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- ...patients as needed. Coordinate care: Manage patient medication prior authorizations, and assist with outgoing referrals and scheduling.... ...patient care needs as part of our hybrid care model, including remote check-in and clinician support when needed. Requirements:...Remote workFull timeLocal areaMonday to FridayRotating shiftWeekday work
$89k - $121.4k
...Microsoft Visual Studio Experience with healthcare systems and prior authorization data Navigate change management processes in a large... ...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 office$31 - $35 per hour
...applications Important to know about this role: This is a 100% remote role, and requires robust internet speeds (above 50... ...decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration...Remote workFull timeFlexible hoursShift work$37.66 - $44.33 per hour
...Non-Exempt Location: In-Office or Remote Summary: We are looking for a highly capable... ...direction and within significant limits and authority, adjudicate workers\' compensation claims... ...for this or any other position without prior authorization from Human Resources will be...Remote workHourly payTemporary workLocal areaArgonaut Management Services, Inc
Wyoming, OH1 day ago$22 per hour
...: 4+ Months Job Type: Temporary Assignment Work Type: Remote Pay Rate: $ 22.00-22.00/ Hourly Overview: TekWissen... ...medical 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- ...An established industry player is seeking a dedicated Pharmacist to join their remote team. This role involves evaluating prior authorization requests, collaborating with healthcare professionals, and ensuring timely communication of coverage determinations. The ideal...Remote workWork from home
Managed Staffing
New York, NY5 days ago - ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour... ...or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical...Remote workHourly payFull timeWork at officeWork from homeHome officeMonday to Friday
A-Line Staffing Solutions
San Antonio, TX4 days ago - ...CVS Health Corporation is seeking a Pharmacy Technician for Prior Authorizations working from home. You will process prior authorization requests via phone, fax, or electronic channels, using medication guidelines and NCQA requirements to support approvals and denials...Remote workWork from home
CVS Health
Wausau, WI2 days ago - ...UnderwriterApplyremote type: Hybrid Workinglocations: Remote - Indianatime type: Full timeposted on:... ...intermediate level of Underwriting Authority to evaluate, qualify and rate individual... ...a valid written agreement and received prior written authorization from an authorized...Remote work
Arrowhead Programs
Fort Wayne, IN3 days ago $20 - $23 per hour
...Soleo Health is seeking a Prior Authorization Coordinator to support their Specialty Infusion Pharmacy in a remote role. This position involves maintaining prior authorizations, verifying insurance benefits, and providing customer service to patients and providers. The...Remote workHourly paySoleo Health
Atlanta, GA1 day ago- 7505 Caremark, L.L.C. is seeking a Prior Authorization Representative to serve as the initial contact for prior authorization requests from members, providers, and a diverse customer base. The role includes determining if a complex request should be referred to a pharmacist...Remote workWork from home
7505 Caremark, L.L.C.
Wausau, WI5 days ago - ...Insurance Verification Coordinator Are you a healthcare administrative professional looking for a remote opportunity to utilize your insurance verification and prior authorization expertise? We are seeking a dedicated Insurance Verification Coordinator to join our growing...Remote work
Randstad
Mcallen, TX5 days ago $19 - $22 per hour
...does require onsite availability, but may offer hybrid and/or remote opportunities once requirements are met. Benefits Preloaded... ...complex reimbursement issues, provides support for Prior Authorizations (PA) for an assigned caseload, and helps navigate the appeals...Remote workTemporary workLocal areaImmediate startFlexible hoursAssistRx
Tempe, AZ1 day ago$18 - $20 per hour
...Management in Montgomery, Alabama. This role involves processing prior authorization requests, ensuring compliance with departmental policies and... ...skills and the ability to work effectively in a remote setting while maintaining productivity. The role requires a...Remote workHourly payEvolent
Montgomery, AL5 days ago$20 - $25 per hour
...does require onsite availability, but may offer hybrid and/or remote opportunities once requirements are met. About AssistRx:... ...issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals...Remote workFlexible hoursAssistRx
Orlando, FL2 days ago- ...We’re looking for a detail‑oriented and motivated Remote Pharmacy Technician (Insurance/Verification Support) to join New Paradigm... ...Verify insurance coverage for patient prescriptions Process prior authorizations and refill requests Communicate with providers and...Remote work
New Paradigm Staffing
New York, NY5 days ago - ...Job Description Job Description The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies... ...skills Duration: 6 Month Contract Location: Remote Day-to-Day: Process prior authorization requests for prescription...Remote jobContract work
Insight Global
Philadelphia, PA8 days ago $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
New York, NY4 days ago- ...Boston Medical Center Health System is seeking a Prior Authorization Specialist I for a remote, part-time role. You will manage pre-authorization and insurance verification to ensure timely access and optimal reimbursement, while adhering to policy guidelines. The role...Remote workPart time
Boston Medical Center
Boston, MA2 days ago - ...Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access...Remote workWork from homeFlexible hours
Pharmacy Careers
United States5 days ago - ...is looking for a Pharmacy Technician for their Detroit, MI/Remote location. Responsibilities: ~ Support client providers... ...drug benefits analysis, drug coverage inquiries and prior authorizations. Requirements: ~ High School Graduate of GED equivalent...Remote workWork at office
ICONMA
Detroit, MI13 days ago - ...will provide triage support for IU Fishers Pulmonologists and remote support for the Methodist Pulmonary team, with... ...medication refills, coordinating DME orders, and completing prior authorizations. Our clinic fosters a collaborative and supportive environment...Remote workFull timePart timeWork at officeWork from homeRelocation packageMonday to Friday
Indiana University Health
Fishers, IN1 day ago - ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced... ...responsible for insurance verification, prior authorizations, and referral coordination... ...commercial insurance plans. This is a full-time remote position supporting a medical practice...Remote workFull timeFor contractorsWork at office
MyVASupport
New York, NY5 days ago $19.04 - $31.73 per hour
...Sentara Healthcare Inc is seeking a Pharmacy Prior Authorization Coordinator I to join their remote team. This role involves managing prior authorization requests for pharmacy medications while ensuring compliance with regulations and client standards. The candidate will...Remote workSentara Healthcare
Virginia Beach, VA3 days ago$96.19k - $144k
...Family Territory Leaderlocations: US TX - Remote: US MN - Remote: US WI - Remotetime type:... ...NOTE:***Applicants must be legally authorized to work in the United States. At this time... ...submitted for this or any other position without prior authorization from Human Resources will...Remote workWork at officeLocal areaFarm Family
Wausau, WI2 days ago$17 - $34.15 per hour
...Pharmacy Technician - Prior Authorization (Work from Home-Hawaii) Overview Pharmacy Technician - Prior Authorization (Work from Home-Hawaii) Responsibilities Process and communicate prior authorization referrals for Specialty and Non-Specialty medications as reviewed by...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayCVS Health
United States3 days ago- ...A-Line Staffing Solutions is hiring a Pharmacy Tech I - Prior Authorization for a fully remote position in the United States. The role involves handling inbound calls related to prior authorizations and requires candidates to maintain accurate documentation while providing...Remote work
A-Line Staffing Solutions
New York, NY5 days ago - ...clinical service requests, verify member benefits, and process prior authorizations. Candidates must have an Illinois state RN license and 1-3... ...in hospital or medical clinic settings. This is a fully remote position, offering work within a collaborative multidisciplinary...Remote work
Integrated Resources
Springfield, IL3 days ago $21.32 - $44.22 per hour
...records. -Handles, screens, and/or takes messages related to prior authorizations and referrals. -Monitors patients in waiting areas and... ...appointment scheduling. Additional Job Details (if applicable) Remote Type Onsite Work Location One Hospital Road Scheduled...Remote workHourly payDaily paidWork experience placementWork at officeShift work- ...Fremont Economic Development Corporation is looking for a Prior Authorization Specialist to enhance patient care by ensuring timely access... ...organizational and communication skills. This position allows remote work for residents of several states and offers competitive...Remote work
Fremont Economic Development Corporation
Denver, CO4 days ago
