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$250k - $300k
...Job Description We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical... ...or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with...Remote workLive inInspire Healthcare
Los Angeles, CA18 days ago$360k
...Support & Program Features: Work with two sleep labs and remote study interpretation capabilities Collaborate with a... ...programs, including Inspire therapy Access EMR and a dedicated prior authorization team to streamline workflow Opportunity to help redesign...Remote workLocal areaRelocationFlexible hoursBritt Medical Search
Rockford, IL18 days ago$20 - $25 per hour
...policies, insurance plans requiring pre-authorization Experience in a health care related industry... ...program verifies benefits and works on prior authorization. Working directly with... ...in office in Minneapolis, MN and 4 days remote Pay: $20-$25/hr (based on...Remote workContract workTemporary workWork at officeImmediate startWork from homeMonday to FridayDiversityJobs Inc
Bloomington, MN1 day ago$20 per hour
...Full-Time Insurance Specialist (Remote) Schedule: Monday-Friday, 8:00 am - 4:00 pm (Remote) Pay: Starting at $20/hour... ...accurately and consistently Claims Processing/Adjusting Prior-Authorizations Claim Follow - up and Appeals What we're looking for:...Remote workFull timeWork at officeMonday to FridayBeltone
Terre Haute, IN1 day 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
Christie Clinic
United States10 hours ago - ...Position Title : Authorization Specialist II Work Location : Remote - must reside in Florida Assignment Duration : 3 months Work Schedule : Monday - Friday... ...Summary : Acts as a resource and supports the prior authorization request process to ensure that all authorization...Remote workWork at officeMonday to Friday
$68.1k - $125k
...policies and procedures. Full time remote position Travel required. PREFERENCES... ...NOTE: Applicants must be legally authorized to work in the United States. At this... ...submitted for this or any other position without prior authorization from Human Resources will...Remote workFull timeFor contractorsLocal areaArgonaut Management Services, Inc
Wilmington, DE10 hours ago- ...eligibility to participate in these DOW sponsored programs. The Prior Authorization, Registered Nurse, RN, Intern will report to a manager of... ...troubleshoot and resolve basic technical difficulties in a remote environment. Possess an interest in working in the...Remote workFull timeFor contractorsApprenticeshipWork experience placementInternshipWork from homeHome officeWeekday work
Humana
Richmond, VA8 days ago $50k - $100k
...Working within a program that includes two sleep labs with remote study interpretation capability No call requirement if practicing... ...team-based care model Access to EPIC EMR and a dedicated prior authorization team to support workflow Opportunity to help redesign...Remote workFull timeLocal areaFlexible hoursWeekend workArlington HealthCare
Rockford, IL23 days ago$37.66 - $44.33 per hour
...Non-Exempt Location: In-Officeor Remote Summary: Although Rockwood... ...direction and within significant limits and authority,adjudicateworkers' compensation claims of... ...for this or any other position without prior authorization from Human Resources will be...Remote workTemporary workLocal areaArgonaut Management Services, Inc
Kansas City, MO2 days ago$50 - $55 per hour
...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...Remote workHourly payLocal areaWork from homeFlexible hoursShift workClinDCast
United States1 day 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...Remote workArtech
United States1 day ago$22 per hour
...Duration: 4+ Months Job Type: Temporary Assignment Work Type: Remote Pay Rate: $ 22.00-22.00/ Hourly Overview: TekWissen Group is... ...care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience: 2-4 years Specialty and/or...Remote workHourly payContract workTemporary workWork at officeWork from homeNight shift- ...involves conducting insurance benefit investigations, liaising with healthcare providers, and supporting prior authorization processes. The position primarily allows remote work with potential onsite attendance. Ideal candidates will have experience in benefit...Remote work
- ...Job Title: Care Review Clinician I Location: 100% Remote Duration: 3 Months+ (temp to hire) Schedule: Wednesday - Sunday 8 – 5... ...for performing utilization management (UM) reviews, including prior authorization of outpatient services, to ensure medical necessity,...Remote workTemporary work
Careers Integrated Resources Inc
Long Beach, CA1 day ago $19 - $22 per hour
...insurance inquiries, conduct benefit investigations, and process prior authorizations. The ideal candidate has 2-3 years of relevant experience,... ...familiarity with Salesforce. Enjoy a flexible culture with remote options and ample career growth opportunities. Competitive...Remote jobFlexible hours- ...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...Remote workContract workWork at office
Molina Healthcare
United States10 hours ago $19 - $22 per hour
...post-training schedule offered depending on availability. Remote Opportunity: The opportunity is primarily remote, but may... ...reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals...Remote workMonday to FridayFlexible hoursAssistRx
Maitland, FL4 days ago- ...Clinician I Job Location: Chicago, IL (Remote) Job Duration: 3 months (Possible... ...Collaborate with & outreach facilities to ensure authorization information is up to date and clinical... ...*** and its members. May also perform prior authorization reviews and/or related...Remote workContract workWork at office
Integrated Resources
United States4 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....Remote workPart timeWork at officeMonday to Friday
Duke University
Durham, NC3 days ago $20 per hour
...Hiring Now for 10 Remote/Work from Home Pharmacy Technicians for work!! Hours: Mon to Fri, any 8 hour shift between 7:00AM - 8... ...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...Remote workTemporary workWork from homeShift workA-Line Staffing Solutions
United States3 days ago$90k - $108k
...Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete (4-6 months) Training... ...NY RN license and registration required CCM preferred Prior Authorization or Utilization Review experience required...Remote workWork at officeRelocation packageRCM Healthcare Services
New York, NY2 days ago$300k
...support staff, and administrative work that can be completed remotely make this one of the more turnkey rheumatology opportunities... ..., including an MA, triage nurse, practice manager, and prior authorization specialist In-house lab, X-ray, ultrasound, and DEXA to streamline...Remote workFull timePart timeRelocation packageShift workWeekend workCURAtive
Peterborough, NH10 hours 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...Remote workFull timeWork at officeLocal areaImmediate startPyramid Consulting
United States3 days ago$29 - $37 per hour
...contracted providers are in place when authorizing. Identify cases that require additional... ...Outpatient experience. ~2-5 years of prior authorization experience in utilization... ...Work Environment The position offers a remote work environment with hours from Monday...Remote workContract workTemporary workMonday to FridayWeekend workActalent
Redlands, CA3 days ago- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist. This work-from-home role involves evaluating prescription requests, ensuring medical necessity, and collaborating with healthcare professionals. Ideal candidates will have a PharmD...Remote jobWork from home
$12.19 - $26.42 per hour
...leadership. Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, and pharmacy service access issues. Articulates pharmacy management policies and procedures to pharmacy/health plan...Remote workHourly payWork experience placementWork at officeMolina Healthcare
United States10 hours ago$75.5 per hour
...Health Plan or Risk-Based MSO setting. DIRECT HIRE, 100% Remote Mon-Fri 8-5, expectation for on-call availability Expected... ...for their team, managing escalations. -Candidates must have prior authorization experience (ambulatory, health plans). If candidates have...Remote workHELP-Hire
Costa Mesa, CA10 hours 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 ideal for pharmacists looking to transition from retail or hospital settings, offering...Remote jobWork from home
$12.19 - $26.42 per hour
...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-7:30pm MST or 12:30pm-...Remote workHourly payWork experience placementWork at officeMolina Healthcare
United States1 day ago
