Average salary: $93,276 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaRemote workArgonaut Management Services, Inc
Milwaukee, WI1 day ago- 6AM City, LLC is seeking Verification/Authorization Associates to ensure accurate insurance coverage for patient services. Responsibilities include verifying eligibility, managing prior authorizations, and ensuring compliance with HIPAA regulations. The ideal candidate...SuggestedShift work
6AM City
Wausau, WI1 day ago $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
Wisconsin4 days ago$18.67 - $21.96 per hour
...Specialist I, Prior Authorization-Lumicera Location US- ID 2025-5354 Category Customer Service/Support Position Type Full-Time Remote Yes Company Lumicera About Us Lumicera - LumiceraHealth Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera...SuggestedFull timeTraineeshipRemote workFlexible hoursShift workNavitus Health Solutions
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
Milwaukee, WI4 days ago$20 - $24 per hour
...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 member of the Clinical Services...SuggestedHourly payPermanent employmentFull timeTemporary workSummer workWork at officeImmediate startMonday to FridayNeuroscience Group
Appleton, WI4 days ago- ...Job Summary The Prior‑Authorization Specialist at Prevea Health is responsible for obtaining and verifying prior authorizations within the appropriate timeline for procedures, diagnostic tests, services, and medications. This role ensures that all requests comply with...SuggestedFull time
Prevea Health
Green Bay, WI3 days ago - ...your passion meets purpose. Apply today and help us shape a healthier tomorrow. Job Summary: Receives, reviews and processes prior authorization requests, and inpatient admissions, as it relates to eligibility, benefits and services across all lines of business to...SuggestedPermanent employmentContract workTemporary work
Children's Wisconsin
Milwaukee, WI1 day ago $26.41 - $51.49 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Middleton, WI4 days ago- ...seeking a Remote Behavioral Health RN Intern for their internship program. The position involves conducting clinical reviews for prior authorization requests, coordinating with healthcare professionals, and documenting findings. Candidates must have an active RN license in...SuggestedInternshipRemote work
Humana
Madison, WI4 days ago $17 - $25.25 per hour
...in, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ (work queue) management. Schedules, reschedules and cancels patient appointments Executes pre-arrival registration...SuggestedWork at officeNight shiftAfternoon shiftFroedtert Health
Pleasant Prairie, WI6 days ago$68.5k - $88.02k
...experience with URAC and ACHC specialty pharmacy accreditation standards and survey readiness Experience optimizing patient access, prior authorization, and reimbursement workflows Strong analytical skills with experience using data to drive operational and performance...SuggestedTemporary workLocal areaImmediate startFlexible hoursCardinal Health
Madison, WI4 days ago- ...Medication Prior Authorization Specialist The specialist prepares and submits required documentation and follows up with insurance providers to secure approvals or resolve denials. They collaborate closely with the clinical team to obtain supporting clinical information...SuggestedWork at office
- ...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, WI4 days ago - ...Prior Authorization Specialist Are you detail-oriented and enjoy helping patients understand their healthcare coverage? Join our team as a Patient Benefits Specialist and make a meaningful difference every day! In this role, you'll be an essential part of the patient...SuggestedFull timeWork at office
GASTROINTESTINAL ASSOCIATES, S.C.
Wausau, WI1 day 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...Minimum wageFull timeWork experience placementLocal areaRemote workShift workProvidence Health & Service
Oregon, WI4 days ago$17.98 - $32.12 per hour
...improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. Pharmacy Location:...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayUnitedHealth Group
Green Bay, WI13 hours 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 workWork from homeFlexible hours
Pharmacy Careers
Madison, WI1 day ago - ...documentation to ensure insurance guidelines are met for the equipment or supplies ordered Obtain purchase and initial rental prior authorizations Convey insurance benefits and out of pocket costs to the patient Complete accurate and timely sales order entry of the...
Chartwell Midwest Wisconsin
Middleton, WI3 days ago - Aurora Health Care in Elm Grove is looking for a dedicated individual to handle insurance verification and customer service interactions. This role emphasizes maintaining excellent public relations with patients and collaborating with healthcare staff for the smooth flow...
Aurora Health Care
Elm Grove, WI3 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...
Brown & Brown
Milwaukee, WI4 days ago $23.43 - $33.5 per hour
...such as initial patient registration, scheduling evaluation(s), referral, insurance authorization, charge and coding review. Key Responsibilities: Processing of all referrals and prior authorizations to ensure timely handling in order to meet the department’s financial...Work at officeLegacy Health
Oregon, WI4 days ago- .... You will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
Humana, Inc.
Madison, 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...
- ...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. In addition, this role will...Full timeWork at officeRemote work
Navitus Health Solutions
Madison, WI6 days 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- ...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...ReliefWork at officeImmediate startFlexible hours
Saint John's On The Lake
Milwaukee, WI9 hours ago $24.33 - $36.16 per hour
...pharmacy technician with the Minnesota Board of Pharmacy dating back prior to January 1st, 2013 Completion of a board-approved... ...billing, copay assistance programs as well as experience with prior authorizations Preferred Qualifications: ~ Registered as a...Full timeWork from homeFlexible hoursShift workEssentia Health
Superior, WI29 days ago- ...RESPONSIBILITIES : Answer incoming calls, enter and route messages via Epic to appropriate staff. Prescription Prior Authorizations, medication refills via EHR and faxes. Backup at times to clinical support staff with direct patient care. Rotating weekends...Part timeShift workAfternoon shift
Burnett Medical Center
Grantsburg, WI3 days ago - ...community gym and fitness room. ~ Generous continuing education budget ~ Mentorship available to support your growing skills ~ Prior Authorization and scheduling support staff ~ Two Rehab Aides ~ New 10,000 sq ft outpatient Rehab facility built in 2021 with private...Full timeWork from homeRelocation packageFlexible hoursShift workDay shift
