hours

    Humana

    Washington DC
    4 days ago
  • $25 - $27 per hour

     ...Authorization and Verification Research Specialist Remote | Full time | 40 hours/week About the Role We're looking for a detail-oriented insurance verification and prior authorization expert who thrives on research and problem-solving. In this role, you'll investigate... 
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    Full time
    Immediate start
    Remote work
    Shift work

    Silna Health

    Washington DC
    1 day ago
  •  ...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,... 
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    Full time
    Contract work
    Local area
    Remote work

    Cherokee Federal

    Washington DC
    6 hours ago
  •  ...independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the patient's needs in the least...  ...applying evidence-based criteria (e.g. InterQual) to complete prior authorization and concurrent reviews for inpatient and/or outpatient... 
    Suggested
    Remote work
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Washington DC
    1 day ago
  • $28.94 - $51.63 per hour

     ...of four days per week. Primary Responsibilities: Authorization review and entry for HCBS authorizations using Virginia...  ...HCBS authorization experience Utilization management, prior authorization, and case management experience Managed care... 
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    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Weekend work

    UnitedHealth Group

    Arlington, VA
    5 days ago
  • $20.31 per hour

     ...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all... 
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    For contractors
    Work at office
    Local area

    Highmark Health

    Washington DC
    6 hours ago
  •  ...and administrative support functions across the market, such as customer service, scheduling, registration, referrals, and prior authorizations. Serves as a Synapticure's representative to our members, external healthcare organizations, payer partners, and other partners... 
    Suggested
    Full time
    Remote work

    Synapticure

    Washington DC
    3 days ago
  • $132k - $198k

     ...Develop Access & Reimbursement tools and guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals. Maintain ongoing communication with Market Access Account Executives and Sales to provide field intelligence... 
    Suggested
    Work at office
    Local area
    Visa sponsorship
    Work visa
    Relocation package

    GE HealthCare

    Washington DC
    1 day ago
  •  ...verbal communication skills and be a polished meeting presenter. Prior experience working a large geography, based on market. Ability...  ...with coverage determination facilitation OR extensive prior authorization experience. Proficient in Microsoft Office as well as prior... 
    Suggested
    Full time
    Work at office
    Night shift

    MannKind

    Washington DC
    1 day ago
  • $61k - $84k

     ...guidance. We encourage you to apply if the following competencies resonate with you: customer service excellence, experience with prior authorizations, clear communication, problem solving, collaboration, cultural sensitivity, and tech proficiency. Responsibilities... 
    Suggested
    Full time
    Remote work

    Lyra Health

    Washington DC
    3 days ago
  •  ...and post-op appointments # Schedule MRI, CT scans, labs, etc. # Schedule referrals to other physicians # Assist with prior authorizations # Perform ECG studies # Clean and stock exam rooms # Adheres to infection control/safety guidelines and confidentiality... 
    Work at office
    Flexible hours

    Anderson Orthopaedic Clinic

    Arlington, VA
    2 days ago
  • $72k

     ...instructions, whether in person or via telephone. Assists the Medical Providers in refilling patient prescriptions and obtaining prior authorizations. Collaborates with the Medical Assistants and Medical Providers to provide patients with lab and imaging results, as well... 
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    Remote work

    Mary's Center

    Washington DC
    2 days ago
  •  ...in team problem-solving methods. # Ordering supplies # Schedule staff meetings # Send out meeting minutes # Complete Prior authorizations # Complete billing documentation for outside vendors # Prepare patient charts # Compile new staff orientation packets... 
    Full time
    Work at office
    Monday to Friday
    Night shift

    Phoenix House of the Mid-Atlantic Inc

    Arlington, VA
    2 days ago
  • Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....
    For contractors
    Work at office
    Local area
    Work from home

    EXL

    Washington DC
    2 days ago
  • $24 per hour

     ...accurately • Perform phlebotomy and prepare laboratory specimens • Conduct EKGs • Assist with medication management and prior authorizations • Maintain accurate documentation within the EHR system • Provide administrative support including record management... 
    Full time
    Relocation package
    Monday to Friday
    Weekday work

    Morgan Stephens

    Bethesda, MD
    4 days ago
  • $138.1k - $168.7k

     ...lower costs and ensure quality care. We deliver insights at critical points of care for better decisions - from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between providers. Job Summary: The... 
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours

    Surescripts

    Arlington, VA
    1 day ago
  • $18 per hour

     ...Medical Receptionist 2 plus years of experience as a Medical Assistant Must speak Spanish and English Must have experience work on EMR; knowledge of Epic highly preferred Must have strong experience verifying insurance and handling prior authorizations Quadrant
    Hourly pay

    Quadrant

    Takoma Park, MD
    1 day ago
  •  ...Assists with ordering and maintenance of clinical supplies, onsite medications, and equipment. Assists with obtaining prior authorization for medications and urgent patient procedures. Assists with administration of Virginia state vaccine program by performing... 
    Work at office

    Neighborhood Health

    Alexandria, VA
    3 days ago
  • $147.3k - $220.9k

     ...across the globe. This role does not offer sponsorship for work authorization. External applicants must be eligible to work in the US. Your...  ...Knowledge of managed care and reimbursement systems including prior authorization with pull through highly desirable. Deep... 
    Full time
    Temporary work
    Flexible hours

    EMD

    Washington DC
    5 days ago
  • A global insurance company in Alexandria, VA, is seeking a Trade Credit & Political Risk Underwriter. In this role, you will evaluate and underwrite marine risks, ensuring compliance with regulations and company guidelines. The ideal candidate will have 3-4 years of insurance...

    Kalepa Insurance Services, LLC

    Alexandria, VA
    3 days ago
  • $35.68 - $64.71 per hour

     ...patients with postoperative instructions following routine surgery prior to postoperative follow-up care. Contributes to the...  ...Collects clinical data relevant to initiate and complete prior authorization for oral medication. Participates in weekly case conferences... 
    Full time
    Work experience placement
    Work at office
    Relocation
    All shifts

    MedStar Health

    Washington DC
    6 hours ago
  • $98.5k - $215k

    Executive Underwriter or AVP, Underwriter Director - Construction Professional Liability Zurich is seeking an experienced Executive Underwriter or AVP, Underwriter Director Construction Professional Liability to join our Specialties Construction team. We are open to...
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich Insurance Company

    Washington DC
    5 days ago
  • $40 per hour

    Commercial Insurance Underwriter This role is for one of our clients Compensation: $40 per hour (Monthly payout) Commitment: 10 hours per week We are seeking an experienced Commercial Insurance Underwriter to support the development and evaluation of advanced...
    Hourly pay
    10 hours per week
    Weekday work

    Weekday

    Washington DC
    2 days ago
  • Be The First To Apply Focus on the core content of the job post, making it beautiful and clean. Remove all extra metadata, navigation mentions, and redundant headers. Keep the high signal to noise ratio and ensure it's condensed and easy to read. Chubb

    Chubb

    Washington DC
    5 days ago
  • CRE Underwriter The primary role of the CRE Underwriter position is to support business development officers in the underwriting process for current and prospective Commercial Real Estate, HOA, and Co-op lending transactions. 1. The candidate will be responsible for...

    National Cooperative Business Association CLUSA Internationa...

    Washington DC
    1 day ago