Average salary: $75,169 /yearly
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- ...frameworks Fluency with AI assisted development (actively use tools like Claude Code) Healthcare Background (claims, eligibility, prior authorization, or pharmacy and Rx data) NICE TO HAVE SKILLS AND EXPERIENCE Experience in a regulated environment such as HIPAA or HITRUST...SuggestedFull timeWork at officeRemote work
Insight Global
Laurel, MD4 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... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote work$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Washington DC5 days ago- ...follow-up visits to yield optimal visits per treatment plan Verifying patient’s insurance in advance to ensure that necessary prior authorizations by payors have been obtained Educating patients confidently about their coverage and payment responsibilities as it relates...SuggestedFull timeH1bWork at officeWork visaShift workDay shiftWeekday work
ProgressiveHealth Rehabilitation, Inc
Washington DC4 days ago - ...Cancer & Blood Disorders to coordinate patient payments and assistance programs. You will verify insurance benefits, manage prior authorizations, and communicate financial responsibilities with patients and care teams. Responsibilities include explaining billing processes...Suggested
American Oncology Network LLC
Silver Spring, MD1 day ago - ...regarding inactive insurance coverage to obtain updated insurance information or obtain referrals Initiate, submit and obtain prior authorizations Possess current knowledge of insurance carrier guidelines, clinical policies, and state guidelines pertaining to...SuggestedContract workLocal areaImmediate startRemote work
RhythMedix
Laurel, MD5 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...SuggestedFull timePrivate practiceWork at officeWeekend workAfternoon shift
Privia Health
Alexandria, VA4 days ago $20 per hour
...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:...SuggestedHourly payFlexible hoursQuadrant
Washington DC4 days ago- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential for Extension) About the Role We are seeking an experienced Clinical Review Nurse for Prior Authorization...SuggestedContract workRemote work
SPECTRAFORCE
Washington DC2 days ago - 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 Prior...SuggestedContract workRemote work
SPECTRAFORCE
Washington DC1 day ago - ...pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive...SuggestedPermanent employmentFull timeH1bLocal areaRemote workFlexible hours
CareMetx
Washington DC3 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...SuggestedWork at officeLocal areaWorldwideAccenture
Arlington, VA1 day ago$21 - $25 per hour
...HEALTHCARE INTAKE AND SCHEDULING EXPERIENCE Responsibilities Perform authorization, intake duties, insurance verification and eligibility. Answer... ...coverage of home health care services. Obtains and documents prior authorization for home care services from insurance providers....SuggestedHourly payFull timeMonday to FridayShift workHuman Touch Home Health Care
Washington DC17 hours ago$19 per hour
...Medical Terminology • Patient Check-In/Check-Out • Patient Accounts • Inbound Call Handling • Medicaid Experience • Prior Authorization Processing • EMR Experience Job Type & Location This is a Contract to Hire position based out of Arlington, VA. Pay...SuggestedContract workTemporary workWork at officeTEKsystems
Arlington, VA2 days ago- ...Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote jobWork from homeFlexible hours
- ...referrals, intake documentation, and maintain accurate records Verify insurance benefits and eligibility, assist with prior authorizations and payer communication Coordinate therapy initiation and medication delivery logistics Communicate effectively with...Permanent employmentContract workImmediate start
Soliant Health
Alexandria, VA3 days ago $30 per hour
...with urgent results and submits all other results to medical records for filing Maintains medication logs as needed Completes prior authorization forms for patient referrals Provides excellent service Quadrant is an affirmative action/equal opportunity employer. All...Hourly payWork at officeQuadrant
Laurel, MD5 days ago$17 per hour
...Medical assistant certification preferred. Familiarity with EMR and insurances is a plus. Experience with insurance prior authorization is a plus. Excellent communication and problem-solving skills. Tasks may include: rooming the patients, scheduling and...Full timePrivate practiceFlexible hoursChevy Chase Foot & Ankle LLC
Silver Spring, MD20 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...Live inWork at officeLocal areaWorldwideAccenture
Arlington, VA1 day 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, outpatient...Contract workRemote workMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Washington DC3 days ago $20 - $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 Physical Therapy
Alexandria, VA1 day ago$126.3k - $173.7k
...across multiple business and technology stakeholders without direct authority. ~ Experience working in Agile environments and collaborating... ...regulations, Patient Access APIs, Provider Directory APIs, Prior Authorization APIs, Payer-to-Payer Exchange, TEFCA, or USCDI....Full timeTemporary workWork at officeRemote workWork from homeHome officeHumana
Washington DC4 days ago$34 - $46 per hour
...* Valid driver's licenseUnsolicited resumes from third-party agencies will not be accepted. Any resume submitted without prior written authorization from BCES Global will be considered the property of BCES Global and/or its operating companies, and no placement fees will...Full timeFor contractorsLocal areaImmediate startRelocationTryApplyNow
Washington DC4 days ago$27 - $30 per hour
...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...Hourly payContract workApprenticeshipNight shiftAllan Myers
Hyattsville, MD3 days ago- ...and manage contracts within key accounts to ensure favorable terms that support adoption. Monitor and address reimbursement, prior authorization and access challenges, working closely with internal teams. Engage HCPs in dialogue about approved indications, interchangeability...Work experience placementPrivate practiceWork at officeLocal area
Celltrion
Washington DC4 days ago $23 - $25 per hour
...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...Hourly payContract workWork experience placementNight shiftAllan Myers
District Heights, MD17 hours ago- ...pre- 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
Alexandria, VA1 day ago - ...thoroughly complete each section of the application, including prior job responsibilities, duties, and supplemental questions.... ...Communicates verbally with insurance companies, as needed, for prior authorization medications. Qualifications Minimum Qualifications:...Local areaImmediate startRemote workRelocation packageMonday to Friday
Arlington County, VA
Arlington, VA1 day ago - Auto‑Owners Insurance is seeking a motivated underwriting trainee to join our team. The role applies insurance coverage rules and guidelines to the underwriting decision‑making process according to the company’s philosophy. Responsibilities Learn various insurance coverages...TraineeshipLocal area
Auto-Owners Insurance
Brentwood, MD4 days ago - ...represented at the time of binding and take appropriate actions. Meet or exceed file documentation standards, comply with underwriting authority level standards and pass all audits - both internal and external. Maintain necessary licenses to produce business. Qualifications...For contractors
CRC Insurance Services, Inc.
Alexandria, VA4 days ago
