Average salary: $92,436 /yearly
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- ...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...SuggestedFull timeTemporary workWork at office
$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$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.Responsibilities include:Schedules, reschedules and cancels patient appointmentsExecutes pre-arrival...SuggestedFull timeWork at officeNight shiftAfternoon shiftAya Healthcare
Pleasant Prairie, WI2 days ago- ...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, WI3 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. Responsibilities include: Schedules, reschedules and cancels patient appointments...SuggestedPart timeWork at officeNight shiftAfternoon shiftAya Healthcare
Pleasant Prairie, WI4 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, WI2 days 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 clinic. Communicates the arrival of patients to the clinical area. Successfully completes the pre-certification/pre-authorizations process prior to the patient arrival. Prepares charts/paperwork for next day’s patients. Supports the check-out process of the clinic....SuggestedFull timeShift work
US Heart and Vascular
Wausau, WI1 day 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, WI2 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...SuggestedFull timeTemporary workLocal areaRemote work
$145k - $150k
...involving drug therapies, formularies, and clinical programs. • Support clinical programs involving drug utilization review, prior authorization, health outcomes, disease-state management, care management, and specialty pharmacy. • Assist with proposal development and...SuggestedFull timeRemote workMilwaukee, WI2 days ago- ...Prevea Health in Green Bay, Wisconsin, is seeking a dedicated Prior Authorization Specialist to join our Primary Care team. This role focuses on obtaining and verifying prior authorizations for procedures, tests, services, and medications within insurer timelines. The...Suggested
RadNet
Green Bay, WI20 hours 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...SuggestedCasual workSeasonal workWork at officeMonday to Friday
Novir
Milwaukee, WI20 hours ago $20.98 - $30.12 per hour
...recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts. Handles patient concerns...SuggestedImmediate startRemote workGrabJobs
Madison, WI1 day ago$20.72 - $25.91 per hour
...medication coverage, and benefit-related questions. Pharmacy Specialist, Formulary Support Role: Draft, format, and maintain prior authorization, step‑therapy, and quantity‑limit criteria under pharmacist direction, ensuring they are clear, implementable, and aligned...SuggestedContract workFor contractorsMonday to FridayShift workUnavailable
Madison, WI3 days ago- ...specified in the Radioactive Materials License.Performs necessary clerical work by assuring proper scheduling, correct exam, prior authorization, obtaining prior report/scan, patient lab values, and review of clinic notes for all PET and Nuclear Medicine scans.Performs...Work experience placementCasual workRelief
Mile Bluff Medical Center
Mauston, WI1 day ago - ...The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and... ...about our team. Job Responsibilities: Evaluate and process prior authorization requests/referrals submitted from contracted and...Work at officeLocal areaWork from homeHome officeMonday to FridayWeekend workWeekday work
$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 timePrivate practicePT Solutions Physical Therapy
Mequon, WI2 days ago$16.75 - $21.75 per hour
...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health ?Benefits Eligibility and... ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables...Hourly payTemporary workLocal areaImmediate startRemote workFlexible hoursCardinal Health
Madison, 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...Live inWork at officeLocal areaWorldwideAccenture
Milwaukee, WI4 days ago$89k - $121.4k
...development of SQL Server Integration Services (SSIS) projects using Microsoft Visual Studio Experience with healthcare systems and prior authorization data Navigate change management processes in a large enterprise environment Experience working with an enterprise...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeCenterwell
Madison, WI1 day ago$26.01 - $62.32 per hour
...work schedules will include holidays and evening hours Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background Familiarity with MedCompass Ambulatory surgery experience BSN preferred Why Join Us?...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayAfternoon shiftWeekday work- ...Specialty Pharmacy or PBM experience. 1-2 years’ CRM platform experience. 1-2 years’ experience collaborating with Clinical, Prior Authorization, sales, account management, senior executive, and various external client facing relationships. Core Competencies...
- ...sources Navigate Medicare, Managed Care, Medicaid, and insurance authorization requirements Drive census growth and occupancy goals... ...Care, Medicaid, and SNF reimbursement ✔ Experience obtaining prior authorizations and managing payer requirements ✔ Proven success...
Real Property Services Corp
Kenosha, WI6 days ago $18 - $19 per hour
...servicesEntering and maintaining accurate patient information in our systems Verifying insurance eligibility, benefits, and prior authorization requirements prior to patient visitsAssisting with patient flow by preparing treatment areas, coordinating room availability,...Hourly payFull timeMonday to FridayWeekend workAfternoon shiftOptimum Therapies
Menomonie, WI10 days 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 timePrivate practicePT Solutions
Mequon, WI4 days ago- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...Remote jobWork from homeFlexible hoursAfternoon shift
$94.4k - $293.8k
...Preferred 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 areaWorldwide- ...candidates will have at least 1 year of medical front desk and customer service experience, plus 6 months of EMR experience (ECW or Athena) and prior authorization exposure. Excellent communication and organizational skills are essential. #J-18808-Ljbffr US Heart and VascularFull time
- ...required ~ At least 2 years with retail pharmacy technician related experience, preferred ~340B experience preferred ~ Prior authorization review processes and Epic knowledge preferred ~ Basic computer skills and experience in data entry using Excel, Access or equivalent...Full timeCurrently hiring
Progressive Community Health Centers, Inc.
Milwaukee, WI2 days ago
