Average salary: $69,979 /yearly
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$90k - $110k
...treatment needs before, during, and after service engagements to ensure appropriateness and effectiveness of care. \n Conduct prior authorization reviews in alignment with regulatory guidelines to determine the medical necessity of proposed treatment plans. \n...SuggestedRemote jobFull timeTemporary workFor contractors$20 - $25 per hour
...temporary or contract position. Key Responsibilities Verify patient insurance eligibility, benefits, and coverage Obtain and track prior authorizations for healthcare services Review insurance requirements and communicate necessary information to patients and clinical staff...SuggestedHourly payPermanent employmentTemporary workPart timeWork at officeImmediate startMonday to FridayWeekday work$90k - $110k
...treatment protocols, ensuring that services offered are medically appropriate and tailored to individual needs. \n Perform prior authorization reviews in alignment with regulatory guidelines to ascertain the medical necessity of mental health and substance abuse...SuggestedRemote jobFull timeContract workTemporary workShift work$90k - $110k
...therapy, and post-treatment reviews, ensuring that the care provided is medically appropriate and beneficial. \n Perform prior authorization reviews in accordance with established regulatory guidelines, assessing treatment plans for mental health and substance abuse...SuggestedRemote jobFull timeTemporary workMonday to FridayFlexible hours$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$101.18k - $119.78k
...under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedFull timeLocal areaRemote work- ...are between 7:30 a.m. and 5:00 p.m. Job Responsibilities Verify patient eligibility, insurance benefits, and obtain required prior authorizations before the initial visit. Communicate with clinic PSR and treating staff regarding required insurance documentation and...SuggestedWork at officeMonday to Friday
$20 - $25 per hour
...candidate will have a strong background in medical insurance processes, including insurance verification, benefits review, prior authorizations, referrals, and coordination with insurance companies. We are looking for someone who is dependable, organized, accurate, and...SuggestedHourly payPermanent employmentTemporary workPart timeWork at officeLocal areaImmediate startMonday to FridayWeekday work$64k - $78k
A national healthcare staffing firm is seeking an RN for a position focused on prior authorizations in Tacoma, WA. This role involves reviewing authorization requests, collaborating with care teams, and educating providers on utilization processes. The ideal candidate...Suggested$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...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeRemote workMonday to FridayFlexible hours- ...determining benefits and patient responsibility, obtaining necessary authorizations, and completing the required front-end paperwork and... ...required front-end insurance paperwork and documentation Obtain prior authorizations and other required approvals Communicate...SuggestedPart timeWork at officeFlexible hours
$22 - $28.6 per hour
...Infusion Intake Specialist is responsible for verifying patient benefits and insurance information prior to their scheduled infusion or injection. Ensures needed authorizations have been obtained and are in place at the time of service. In addition, obtains specialty...SuggestedHourly payPart timeWork at officeLocal areaRemote workWork from home$143.67k - $224.1k
...Practitioners. The team also includes excellent support staff who can assist with everything from patient scheduling to insurance prior authorizations. In this role, you will enjoy the work of a mission-driven organization that values work-life balance in beautiful Spokane,...SuggestedFull timeH1bMonday to FridayFlexible hoursShift work- ...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 visaMonday to FridayShift workDay shiftWeekday work
- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedHourly payContract workLocal area
- ...providers during patient visits and procedures. Review patient charts in the EHR and ensure documentation accuracy. Complete prior authorizations and support care transitions. Administrative & Care Coordination Duties Perform clinical research per the...Temporary work
- ...or prescription workflows.Deep familiarity with how digital or clinical pharmacies operate, including prescription lifecycle, prior authorization, payer connectivity, or dispensing workflows.Skilled at untangling complex, interdependent operational systems and...
$29.16 - $43.73 per hour
The Program Coordinator II is responsible for coordinating activities associated with a specific complex program or group of complex programs in a specialty/functional area including scheduling, coordination of communication, data management, document preparation, and ...Hourly payFull time$20.7 - $37.55 per hour
...Hospital Authorization Specialist Cardiac Study Center, Tacoma WA (Remote) At Cardiac Study Center, our mission is to elevate patient... ...Nice-to-Haves Familiarity with ICD-10 and CPT coding. Prior experience with pre-authorizations or appeals processes. Experience...Full timeRemote workMonday to FridayShift work- ...the full revenue cycle from patient outreach using voice agents, insurance eligibility verification, claim denial management, prior authorization, and patient collections. We are one year old, growing fast, and already driving a significant impact within healthcare. The...Full timeInternshipWork at officeImmediate start
$78.17 - $105.04 per hour
...pharmaceuticals You will collaborate with clinic staff to connect patients with MHS specialty pharmacy resources You will process prior authorization (PA) requests from specialty clinics You will determine patient eligibility and enroll patients in copay assistance and...Contract workWork at officeRotating shift$80.17k
...RESPONSIBILITIESOversee daily administrative and front-end revenue cycle operations including registration, insurance verification, prior authorizations, referral management, surgical scheduling, and charge captureLead and manage clinic improvement projects focused on workflow...Full timeTemporary workWork at officeImmediate startShift work- ...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...Remote work
$90k - $110k
...clients’ mental health and substance abuse issues to determine appropriate treatment plans and levels of care. \n Engage in prior authorization reviews to ensure treatments align with medical necessity requirements, adhering to both state-specific and regulatory...Remote jobFull timeTemporary workWork at office$90k - $110k
...needs before, during, and after treatment to ensure that care levels are appropriate and effective. \n Review requests for prior authorizations related to mental health services, ensuring compliance with established regulatory guidelines and medical necessity criteria...Full timeTemporary workRemote work$90k - $110k
...substance abuse needs before, during, and after therapy sessions to ensure appropriate levels of care. \n Perform thorough prior authorization reviews in alignment with regulatory guidelines to confirm the medical appropriateness of suggested treatments. \n...Remote jobFull timeTemporary workWork at office- ...internal equity. Be Part of Who We Are! Position Summary The Authorization & Benefits Specialist Lead works alongside the Authorization and... ...helps ensure consistent processes, accurate and timely prior authorizations, and effective insurance verification. The Lead...Minimum wage
- ...patients through specialty medication programs. You will deliver patient-centric care, coordinate with teams, and assist with prior authorizations and access. The role requires strong communication, HIPAA awareness, and 3+ years in service or care coordination; bilingual...Remote jobWork at officeFlexible hours
- ...strategy for quality and cost-effective member care. Responsibilities include assessing services, reviewing requests, determining prior authorization and referrals, and collaborating with multidisciplinary teams while following UM policies. #J-18808-Ljbffr Molina Healthcare
- ...frontline assistance to members, providers, pharmacists, and internal staff regarding benefit inquiries, formulary coverage, and prior authorization processes. The role involves routine processing, documentation, and follow-up of prior authorization requests, researching...


