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- ...Arrangement: This is a hybrid position (4 days in office and 1 day remote) reporting to our office in Atlanta, GA. Professional... ...claims issues and aid with the appeals process. Assist with prior authorizations, ID card requests, and network searches. Ensure...Remote workTemporary workWork at officeLocal areaFlexible hours
Patriot Growth Insurance Services
Atlanta, GA3 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...Remote workContract work
Tekwissen
United States2 days 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...Remote workFull timeTemporary workPart timeWork at officeLocal areaFlexible hours
Pantherx Specialty Llc
Pittsburgh, PA4 days ago - ...Clinical Administrative Coordinator (Pre-Authorization / Prior Authorization Specialist) Positions in this role are responsible for determining... ...necessary information for pre-authorization. Location: Remote Purpose of Job: Positions in this role are responsible...Remote work
Diverse Lynx
Atlanta, GA1 day ago $25 - $28 per hour
...Customer Service Rep II Duration: 24 months Location: Virtual Connecticut 06355 (Remote) Pay Rate: $25 - 28/hr Patient Access Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization...Remote workArtech
Long Key, FL3 days ago- ...Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area Please consider this unique opportunity to join a well... ...organization forward. Requirements MD/DO degree required Remote position, but candidate must live in the greater L.A. area...Remote workLive inWork from homeRelocation package
Curative
Los Angeles, CA2 days ago $24 - $25 per hour
...Customer Service Rep II Location: Virtual CT (Remote) Duration: 24 months Payrate: $24.00-25.00/hr The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician...Remote workArtech
Staten Island, NY1 day ago- ...Manager-Pharma Role: Project Manager-Pharma Location: Remote - Dayton Remote 6 months Contract Salary: DOE $/hr. on w2... ...background. Need to be able to produce really good schedules Clinical skills: Claims processing Utilization Management Prior Authorizations......Remote workContract work
Staffing the Universe
Houston, TX8 hours ago $140k - $180k
...crucial role in providing operational leadership to the UM/Prior Authorization and Inpatient Teams (50 FTEs in total). Youll be responsible... ...vision, and life insurance. This is an onsite position- no remote options are available at this time. Requirements: ~ Healthplan...Remote workFull timeAmi Network
Pasadena, CA3 days ago- ...support pharmacy benefits and prescriptions. The role involves providing customer service, processing claims, and assisting with prior authorizations and appeals. Minimum one year of pharmacy team experience is required, along with strong communication and Microsoft Office...Remote workWork at officeWork from home
CareOregon
United States1 day ago $36 per hour
...Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses... ...Hybrid Work Environment offering a balance of fieldwork and remote flexibility ~ Flexible Scheduling with no 12-hour shifts...Remote workPart timeImmediate startRelocation packageFlexible hoursRotating shiftSevita
Lees Summit, MO8 hours ago- ...front-end intake, operations compliance, authorizations submission, clinical review, or audit/... ...independently and value open communication within a remote team setting Preferred ~4+... ..., etc.) ~ Experience with audits, prior authorizations, and appeals is a strong...Remote workWork at office
Tennr
Tulsa, OK3 days ago - ...Review Clinician I - RN Inpatient Medical Location: Chicago Remote (IL) Duration: 3+ Months (Possible Extension)... ...responsibility for the organization and members; may perform prior authorization reviews. Escalate complex cases to Medical Directors efficiently...Remote workWork at office
Integrated Resources
Chicago, IL4 hours agonew $14 - $24.02 per hour
...hiring a Pharmacy Customer Service Representative. This role is remote for those who live in Florida only. Bilingual- Spanish... ...standards. # Provides coordination and processing of pharmacy prior authorization requests and/or appeals. # Explains point-of-sale claims...Remote workHourly payWork experience placementLive inWork at officeMonday to FridayShift workMolina Healthcare
Jacksonville, FL1 day ago$19.01 - $24.19 per hour
...Associate to join our team. This role is vital in managing Prior Authorization tasks, including outbound calls and inbound case creations in... ...Working Conditions Position Type This is an office- or remote-based position with a physical work site required. Travel...Remote workWork at officeHighmark Health
Atlanta, GA16 hours agoPhysician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorizati
$250k - $300k
...We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role " you will not... ...meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with...Remote workPermanent employmentLive inIntegrity Healthcare
