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...SuggestedWork at office
$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...SuggestedHourly payPart timeFlexible hoursQuadrant
Washington DC2 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...SuggestedTemporary workWork at officeLocal areaFlexible hoursWeekend work
Universal Health Services
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 DC1 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...SuggestedWork at office
$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...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hoursHumana
Washington DC4 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...SuggestedFull timeImmediate startRemote workShift workSilna Health
Washington DC1 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,...SuggestedFull timeContract workLocal areaRemote work
Cherokee Federal
Washington DC6 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...SuggestedRemote workRelocation packageMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Washington DC1 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...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workWeekend workUnitedHealth Group
Arlington, VA5 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...SuggestedFor contractorsWork at officeLocal areaHighmark Health
Washington DC6 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...SuggestedFull timeRemote work
Synapticure
Washington DC3 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...SuggestedWork at officeLocal areaVisa sponsorshipWork visaRelocation package- ...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...SuggestedFull timeWork at officeNight shift
$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...SuggestedFull timeRemote work- ...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, VA2 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...Work at officeRemote workMary's Center
Washington DC2 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 timeWork at officeMonday to FridayNight shift
Phoenix House of the Mid-Atlantic Inc
Arlington, VA2 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 contractorsWork at officeLocal areaWork from home
EXL
Washington DC2 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 timeRelocation packageMonday to FridayWeekday workMorgan Stephens
Bethesda, MD4 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 officeLocal areaImmediate startRemote workFlexible hoursSurescripts
Arlington, VA1 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 QuadrantHourly pay- ...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, VA3 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 timeTemporary workFlexible hours- 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...
$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 timeWork experience placementWork at officeRelocationAll shiftsMedStar Health
Washington DC6 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 timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$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 pay10 hours per weekWeekday work- 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
- 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...
