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  •  ...Monday to Friday working with insurance companies to receive prior authorization for surgeries and procedures. Medical office, health...  ...authorization experience required. Possibility of position being remote after training completed. Excellent benefit package with 4... 
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    Full time
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    Monday to Friday

    Wichita Surgical Specialists

    Wichita, KS
    7 days ago
  • $52 - $58 per hour

     ...facilities along with necessary documentation. * combination of remote work with field visits in the Bronx, Brooklyn, or Manhattan,...  ..., Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound... 
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    Monday to Friday
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    A-Line Staffing Solutions

    New York, NY
    2 days 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... 
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    Tekwissen

    Youngstown, OH
    2 days ago
  • $150k - $170k

    Location: Remote (EST preferred) Department: ESG Risk Solutions Reports to: ESG Risk Solutions...  ...position with significant underwriting authority and portfolio ownership, responsible for...  ...Agencies: All resumes submitted without prior HR authorization will be considered... 
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    Hannover Digital Investments

    Chicago, IL
    9 hours ago
  •  ...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... 
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    Part time
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    Local area
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    Pantherx Specialty Llc

    Pittsburgh, PA
    1 day ago
  •  ...Manager to oversee the execution of strategic programs like Gold Carding and Provider Incentive Programs. This remote position requires managing the Prior Authorization list to ensure compliance and efficiency. The ideal candidate will have significant program management... 
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    Oscar Health

    Atlanta, GA
    3 days ago
  •  ...Project Manager-Pharma Location: Remote - Dayton Remote 6 Months Contract Salary: DOE $/hr. on W2 Only US Citizen and Green...  ...background. Need to be able to produce really good schedules. Clinical skills: Claims Processing Utilization Management Prior Authorizations...... 
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    Staffing the Universe

    Dayton, OH
    3 days ago
  • $20 - $22 per hour

     ...Title: Customer Service Rep II Job ID: 24186 Location: Remote Duration: 24 Months Pay Rate: $20 - 22.00/hr ALTERNATE...  ...Access Representative JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior... 
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    Artech

    United States
    9 hours ago
  •  ...Title: Pharmacy Technician I Location: Philadelphia, PA 19113 (REMOTE) Duration: 3+ Months (Possible Extension) Shift: 8 Hours...  ...of service inquiries. Educate prescribers on formulary and prior authorization processes. Enter customer data and other relevant information... 
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    Careers Integrated Resources Inc

    Philadelphia, PA
    9 hours ago
  • A leading healthcare provider in Worcester, MA is seeking a Prior Authorization Coordinator for a per diem role. This position involves obtaining authorization numbers, reviewing requests for medical necessity, and communicating with insurance companies. Candidates should... 
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    Hahhh

    Worcester, MA
    9 hours ago
  •  ...patient eligibility and coordinating benefits. The role involves handling calls, addressing customer inquiries, and assisting in prior authorization processes. Candidates should have a high school diploma/GED and relevant customer service experience in healthcare.... 
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    Walgreens

    Frisco, TX
    3 days ago
  •  ...related to pharmacy benefits and customer coverage. Responsibilities include verifying patient eligibility, assisting with prior authorizations, and providing exceptional service to patients and healthcare providers. Ideal candidates will have a high school diploma and... 
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    Walgreens

    Canton, MI
    9 hours ago
  • $72k

     ...on bonus. Hybrid work options that balance fieldwork with remote flexibility. Flexible schedules—no 12-hour shifts or...  ...served, including submission of required documentation for prior authorization of services as needed based on pay sources Develop care plans... 
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    Full time
    Immediate start
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    Rotating shift

    Sevita

    Saint Louis, MO
    9 hours ago
  •  ...Indianapolis is seeking a detail-oriented individual for a role focused on obtaining authorizations for Financial Clearance Services. The position includes insurance verification, prior authorizations, and benefits verification. Ideal candidates should have insurance... 
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    Indiana University Health

    Indianapolis, IN
    9 hours ago
  • A managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This is an ideal work-from-home position for pharmacists transitioning from retail or hospital settings. Responsibilities... 
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    Pharmacy Careers

    Saint Paul, MN
    2 days ago
  •  ...leading nonprofit healthcare organization in St. Louis is seeking an individual for a critical role in managing medication prior authorizations. This position requires attention to detail, effective communication, and the ability to work collaboratively with healthcare... 
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    BJC HealthCare

    Saint Louis, MO
    3 days ago
  •  ...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... 
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    Molina Healthcare

    United States
    4 days ago
  • $39k - $49.4k

     ...Full-time/40 Hours Position Type : Remote Branch Location : Miramar, FL The...  ...to verify coverage and obtain necessary authorizations. You will report to the Home Health Intake...  ...benefits, confirm coverage, and obtain prior authorizations when needed. Serve as... 
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    Apprenticeship
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    Humana

    Miramar, FL
    1 day ago
  •  ...Schedule: Mon-Fri; 8a-5p Core Responsibilities: - Review prior authorization & appeals for medical necessity - Peer-to-peer provider...  ...Other Info: - Locum-to-perm transition expected - FULLY remote while working in locums, but will transition to a hybrid model... 
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    TrackFive

    Dallas, TX
    16 days ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth... 
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    Pharmacy Careers

    Miami, FL
    3 days ago
  • $22.75 - $35.26 per hour

     ...This position is an onsite role and does not offer a hybrid or remote option Summary: The position would part time on the...  ...time in administration support with medication refills and prior authorizations Minimum Requirements: Graduate of an accredited Practical... 
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    Part time
    Local area
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    UCHealth

    Fort Collins, CO
    1 day ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The ideal candidate will hold a PharmD or Bachelor of Pharmacy, possess an active U.S. pharmacist license, and have experience... 
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    Pharmacy Careers

    Atlanta, GA
    3 days ago
  • $50k - $60k

    A prominent healthcare provider is seeking a Prior Authorization Specialist to manage the prior authorization process for pain management procedures. This remote position requires strong insurance knowledge, prior authorization experience, and familiarity with Medicare... 
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    Workstream

    Columbus, OH
    3 days ago
  •  ...as a hybrid model. This means a rotating schedule of working remotely and from the office. JOB SUMMARY: We are seeking a...  ...Participates in performance improvement projects. Obtain prior authorizations for medications and durable medical equipment as indicated.... 
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    Part time
    Work at office
    Monday to Friday

    Dukehealth.org

    Durham, NC
    15 days ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is perfect for pharmacists transitioning from retail or hospital environments while... 
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    Pharmacy Careers

    Bothell, WA
    3 days ago
  • A leading sports management company in New York is seeking a Prior Authorization Coordinator to facilitate insurance authorization processes for clients. This role includes verifying coverage, submitting requests, and educating clients about the process. Strong communication... 
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    Flexible hours

    Evolution Sports Group

    New York, NY
    4 days ago
  •  ...the life span, 2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care 3....  ...Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland... 
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    Full time
    Work experience placement
    Relocation package

    Westside Family Healthcare

    United States
    4 days ago
  • $67k - $68k

     ...opportunity with long-term potential and is located in Missouri (Remote). Please review the job description below and contact me...  ...and make on-line payment determinations for claims and prior authorizations that require medical determination. Review exception requests... 
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    Full time
    Work at office
    Local area
    Immediate start

    Pyramid Consulting

    United States
    2 days ago
  •  ...Utilization Management Tech (3) Location: Remote (UCLA will provide necessary equipment) Shift: M-F 8-5 PST DO NOT...  ...will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.... 
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    Pinnacle Technology

    Los Angeles, CA
    9 hours ago
  •  ...Job Description Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these roles will be Mon through Fri 11am-7... 
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    Molina Healthcare

    United States
    5 hours agonew