Northridge, CA4 days ago- ...Title: Care Review Clinician I Location: Chicago, IL (Remote) Duration: 2-3 Months+ (Possible Extension) Pay Rate:... ...responsibility for Client Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. Processes...Remote workContract workWork at officeWeekend work
Integrated Resources
United States3 days ago $125 - $130 per hour
...Reviewer - Psychiatrist - Must be Licensed in Arkansas - PRN (Remote within the U.S.) to join our growing team. Job... ...health services. Responsibilities: Completes prior authorization, continued stay, retroactive and retrospective reviews for Inpatient...Remote workReliefLocal areaAcentra Health
McLean, VA16 hours ago$16 per hour
.... After successful completion, the role transitions to 100% remote . Earnings $16.00 hourly Location - Remote... ...and specialties Assist with insurance verification and prior authorizations for procedures and surgeries Educate patients on payment...Remote workHourly payMonday to FridayDay shiftNetworks Connect LLC
United States2 days ago$23 - $27 per hour
...our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex... ...preparation, submission, and follow up of payer authorization requests. Responsibilities include:... ...Initiate, follow-up, and secure prior authorization, pre-determination, or medical...Remote workHourly payFull timeContract workImmediate startMonday to FridaySoleo Health
United States2 days ago$39 - $50 per hour
...and ensure a holistic and patient-centric approach to care Prior Authorization & Insurance Coordination: Verify insurance coverage and... ...biotech case management Where You'll Work This is a fully remote role. It can be performed effectively from the Dallas, TX...Remote workHourly payLocal areaFlexible hoursInsmed Incorporated
United States4 days ago$20.22 - $30.81 per hour
...divh2Infusion Prior Authorization Pharmacy Technician/h2pThe Infusion Prior Authorization Pharmacy Technician supports timely patient access... ...scheduled shifts is required. Work may be performed on site or remote as appropriate to practice site./liliAbility to communicate...Remote workHourly payWork at officeImmediate startFlexible hoursShift workKentucky Staffing
Frankfort, KY8 hours ago- ...MUST LIVE IN NJ, PA OR FL Location: Remote Status: Full-Time Department... ...information is obtained and documented prior to appointments and procedures, supporting... ...and plan limitations Identify prior authorization requirements and communicate them to the...Remote workFull timeLive inWork at office
Princeton Brain Spine and Orthopedics
Newtown, PA4 days ago - ...healthcare needs. Key Responsibilities: Manage prior authorizations and navigate the appeal processes. Collaborate effectively... ...Make a direct impact on patients' lives. Enjoy hybrid or remote work options. Be part of a fast-growing, access-focused...Remote work
Pharmacy Careers
Huntington Beach, CA2 days ago - ...Prior Authorization Specialist (Part-Time) - Endocrinology The Endocrinology Department at MFM Health in Danvers, MA has an opening for... ...Authorization Specialist. This position can be in person or remote. The Prior Authorization Specialist will be responsible for...Remote workPart time
MFM Health
Danvers, MA3 days ago - ...Pain Medicine looking to supplement your income in a flexible, remote, nonclinical setting? Then let me introduce you to ExamWorks... ...include workers' compensation, disability, and health plan prior authorizations and appeals. As part of our reviewer network, you would...Remote workFor contractorsFlexible hours
ExamWorks
New York, NY4 days ago - ...Managed Care / Health Plan Administrative & Clinical Oversight Remote during locums' phase Hybrid model if converted to perm... ...schedule upon permanent placement. Key Responsibilities Review prior authorization & appeals requests Conduct peer-to-peer consultations...Remote workPermanent employmentLocumMonday to FridayWeekend work
LanceSoft
Dallas, TX1 day ago $19 - $20 per hour
...Remote Pharmacy Technician 1 - Fully Remote We are seeking a dedicated Pharmacy Technician to join our team. In this role,... ...tracking and triaging all coverage determination requests for prior authorizations and Medicare Part D recipients. Responsibilities...Remote workContract workTemporary workActalent
Phoenix, AZ1 day ago$18 - $20 per hour
...Pharmacy Technician - Fully Remote As a Pharmacy Technician, you will be responsible... ...play a crucial role in obtaining necessary authorizations and clinical information from... ...operations and data entry. Experience with prior authorization processes. Knowledge of...Remote workContract workTemporary workActalent
Houston, TX8 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...Remote workFull timeImmediate startRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Louis, MO8 hours ago
