Average salary: $79,147 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work- ...procedures Obtain before and after photos for cosmetic procedures Obtain photos prior to biopsies and excisions Obtain consents prior to biopsies and excisions Obtain prior authorization for medications, if necessary Educate patients about medications,...Suggested
Pure Dermatology And Cosmetic Center
Chevy Chase, MD29 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...SuggestedContract workRemote work
SPECTRAFORCE
Washington DC3 days ago - ...OverviewTitle: Clinical Review Nurse – Prior Authorization ReviewLocation: Fully Remote (PST Time Zone - WA/OR Resident)Duration: 12-Month (Potential for Extension)About the RoleWe are seeking an experienced Clinical Review Nurse for Prior Authorization Review to join...SuggestedRemote work
SPECTRAFORCE
Washington DC4 days ago $21 - $25 per hour
...our team at our DC office. Responsibilities Perform authorization, intake duties, insurance verification and eligibility. Answer... ...of home health care services Obtains and documents prior authorization for home care services from insurance providers...SuggestedHourly payFull timeMonday to FridayFlexible hoursShift workHuman Touch Home Health Care
Washington DC15 hours ago- ...for products under Providers group. You will be managing a lot of metrics around internal and external items for providers, prior authorizations, and total claims. This role will also be responsible for managing end-to-end delivery for 1 or more scrum teams. You will be...Suggested
Software Technology Inc
Washington DC3 days ago $215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office$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, VA4 days ago- ...skill building and provides coordination of care for each person on caseload as determined by program needs. Provides input for prior authorizations for skill building services, the annual Needs Assessment and develops a person-centered Individual Recovery Plan for each...Suggested
HopeLink Behavioral Health
Arlington, VA3 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, VA3 days ago- ...-70%) Process patient referrals and intake documentation Verify insurance benefits and eligibility Assist with prior authorizations and communicate with payers Coordinate therapy initiation and medication delivery Liaise with providers, patients,...SuggestedContract workTemporary workImmediate start
Soliant Health
Alexandria, VA7 hours ago $12.19 - $26.42 per hour
...:00 AM-7:30 PM EST 12 PM-8:30 PM EST Essential Job Duties Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate...SuggestedHourly payWork experience placementWork at officeMonday to FridayShift workMolina Healthcare
Washington DC1 day ago- ...primary care and pediatric sales talent in the assigned geography. Experience navigating buy-and-bill, specialty pharmacy, or prior authorization in a primary care setting. Arcutis is a pioneering medical dermatology company dedicated to revolutionizing the...SuggestedLocal areaNight shift
Arcutis Biotherapeutics, Inc. (Nasdaq: ARQT)
Washington DC1 day 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 DC1 day 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- ...necessity and appropriateness per insurance medical policies/FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior-authorizations per payer guidelines prior to services being rendered. The Financial Counselor counsels patients regarding their financial...Work at officeFlexible hours
$71.6k - $169.2k
Contract Surety Underwriter We'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 others accomplish theirs, too. Join...Contract workTemporary workWork at office3 days per weekThe Hartford
Alexandria, VA7 hours ago$120k
Job Title: Litigation Coverage Attorney Location: Washington, DC Full-Time Get to Know Us: Kiernan Trebach LLP is a Civil Litigation Defense Firm that represents clients on a national basis, and maintains sixteen offices in nine states plus the District of Columbia, with...Full timeTemporary workWork at officeLocal area- ...patient referrals and intake documentation efficiently Verify insurance benefits and patient eligibility Assist with prior authorizations and communicate with payers Coordinate therapy initiation and timely medication delivery Maintain clear...Permanent employmentContract workImmediate start
Soliant Health
Alexandria, VA2 days 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...Full timeWork at officeImmediate startWeekend workWeekday workJohns Hopkins University
Washington DC4 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...Full timeTemporary workWork at officeLocal areaShift work
Universal Health Services
Washington DC3 days ago - ...doctor recommendations for optimal visual outcome Arrange and confirm all pre-certification requirements including insurance prior-authorizations, referrals, and medical clearances Verify insurance information, accurately calculate, and collect all payments related...Full timeTemporary workWork at officeWeekend workAfternoon shiftEarly shift
EYECARE SERVICES PARTNERS MANAGEMENT, LLC
Chevy Chase, MD2 days ago $21.4 - $30.6 per hour
...hand on guidance to appropriate financial assistance • Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted • Track any payer/plan issues and report...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift workCardinal Health
Washington DC2 days ago$24 - $25 per hour
...experience including reading medical records, supporting medication workflows, coordinating with pharmacies, and assisting with prior authorizations. MA Certification is a plus Able to effectively manage difficult situations and de-escalate issues that arise....Hourly payFull timeTemporary workWork at officeFlexible hoursSol Mental Health
Arlington, VA1 day 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. What do our...Temporary workWork at officeLocal area
Alan B. Miller Medical Center
Washington DC3 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...Full timeWork at officeRemote workMary's Center
Washington DC1 day ago$70.5k - $120k
...decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,500-$120,000. Authorization to work in the United States is required. This position is not eligible for visa sponsorship. Physical Demands Must be able...Contract workTemporary workHome officeFlexible hoursKnights of Columbus 1039
Washington DC13 days ago- ...with our Senior Credit team and Originators on the structuring and underwriting of affordable transactions. The position requires prior DUS underwriting experience with extensive familiarity of Fannie Mae and Freddie Mac Multifamily MAH/TAH Guides and Affordable product...Work at officeLocal area
Newmark ltd
Washington DC4 days ago - ...binding and take appropriate or needed actions. 12. Meet or exceed file documentation standards, comply with underwriting authority level standards and pass all audits - both internal and external. 13. Maintain necessary licenses to produce business....Full timeTemporary workFor contractorsShift workDay shift
CRC Group
Bethesda, MD1 day ago $81k - $138k
...Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications Prior work experience in the PBM and/or healthcare industry In-depth knowledge of mathematical applications used in underwriting function...Work experience placementLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Washington DC1 day ago
