Average salary: $94,169 /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 workArgonaut Management Services, Inc
Madison, WI3 days ago$16.75 - $21.75 per hour
...Cardinal Health is hiring a Senior Coordinator for Prior Authorization in Madison, Wisconsin. The role involves obtaining payer approvals for durable medical equipment orders, ensuring compliance with HIPAA regulations, and managing documentation. Ideal candidates will...SuggestedHourly payRemote workCardinal Health
Madison, WI4 days ago$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...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
Menomonee Falls, WI23 hours ago$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
River Hills, WI23 hours ago- ...Prior Authorization Specialist Neuroscience Group is growing! We are adding to our Prior Authorization team. Neuroscience Group has an immediate opening for a full time Prior Authorization Specialist. This position will work Monday - Friday 8 hours per day. As an integral...SuggestedPermanent employmentFull timeTemporary workSummer workWork at officeImmediate startMonday to Friday
Neuroscience Group
Appleton, WI4 days ago - ...out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ (work queue) management. MINIMUM EDUCATION REQUIRED High School or GED ~ MINIMUM EXPERIENCE...SuggestedWork at office
Froedtert Health
Kenosha, WI1 day ago $96.19k - $144k
...$96,186 - $144,000***PLEASE NOTE:***Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedWork at officeLocal areaRemote work- ...the internal team to facilitate a smooth admission and treatment episode. Complete by preparing and submitting the initial prior authorization upon client admission to residential Prepare and process all intake paperwork efficiently and accurately, including...SuggestedFull timeWork at officeLocal area
United Community Center
Milwaukee, WI23 hours ago - ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
Pharmacy Careers
Milwaukee, WI3 days ago $180k - $190k
...reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive...SuggestedTemporary workWork experience placementWork at officeLocal areaFlexible hoursAscendis Pharma
Milwaukee, WI1 day ago$65k - $100k
...transactions and want to work in a collegial environment where your contributions are valued, we encourage you to apply. All inquiries will be handled with strict confidentiality. Candidate information will not be shared with our client without prior authorization....SuggestedMB Attorney Search LLC
Milwaukee, WI23 hours ago$50.48 - $84.62 per hour
...time. This is a remote role open to candidates within the United States. Responsibilities Collaborates with technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursShift workHispanic Alliance for Career Enhancement
Wausau, WI2 days ago$29.62 - $45.31 per hour
...inspire and retain the best people, we must empower them. Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workShift workProvidence Health & Service
Oregon, WI4 days ago- ...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...Suggested
Brown & Brown
Milwaukee, WI23 hours ago - ...providers, insurance companies, and patients to ensure services are authorized and ready to go. You'll handle pre-authorizations and pre-... ...Verifies Medicare, Medicaid and other health insurance eligibility prior to patient services and procedures. Contacts patients prior to...SuggestedFull timeWork at office
GASTROINTESTINAL ASSOCIATES, S.C.
Wausau, WI3 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...Work at officeLocal areaWorldwideAccenture
Milwaukee, WI3 days ago- ...assistance, secure medication insurance coverage or assistance, edit authorizations of medications, monitor patients' insurance status, facilitate... ...information for submission, appeal, and resolution of prior authorizations and medication refill requests, updates documentation...Temporary workWork at officeRelocation packageMonday to FridayShift work
Froedtert Health
Menomonee Falls, WI1 day ago - ...intake and billing processes by ensuring accurate and complete registration, referral management, insurance verification, and prior authorization tasks. This role is critical in creating a smooth patient experience and supporting clean billing submissions for vaccination...Casual workSeasonal workWork at officeMonday to FridayFlexible hours
Novir
Milwaukee, WI1 day ago $18 - $21 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 timePT Solutions
Mequon, WI23 hours ago- ...setting performing or supporting functions related to scheduling, registration, insurance verification, referral management, prior authorizations, coding, estimates, claims, billing or customer service. Computer Competency: Basic Computer Skills are expected for this...Full timeWork at officeMonday to FridayFlexible hoursShift work
Stoughton Health
Stoughton, WI6 days ago - ...therapy, fitness, and wellness goals. Monitor individual's progress on goals with appropriate documentation. Accurately complete prior authorization documentation for all residents within designated time frame to assure continuity of care. Monitors and follows procedures to...ReliefWork at officeImmediate startFlexible hours
Saint John's On The Lake
Milwaukee, WI23 hours ago $17 - $25.25 per hour
...POSITION PURPOSE The Prior-Authorization/Referral Specialist plays a key role in supporting patient access to care by verifying insurance eligibility and benefits, and securing required pre-certifications, authorizations, and referrals for both facility and professional...Work at officeFroedtert Health
Pleasant Prairie, WI1 day 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...Remote jobWork from homeFlexible hours
$18 - $20 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 practiceFlexible hoursRotating shiftPT Solutions
Wisconsin4 days ago- ...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...Work at office
- ...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...
- ...vendors or employment agencies (“Recruiting Vendors”). Recruiting Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...Hourly pay
- ...company. This role will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications across pharmacy and medical benefits and specialty and traditional drugs. The role also offers the...Remote work
Navitus Health Solutions
Madison, WI4 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
Milwaukee, WI1 day ago- ...Manager Ensures all phone messages, faxes, and interdepartmental mail are addressed immediately Responsible for attaining prior authorizations and maintaining a system to track from start to finish Provides and supervises new employee orientation Provides CLIA...Work at officeLocal areaImmediate start
Forefront Dermatology
Racine, WI23 hours ago
