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- ...together local underwriting insight, delegated authority capabilities and the reach of a global... ...to work from a local office or remotely, depending on your location and role.. Current... ...a valid written agreement and received prior written authorization from an authorized...Remote workHourly payWork at officeLocal area
- ...access to appropriate services. Support members in navigating prior authorizations, appeals, and billing concerns. Clinical Insight and... ..., Suite 300, Charlotte, NC 28204 (Hybrid Work Options) ~ Remote work opportunities available for qualified candidates residing...Remote workFull timeWork at officeMonday to Friday
Main Street Insurance Group
Charlotte, NC3 days ago $40k - $52.3k
...with providers offices to troubleshoot and complete medication prior authorization requests for specialty medications. The Specialty... ...protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayAfternoon shift- ...Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance... ...: Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time...Remote workFull timePart timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursWeekend work
- ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting... ...Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. SummaryLocation: Remote - FloridaType: Full timeRemote workFull timeTemporary workWork at officeLocal area
Brown & Brown Insurance Services
Tallahassee, FL4 days ago $3,138 per week
...primary work will be virtual. Two days on-site and three days remote each week. BLS and CA RN licenses are required. Experience... ..., medical necessity evaluation, discharge planning, and prior authorization. Candidates must also be knowledgeable of HIPAA guidelines...Remote workFull timeContract workShift work3 days per weekCynet Health
San Francisco, CA1 day ago$22 per hour
...Months Job Type: Temporary Assignment Work Type: Remote Pay Rate: $ 22.00-22.00/ Hourly Overview: TekWissen... ...care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience: ~2-4 years...Remote workHourly payContract workTemporary workWork at officeWork from homeNight shiftTekwissen
Detroit, MI2 days ago- ...insurance company, is looking for a Pharmacy Technician for their remote location. Responsibilities: ~ PA Specialist in Part... ...care) with Medicare Part B drug coverage inquiries, and prior authorizations Requirements: ~2-4 years Specialty and/or Retail...Remote workWork at officeNight shift
ICONMA
United States2 days ago - ...Hiring a Pharmacy Customer Service Representative. This role is remote; however candidates must reside in New Mexico. This role... .... • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims...Remote workWork at officeMonday to FridayShift work
- ...Rockstar is hiring a reliable Insurance Verification & Authorization Specialist for a fully remote role supporting a growing rehabilitation clinic network. The VA will handle insurance verification, prior authorizations, and claims support across clinics, working with...Remote workFull time
Rockstar
Phoenix, AZ4 days ago - ...Verification Specialist to verify insurance benefits, secure prior authorizations, and ensure patient surgeries are scheduled with confirmed... ...weeks of on-site training in Mesquite, TX, then transitions to remote full-time work. You will collaborate with schedulers,...Remote workFull time
Urology Clinics
Mesquite, TX3 days ago $38.4k - $54.9k
...While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. As a Prior Authorization Pharmacy Technician - Remote, you will support our pharmacy benefit management (PBM) services by managing incoming provider inquiries,...Remote workFull timeWork at officeFlexible hours$25 - $27 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: $25-$27/hr (based on...Remote workContract workTemporary workWork at officeImmediate startWork from homeMonday to FridayTEKsystems
Minneapolis, MN5 days ago- ...operate within its assigned intermediate level of Underwriting Authority to evaluate, qualify and rate individual insurance applications... ...Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown...Remote work
Brown & Brown
United States5 days ago - ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral... ...Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
Virtual Vocations Inc
United States5 days ago - ...A-Line Staffing Solutions is hiring licensed pharmacists for Remote Prior Authorization roles. These full-time, 40-hour/week positions are work-from-home opportunities with November start dates and various scheduling options to fit availability. Ideal candidates hold...Remote workFull timeWork from home
A-Line Staffing Solutions (old)
Orlando, FL1 day ago - ..., and medication access issues. Support and coordinate prior authorization processes and help ensure pharmacy-related requests are handled... ...What you should expect in this role This is a 100% remote position requiring a reliable high-speed internet...Remote workFull timeFlexible hoursShift workNight shiftAfternoon shift
$17 - $34.15 per hour
...CVS Health is seeking a Pharmacy Technician for Prior Authorization to work from home in Hawaii. This role involves processing and communicating prior authorization referrals for specialty medications while collaborating with customer service and pharmacy operations. Candidates...Remote workHourly payFull timeWork from homeCVS Health
United States4 days ago- ...Actalent is seeking a Remote Pharmacy Technician to support Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will intake requests, perform technical reviews, and make coverage determinations...Remote work
Actalent
United States5 days ago - ...Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist in Saint Louis, MO, to handle insurance pre-authorizations, resolve claim... ...with providers and patients. This full-time role may allow remote work with Missouri licensure. The position offers a $5,00...Remote workFull timeRelocation package
Onco360
United States5 days ago - ...Fully Remote- 3 months Contract - ✅ Minimum of software development experience. ✅ Hands-on experience with . ✅ Strong... ...distributed architecture. -- CMS interoperability and prior authorization experience. Provider access or payer-to-payer integrations...Remote workFull timeContract work
Company Confidential
Pittsburgh, PA3 days ago $47.84k - $52k
...ROLE As an Insurance Verification & Authorization Specialist, you'll help children and... ...verifying insurance benefits, coordinating prior authorizations and referrals, and identifying... ...Benefits Eligible Location: Fully Remote, Eastern Time Zone preferred...Remote workHourly payFull timeMonday to Friday$71.1k - $97.8k
...The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a...Remote workWork from homeHong Kong Study Skills Research Institute
United States4 days ago- ...Distributed National Law Firm Location: United States — Remote / Distributed Practice Area: Government Contracts, Public... ...platforms. All discussions are confidential. Candidate information will not be presented to a law firm without prior authorization....Remote workFull timeContract workFor contractorsLocal area
Oculus Group
Washington DC1 day ago $140k - $200k
...Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. Clearinghouses process the majority of these transactions...Remote workSTEDI LLC
United States4 days ago- ...New Paradigm Staffing is seeking a detail-oriented Remote Pharmacy Prior Authorization Assistant to support the medication prior authorization workflow. You will gather clinical documents, submit requests to insurance payers, and track approvals to ensure timely access...Remote work
New Paradigm Staffing
United States4 days ago - ...reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while... ...Responsibilities include evaluating treatment, conducting prior authorization and concurrent reviews, and educating providers and families...Remote work
IntelliResume
United States2 days ago - ...Therapeutics is seeking a Certified Pharmacy Technician for a contract role in a call center environment. You will evaluate and authorize prior authorization requests from prescribers received by telephone or fax, using client criteria and pharmacy benefits information....Remote workContract work
C4 Technical Services
United States20 hours ago $26.01 - $62.32 per hour
...Management Nurse Consultant (Medicare – Joint Procedures) Remote | Full-Time | Monday–Friday (9:00 am to 5:30 pm in your time... ...degree in nursing Nice to Have Utilization Management or Prior Authorization experience Managed care and/or Medicare experience...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...Spectraforce Technologies, Inc. is hiring a Insurance Verification Coordinator I for a remote, US-based assignment. The role focuses on obtaining and verifying insurance information, prior authorizations, and coordination of benefits for services provided. The candidate should...Remote work
Spectraforce Technologies
Raleigh, NC2 days ago
