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- ...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, FL2 days ago - ...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, NC1 day ago - ...Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a department within a large healthcare insurance company. The role involves approving or denying authorizations and routing to pharmacists for final review, handling all health plans...Remote workContract workHome office
Actalent
Orlando, FL2 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 States3 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
United States2 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 States3 days ago - ...Detail-oriented and customer-focused, the full-time Remote Medical Insurance Verification Specialist will assist patients in obtaining... ...or benefits experience is mandatory Previous experience in prior authorization and claims, along with knowledge of HIPAA regulations Must...Remote workFull timeShift work
Virtual Vocations Inc
United States2 days ago $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
Juneau, AK4 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 States4 days ago - ...VYTLOne is seeking a Prior Authorization Specialist for TMH Specialty Pharmacy to verify insurance eligibility and obtain benefits before medication delivery. You will communicate with payers, clinical partners, and patients to facilitate authorization, maintain clear...Remote work
RXinsider
United States4 days ago - ...Actalent is seeking a dedicated Pharmacy Technician for a remote role operating in the EST timezone. The position focuses on reviewing Prior Authorizations for coverage determinations within a Pharmacy Services department for a major health insurer, with approvals or denials...Remote work
Actalent
United States4 days ago - ...healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years in...Remote work
The Judge Group, LLC
New York, NY1 day ago $53 per hour
...Job Description Remote Prior Authorization Pharmacist (Pharmacist - Prior Auth) Location: Remote (continental U.S.; not available in New Mexico or Colorado ) Schedule: Full-time | Sun-Thurs or Tues-Sat (CST shifts) Shift Options (CST): 10:30am...Remote workFull timeLocal areaWork from homeHome officeShift workA-Line Staffing Solutions
United States3 days ago- ...A healthcare services provider is seeking a remote Pharmacy Technician to contribute to pharmacy utilization management. Responsibilities include screening prior authorization requests, collaborating with healthcare professionals, and ensuring compliance with regulatory...Remote work
The Elitejob
United States4 days ago $65k - $78k
...requirements. What We're Looking For ~ Active RN license. ~3+ years of inpatient clinical experience. ~1+ year in prior authorization reviews using InterQual or MCG. ~ Strong written communication skills in a fast-paced setting. ~ Proficient in Microsoft...Remote workFull timeWork at officeWork from homeFlexible hoursGainwell Technologies LLC
United States2 days ago- ...TrueScripts Management Service is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will review and process PA requests for pharmacy claims received electronically, by fax, or from providers or members, verifying documentation and ensuring...Remote work
TrueScripts Limited
United States4 days ago $20 - $22 per hour
...Job Title: Pharmacy Technician/ Prior Authorization Representative Location: Elk Grove Village, IL 60007 Compensation: $20-22/HR Benefits... ...(8-hours). ~ HYBRID ROLE- 2 days onsite per week, 3 days remote About Our Client Addison Group is partnering with...Remote workContract workWork at officeLocal areaMonday to FridayShift work2 days per weekAddison Group
Elk Grove Village, IL3 days ago- Judi Health is seeking a Pharmacy Technician to support prior authorization requests and pharmacist reviews in a remote US-based role. You will validate prescriber and member information, guide reviews with clinical guidelines, and liaise with providers to gather necessary...Remote work
Capital Rx
New York, NY1 day ago $16 - $27.69 per hour
...A healthcare organization is seeking a Pharmacy Technician for a remote position in Worcester, MA. The role involves processing prescriptions, interacting with patients and medical professionals, and maintaining accurate records. Candidates must hold a High School Diploma...Remote workHourly payOptum
United States2 days ago- ...of clinically appropriate medication therapy while working remotely on a contract basis for 6 months. Key responsibilities: Verify... ...claims processing Triaging clinical review processes for prior authorization requests according to established protocols Organize and prioritize...Remote workContract workWork experience placementSeasonal work
Virtual Vocations Inc
United States1 day ago - ...Talent Partner | Passive Hiring Expertise Job Type: 100% Remote role in New Jersey, Pennsylvania, and Delaware Summary:... ...role combines traditional dispensing responsibilities with prior authorization review and managed care coordination. Primary Responsibilities...Remote workContract work
The Judge Group, LLC
New York, NY2 days ago - ...Pharmacy Technician IJob Location: 100% Remote Job Duration: 13 Weeks | Possibility of Extension Shift: Monday–Friday | 9:30 AM... ...The role handles pharmacy benefit inquiries, formulary and prior authorization questions, and ensures accurate documentation while meeting...Remote workMonday to FridayShift work
Careers Integrated Resources Inc
Philadelphia, PA11 hours ago $110k - $115k
...and objectives. Location: 962 Dorset Rd, Troy, OH 45373. Remote after training with occasional onsite work required. Must live... ...Review approve clinical documentation associated with prior authorization submissions Provides CSC Technicians instructions regarding...Remote workFull timeCasual workWork at officeMonday to FridayWeekend workClarest Health
Troy, OH11 hours ago- ...Remote Prior Authorization Pharmacist Market leading national healthcare organization is hiring prior authorization pharmacists for a remote role! Great opportunity! The basic function of the pharmacist is to review and complete criteria based on prior authorization...Remote work
Randstad
United States4 days ago - ...Pharmacist - Remote 11/2 Address: Anywhere in US. Job Description Review and complete criteria based on prior authorization as per policy and procedure. Ensure potential hires understand the requirement to provide own high-speed internet with at least 25 Mb download and...Remote workFull timeCasual workWork at officeLocal areaWork from homeMonday to FridayShift work
A-Line Staffing Solutions
Woonsocket, RI3 days ago - ...Working remotely on a full-time basis, the Financial Clearance Specialist will manage insurance verification, obtain prior authorizations, and maintain communication with patients and payers to ensure reimbursement for scheduled services related to transplant, surgical...Remote workFull time
Virtual Vocations Inc
United States4 days ago $18 - $21 per hour
...Meduit is seeking an Insurance Specialist - Prior Authorization for a remote role in the United States. You will focus on resolving insurance processing errors and denials, utilizing Medicare/Medicaid and commercial payor guidelines to secure accurate and timely payments...Remote workHourly payMeduit
United States2 days ago- ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting... ...(DIB) motto, “The Power to Be Yourself”. SummaryLocation: Remote - Texas; Remote - Arizona; Remote - Iowa; Remote -...Remote workFull timeLocal area
Brown & Brown Insurance Services
Madison, WI11 hours ago $27.02 - $48.55 per hour
...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 state of Missouri. This...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
United States5 days ago$46 per hour
...Product Owner: Healthcare Automation (UiPath) \n Location: Remote \n Work Arrangement: Remote \n Employment Type:... ...Payer, Provider, Healthcare Operations, Claims, Enrollment, Prior Authorization, and Care Management \n • UIPath & RPA Automation | Hands-...Remote workContract workPacer Group
West Virginia2 days ago
