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- ...accurately on patient's behalf. Obtains authorizations & overrides as needed in coordination... ...Strong understanding of benefit verification/prior authorization process. Experience... ...of the job. Benefits: Hybrid, remote and flexible on-site work schedules are...Remote workFull timeTemporary workPart timeWork at officeLocal areaFlexible hours
Pantherx Specialty Llc
Pittsburgh, PA1 day ago - ...3 Duration: 12 Months Job Type: Contract Work Type: Remote Dept: 149900 Commercial Inpatient Pr Job Description:... ...processes, including claims management, benefits coordination, and prior authorization procedures Customer service experience is required...Remote workContract work
Tekwissen
United States4 days ago - ...weekend requirements. There is a possibility of working hybrid remote following the successful completion of training and... ...assisting the department by scheduling appointments, obtaining prior authorizations from insurance companies, and filling in during the absence...Remote workFull timeWork at officeMonday to FridayFlexible hoursNight shiftWeekend work
- ...A leading academic medical center is looking for an Oncology Prior Authorization Case Manager to work remotely. The successful candidate will conduct clinical utilization reviews, coordinate with healthcare teams for optimal patient outcomes, and communicate effectively...Remote work
University of Miami
Doral, FL1 day ago - ...includes managing calls, determining eligibility, and ensuring positive customer relations while coordinating precertification and prior authorization reviews. Ideal candidates should have a high school diploma, a year of customer service experience, and preferably some...Remote work
Elevance Health
United States2 days ago - ...JOB DESCRIPTION Patient Access Representative JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers...Remote work
Hire Talent
United States4 days ago $125 - $130 per hour
...Reviewer - Psychiatrist - Must be Licensed in Arkansas - PRN (Remote within the U.S.) to join our growing team. Job... ...health services. Responsibilities: Completes prior authorization, continued stay, retroactive and retrospective reviews for Inpatient...Remote workReliefLocal areaAcentra Health
McLean, VA3 days ago$14 - $24.02 per hour
...hiring a Pharmacy Customer Service Representative. This role is remote for those who live in Florida only. Bilingual- Spanish... ...standards. # Provides coordination and processing of pharmacy prior authorization requests and/or appeals. # Explains point-of-sale claims...Remote workHourly payWork experience placementLive inWork at officeMonday to FridayShift workMolina Healthcare
Orlando, FL3 days ago- ...Job Title: Care Review Clinician Location: Remote Duration: 3 Months Payrate:$37.97/hr. on W2 Job Description:... ...financial responsibility for *** and its members. May also perform prior authorization reviews and/or related duties as needed. Processes...Remote workContract workWork at office
Integrated Resources
Chicago, IL1 day ago $105.81k - $138.89k
...Carding, Provider Incentive Programs, and the maintenance of our Prior Authorization (PA) List. You will ensure that every program is... ...Director, UM Authorization Strategy. Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You...Remote workFull timeWork at officeShift workOscar Health
Dallas, TX3 days ago$4,000 per month
...signs Processing medication refill requests Managing prior authorizations Acting as a key liaison between patients, families, and providers... ...required or must obtain within 30 days of start date. Fully remote care team members are exempt from BLS certification...Remote workDaily paidFull timePart timeWork at officeRelocation packageFlexible hoursMaine Medical Center
Portland, ME2 days ago- ...Job Description: This is a remote position and requires the ability to effectively support a work from home environment. Must... ...number. Responsibilities: Review criteria-based prior authorizations following policy and procedure. Provide on-call after hours...Remote workWork experience placementWork from homeShift work
US Tech Solutions
Providence, RI5 hours ago $16 per hour
.... After successful completion, the role transitions to 100% remote . Earnings $16.00 hourly Location - Remote... ...and specialties Assist with insurance verification and prior authorizations for procedures and surgeries Educate patients on payment...Remote workHourly payMonday to FridayDay shiftNetworks Connect LLC
United States4 days ago- ...Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit... ...confidentiality. Other tasks as assigned. Travel: 100% Remote Supervisory Responsibilities: ~ N/A Qualities...Remote workHourly payWork at office
Senior Care Therapy
Ridley Park, PA1 day ago - ...Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area Please consider this unique opportunity to join a well... ...organization forward. Requirements MD/DO degree required Remote position, but candidate must live in the greater L.A. area...Remote workLive inWork from homeRelocation package
Curative
Los Angeles, CA4 days ago $36 per hour
...Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses... ...Hybrid Work Environment offering a balance of fieldwork and remote flexibility ~ Flexible Scheduling with no 12-hour shifts...Remote workPart timeImmediate startRelocation packageFlexible hoursRotating shiftVivian Health
Lees Summit, MO2 days ago$2,281 per month
...Job Description Utilization Review Case Manager RN - Remote Location Remote Assignment Duration This is... ...guidelines. Utilize InterQual and Milliman criteria for prior authorizations and admission criteria. Participate in virtual meetings,...Remote workWeekly payContract workLocal areaShift workDay shiftUMMS Upper Chesapeake Medical Center Aberdeen
Aberdeen, MD3 days ago$23 - $27 per hour
...our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex... ...preparation, submission, and follow up of payer authorization requests. Responsibilities include:... ...Initiate, follow-up, and secure prior authorization, pre-determination, or medical...Remote workHourly payFull timeContract workImmediate startMonday to FridaySoleo Health
United States4 days ago- ...As the Insurance Verification and Authorization Specialist, you will: Conduct insurance... ...patients. Initiate and obtain prior authorizations for home health services... ...systems Skills for Success: Fully remote during agency operating hours Ideal candidate...Remote workFull timeFlexible hours
VitalCaring Group
United States5 hours ago - ...assessments and coordinate necessary prescriptionssuch as antibioticsunder provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients,...Remote job
- ...ownership over their production. Work Structure First 90 days: In-office (to integrate, train, and build momentum) After 90 days: Remote opportunity based on performance Company Description Since 2009, our agency has grown into a well-established insurance...Remote workFor contractorsWork at office
Rodriguez Insurance Agency
Richardson, TX6 days ago - ...journey. Key Responsibilities: Effectively manage prior authorizations and the appeals process. Collaborate with insurance... ...improve their health outcomes. Take advantage of hybrid or remote working options for a better work-life balance. Be a vital...Remote work
Pharmacy Careers
Santa Clarita, CA1 day ago $18 per hour
...Obtain and verify complete insurance information including the prior authorization process copay assistance and coordination of benefits... ..., Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated...Remote workContract workTemporary workTEKsystems
Orlando, FL4 days ago$25 - $30 per hour
...Associate Market Access Case Manager supports the management of the prior authorization process for patients seeking insurance coverage for the... ...Work Environment and Schedule This position is primarily remote depending on company policy. Occasional travel may be...Remote workFull timeContract workTemporary workWork experience placementWork at officeKandu
Van Nuys, CA13 hours ago$22 - $24 per hour
...high-quality care. We're looking for someone who thrives in a remote environment, communicates with warmth and professionalism,... ...appointment confirmations, and follow-up communications Support prior authorizations, pharmacy refills, and lab result tracking Accurately update...Remote workFull timeWork at officeAfternoon shift- ...Location: Tampa FL (Remote and Travel) Duration: 3 contracts Position Summary We are seeking a self-motivated, detail... ...individualized care plans Coordinate services including: Prior Authorizations PCP and specialist coordination Medication review...Remote workWork at office
US Tech Solutions
Tallahassee, FL2 days ago $56k - $65k
...you have to work onsite. Most of it is remote work, but you still have to live in the... ...eligibility, billing and payment inquiries, authorizations for treatment and explanation of... ...necessary for processing (e.g. pricing, prior authorizations, and applicable benefits)...Remote workWork experience placementLive inCareer Strategies
Los Angeles, CA2 days ago$26.41 - $61.79 per hour
...mission to provide high-quality and cost-effective care as a Remote RN Clinical Care Reviewer. In this vital role, you will... ...treatment for requested procedures. Conduct reviews to assess prior authorization and financial responsibilities for our members. Ensure...Remote workHourly payWork experience placementWork at officeMonday to FridayMolina Healthcare
Austin, TX13 hours ago- ...a warm, professional greeting. Coordinates with appropriate scheduling department to schedule patient appointments when prior authorizations have not been obtained or have been denied. Assists departments with inquiries into the status of accounts, pre-certification...Remote jobFull timeWorldwide
- ...Shift Schedule: Mon-Fri; 8a-5p Core Responsibilities: - Review prior authorization & appeals for medical necessity - Peer-to-peer provider... ...environments Other Info: - Locum-to-perm transition expected - FULLY remote while working in locums, but will transition to a hybrid...Remote workWeekly payPermanent employmentLocumLocal areaImmediate startShift work
Adelphi Locums
San Antonio, TX1 day ago
