Average salary: $74,908 /yearly

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  • $100k - $160k

     ...interactions within Athena EMR to ensure continuity of boutique care. Clinical Operations: Lead the clinical workflow by managing prior authorizations, prescription refills, and clinical administrative tasks. Team Leadership: Direct, mentor, and lead our team of 2 Medical... 
    Suggested
    Full time
    Local area
    Immediate start
    Monday to Friday
    Flexible hours

    3 point elite gynecology and wellness

    Silver Spring, MD
    27 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... 
    Suggested
    Temporary work
    Local area
    Remote work

    Argonaut Management Services, Inc

    Washington DC
    1 day ago
  • $16 - $19 per hour

     ...Specialist is responsible for verifying patient insurance coverage prior to service, tracking outstanding insurance claims, resolving...  ..., and patient responsibility estimates ~ Identify prior authorization requirements and escalate when needed ~ Track outstanding insurance... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Patient Accounting Service Center, LLC

    Washington DC
    4 days 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... 
    Suggested
    Permanent employment
    Full time
    H1b
    Local area
    Remote work
    Flexible hours

    CareMetx

    Washington DC
    3 days ago
  •  ...Socket.dev is seeking a part-time Prior Authorization Coordinator to review and process pharmacy PA requests (ePA, fax, provider/member requests). You will verify received documentation and obtain missing items per PBM guidance, using PA navigation software to move requests... 
    Suggested
    Part time

    Socket

    Washington DC
    21 hours ago
  •  ...Medical Faculty Associates, Inc. in Arlington, VA is seeking a Prior Authorization Technician who will process prior authorizations and locate foundation and manufacturer assistance for MFA providers, under pharmacist supervision. The role requires a high school diploma... 
    Suggested

    MEDICAL FACULTY ASSOCIATES

    Arlington, VA
    3 days ago
  •  ...for the OR. Assures that procedures are posted in a timely manner and are posted correctly with the associated CPT code and prior authorization. Works with the physicians, their offices, OR staff, the revenue cycle team, pre-certification, and case management teams to... 
    Suggested
    Full time

    Marshall Health Network, Inc.

    Alexandria, VA
    4 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... 
    Suggested
    Full time
    Private practice
    Work at office
    Weekend work
    Afternoon shift

    Privia Health

    Alexandria, VA
    1 day ago
  • $45 - $53 per hour

     ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced... 
    Suggested
    Hourly pay
    Local area
    Work from home
    Flexible hours
    Shift work
    2 days per week

    ClinDCast

    Laurel, MD
    3 days ago
  •  ...as responding to messages from patients and physicians and assisting with patient requests for refills, forms completion and prior authorizations. What awaits you! ~ Medical, Dental, Vision ~403B Savings Plan ~ Paid Time off & Paid holidays ~... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work

    Johns Hopkins HealthCare

    Arlington, VA
    2 days ago
  • $18 - $22 per hour

     ...4% employer contribution PTO: 15 Days SUMMARY The Insurance Verification & Authorization Coordinator ensures that benefit information, authorization, and patient liability are obtained prior to clinical staff starting care for any service lines and branches. Work closely... 
    Suggested
    Live in
    Work at office
    Monday to Friday
    Weekend work

    Graham Healthcare Group

    Washington DC
    2 days ago
  •  ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers on regimens and disease-state management. Document... 
    Suggested
    Remote job

    Pharmacy Careers

    Silver Spring, MD
    2 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... 
    Suggested
    Hourly pay
    Work at office

    Quadrant

    Laurel, MD
    2 days ago
  • $162k - $211k

     ...FILSPARI onboarding process, including how to complete the PSF, how to enroll patients and physicians in REMS, requirements for prior authorization approvals, appeal approvals, and specific medical policy steps to obtain reimbursement.Closely monitor cases as they progress... 
    Suggested
    Full time
    Temporary work
    Live in
    Work at office
    Local area
    Immediate start
    Remote work
    Shift work

    Travere Therapeutics

    Washington DC
    2 days ago
  •  ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring Education: PharmD or Bachelor of Pharmacy. Licensure: Active... 
    Suggested
    Remote work

    Pharmacy Careers

    Arlington, VA
    1 day ago
  • $50k - $150k

     ...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-... 
    Remote job
    Part time
    For contractors
    Private practice
    Immediate start
    Work from home
    Shift work

    Legion Health

    Alexandria, VA
    3 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 Review to join... 
    Contract work
    Remote work

    SPECTRAFORCE

    Washington DC
    3 days ago
  • $124k - $199.8k

    Senior Executive Underwriter - UW07CCExecutive Underwriter - UW07CDWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help...
    Full time
    Temporary work
    Work at office
    3 days per week

    The Hartford Financial Services Group

    Alexandria, VA
    3 days ago
  • $20 - $24 per hour

     ...multiple pharmacy operations, including formulary management, pharmacy audit and recovery, pharmacy service center functions, prior authorization, Medicare Part D and Part B operations, state health programs pharmacy operations, oversight and audit support, and appeals.... 
    Contract work
    Temporary work
    Remote work

    Actalent

    Washington DC
    2 days ago
  • $33 per hour

     ...immunizationsProvides education to patientsAssists with ordering and maintenance of clinical supplies, onsite medications, and equipmentObtains prior authorization for medications and urgent patient proceduresAssists with administration of Virginia state vaccine program by performing... 
    Weekend work

    Quadrant

    Alexandria, VA
    3 days ago
  • $86k - $117.3k

     ...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... 
    Hourly pay
    Contract work
    Remote work
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Washington DC
    1 day 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.... 
    Hourly pay
    Full time
    Monday to Friday
    Shift work

    Human Touch Home Health Care

    Washington DC
    4 days ago
  •  ...physician or other licensed provider (e.g., a nurse practitioner or physician assistant) · Transmitting prescription refills, and prior authorization as needed · Taking electrocardiograms (EKG) · Wound care and changing dressings Clean and sanitize medical tolls and... 
    Work at office

    Dr Kadie Leach MD PA

    Lanham, MD
    19 days ago
  •  ...Medication Access Pharmacist Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on reducing access barriers and improving patient outcomes... 
    Remote work

    Pharmacy Careers

    Silver Spring, MD
    1 day ago
  • $122.25k - $203.75k

     ...Support Services organization, the FRM serves as the field subject matter expert on patient support, access, reimbursement, prior authorization, appeals, and financial assistance. This role partners closely with Sales Teams, Market Access, Account Directors, Trade, Dupixent... 
    Full time
    Work at office
    Local area
    Remote work

    Sanofi

    Bethesda, MD
    7 days ago
  • Playing an essential role in the U.S. economy, Fannie Mae is foundational to housing finance. Here, your expertise can help fuel purpose-driven innovation that expands access to homeownership and affordable rental housing across the country. Join Fannie Mae to grow your...
    Full time
    Work at office
    Remote work

    Fannie Mae

    Washington DC
    4 days ago
  • Playing an essential role in the U.S. economy, Fannie Mae is foundational to housing finance. Here, your expertise can help fuel purpose-driven innovation that expands access to homeownership and affordable rental housing across the country. Join Fannie Mae to grow your...
    Full time
    Work at office
    Remote work

    Fannie Mae

    Washington DC
    7 days ago
  • $143.91k

     ...timeWork type: PermanentRelocation: FalsePosition ID: 26-OE-ST-13034890-AQDocument ID: 880598100Grade: GS 14Job category: General Business And Industry (1101)Hiring path: fed-competitive, fed-transition, land, vet, mspouse, disability, overseas, peace, special-authorities
    Overseas

    United States Government

    Washington DC
    2 days ago
  • $21 - $23 per hour

     ...of our care team, you will:Provide support to the PhysicianPerform medical scribing and accurate data entry in the EMRObtain prior authorizations for medications and proceduresVerify insurance and assist with patient intakeTriage patient calls and respond with empathy... 
    Full time
    Part time
    2 days per week
    1 day per week

    Sound Pain Alliance

    Washington DC
    4 days ago
  • $20 per hour

     ...appointments ~ Document status of all visits and any recommendations made on Referral Tracker ~ Assist with completion of prior authorization requests and disability paperwork ~ Contact patients at least 1-2 days prior to their appointments to send them the... 
    Hourly pay
    Full time

    National Brain Injury Institute PLLC

    Washington DC
    5 days ago