Average salary: $80,647 /yearly
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- ...A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and 2–4 years experience in...SuggestedContract workRemote work
SPECTRAFORCE
Washington DC1 day ago $40k - $52.3k
...for chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to... ...years' experience working in an administrative support capacity Prior professional experience of Microsoft Word, Outlook and Excel with...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workHome officeHumana
Washington DC4 days ago$20 - $26 per hour
...Operate the NeuroStar TMS machine and deliver treatments (full training provided) Guide patients through the insurance and prior authorization process Schedule and coordinate all TMS appointments Educate patients and their families about how TMS works Monitor...SuggestedK&I Healthcare Services
Hyattsville, MD3 days ago$24.5 - $26.5 per hour
...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband...SuggestedHourly payWork at officeLocal areaMonday to FridayPhyNet Dermatology LLC
Washington DC4 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...SuggestedWork experience placement
Children's National Hospital
Washington DC3 days ago $21 - $25 per hour
...HEALTHCARE INTAKE AND SCHEDULING EXPERIENCE Responsibilities Perform authorization, intake duties, insurance verification and eligibility.... ...coverage of home health care services. Obtains and documents prior authorization for home care services from insurance providers....SuggestedHourly payFull timeMonday to FridayFlexible hoursShift work$214.13k - $417.56k
...cost-effective member care. Essential Job Duties Provides leadership and expertise in advanced clinical performance of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities. May lead...SuggestedWork experience placementWork at officeLocal areaMolina Healthcare
Washington DC3 days ago$24 - $28 per hour
...and regulations. We are looking for a Medical Assistant with prior administrative experience, strong initiative, and the ability... .... Assist Patient Services team as needed to obtain prior authorizations for prescribed treatments and documents. Triage patient...SuggestedFull timeTemporary workVivo Infusion
Alexandria, VA1 day ago- ...Process patient referrals and intake documentation promptly Verify insurance benefits, eligibility, and assist with prior authorizations Coordinate therapy initiation and medication delivery logistics Communicate effectively with providers, patients,...SuggestedPermanent employmentContract workImmediate start
Soliant Health
Arlington, VA3 days ago $115.2k - $158.4k
...Research, understand and apply laws, regulations, and regulatory guidance for HCS operations, including, but not limited to prior authorizations, quality of care, and clinical programs for the Part C Medicare line of business. Serve as the subject matter expert on HCS...SuggestedFull timeContract workTemporary workRemote workHumana
Washington DC4 days ago$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...SuggestedHourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hours$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...SuggestedFull timeWork experience placementWork at officeRelocationAll shiftsMedStar Health
Washington DC22 hours ago$100k - $152.9k
...Refills urgent prescriptions and/or tracks current prescriptions for patients receiving ongoing care. Assist with medication prior authorizations and appeals Assist Medical Office Coordinators with procedure pre-authorizations as needed Customer Service & Teamwork...SuggestedFull timeWork at officeImmediate startWeekend workWeekday workJohns Hopkins University
Washington DC2 days ago- ...patients, and unit staff. The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted. The...SuggestedFull timeTemporary workWork at officeLocal areaShift work
Universal Health Services
Washington DC1 day 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...SuggestedWork at officeRemote workMary's Center
Washington DC4 days ago- ...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. The Senior Principal Client...Contract workTemporary workWork at officeRemote workFlexible hours
Surescripts
Washington DC2 days ago - ...lists Respond to patient inquiries via phone, secure messaging, or patient portals Support prescription refill requests and prior authorizations as directed Maintain compliance with HIPAA and all healthcare privacy regulations Collaborate with internal and external healthcare...Work at officeRemote workFlexible hours
Marshallhomegroup
Washington DC4 days ago - ...responsibilities are split between: ~50-70% Patient Care Coordination: managing referrals, verifying insurance, assisting with prior authorizations, coordinating therapy initiation, and communicating with providers, patients, and clinical staff. ~30-50% Pharmacy...Permanent employmentTemporary workImmediate start
Soliant Health
Alexandria, VA3 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 officeFlexible hours
Anderson Orthopaedic Clinic
Arlington, VA1 day ago - ...clinical, and financial information is complete and compliant prior to services. The position serves as a primary point of contact... ...eligibility and benefits prior to service. Obtain and document pre-authorizations or referrals as required. Communicate any coverage issues or...Temporary workWork at officeRemote workWork from homeFlexible hoursShift work
Abax Health
Washington DC3 days ago $28.94 - $51.63 per hour
...minimum of four days per week. Primary Responsibilities Authorization review and entry for HCBS authorizations using Virginia specific... ...HCBS authorization experience Utilization management, prior authorization, and case management experience Managed care...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWeekend work$23.76 - $51.49 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate...Hourly payWork experience placementWork at office- ...scheduled appointments Verifies all insurance and obtains any authorizations needed Prepares all paperwork for physician for surgery... ...upcoming surgery, such as booking sheets, insurance information, prior authorizations, pre-op/medical clearance, is sent to the...Full timeWork at officeLocal area
- ...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 timeWork at officeMonday to FridayNight shift
Phoenix House of the Mid-Atlantic Inc
Arlington, VA4 days ago $21 - $25 per hour
...health record (EHR). Schedule and reschedule patient appointments, including physicals and chronic care visits. Process prior authorizations, referrals, and daily patient callbacks. Track and link diagnostic imaging orders to results. Manage inventory,...Full timeWork at officeImmediate startShift workAfternoon shiftAllCare Primary & Immediate Care
Washington DC2 days ago- ...Staff: Significant investment in ancillary support staff. Efficient management of routine tasks: prescription refills, prior authorizations, lab result delivery, medication reconciliation, and identifying care gaps. Enhances patient care and reduces...Full timePart timeWork from homeFlexible hours3 days per week
NOVA PATIENT CARE
Alexandria, VA4 days ago $60k - $95k
Construction Casualty Underwriter 132086 Zurich gives you the tools and support to construct a rewarding career in the Insurance industry. We are looking for a Construction Casualty Underwriter to work at our office in Washington, DC. We are also open to basing the position...Temporary workWork at officeLocal areaFlexible hours3 days per week- ...pharmacy team members based on clinical or urgent issues. Assists patients with resolving issues related to insurance, co‑pays, prior authorizations, and general pharmacy inquiries. Ensures all calls meet quality assurance standards, including compliance with HIPAA and...Full timeWork at officeRemote workWork from homeMonday to FridayShift work
Mosaic Pharmacy Service
Washington DC3 days ago $135k - $155k
Overview The position is responsible for ensuring the timely and accurate underwriting of multifamily mortgage loan transactions in accordance with Agency and Bank guidelines. Responsibilities include but are not limited to reviewing customer data, making sound credit decisions...Temporary workLocal areaFlexible hours- 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 contractorsWork at officeLocal areaWork from home
EXL
Washington DC3 days ago
