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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...Remote workFull timeTemporary workWork at officeMonday to Friday
$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...Remote workHourly payTemporary workImmediate startMonday to FridayFlexible hoursShift workDay shift- ...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
$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...Remote workTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...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
- ...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...Remote job
- ...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......Remote workContract work
$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 work- ...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...Remote workStart working todayShift workDay shift
- 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...Remote jobDaily paidWork at office
- ...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....Remote job
- ...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...Remote job
$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...Remote workFull timeImmediate startRelocation packageFlexible hoursShift workRotating shift- ...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...Remote job
- 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...Remote jobWork from home
- ...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...Remote job
- ...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
$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...Remote workFull timeTemporary workApprenticeshipWork at officeShift workWeekend work- ...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...Remote workWeekly payPermanent employmentTemporary workLocumLocal areaImmediate startShift work
- 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...Remote jobWork from home
$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...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift work- 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...Remote jobWork from homeFlexible hours
$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...Remote job- ...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
- 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...Remote jobWork from home
- 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...Remote jobFlexible hours
- ...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...Remote workFull timeWork experience placementRelocation package
$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 start- ...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....Remote workShift work
- ...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...Remote workWork at office

