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$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 or...Remote workPart timeImmediate startRelocation packageFlexible hoursRotating shiftSevita
Lees Summit, MO2 hours agonew$20.7 - $29.93 per hour
...and attorneys in a timely, effective manner. This is a 100% remote full-time position working 40 hours per week. Shifts are from... ...2+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months...Remote workFull timeLocal areaImmediate startShift work- ...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, CA7 hours 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 work- ...responsibilities include managing financial counseling, insurance prior-authorizations, and payment plans. Additionally, this position coordinates... ...Schedule: Shift: Monday-Friday, 8:00 AM - 4:30 PM. Remote Work: Eligibility for a hybrid schedule (2 days remote per...Remote workFull timeMonday to FridayShift work2 days per week
Saint Luke's
Kansas City, MO1 day ago Physician / 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, CA2 days ago- ...population. This 13-week locum assignment begins 100% remote , with the intention to transition into a permanent hybrid... ...improvement Key Responsibilities Review and determine prior authorizations, appeals, and medical necessity Conduct peer-to-peer...Remote workWeekly payPermanent employmentTemporary workLocumInterim roleLocal areaImmediate start
Locum Jobs Online
San Antonio, TX1 day ago $4,000 per month
...signs Processing medication refill requests Managing prior authorizations Acting as a key liaison between patients, families, and providers... ...required or must obtain within 30 days of start date. Fully remote care team members are exempt from BLS certification...Remote workDaily paidFull timePart timeWork at officeRelocation packageFlexible hoursMaineHealth
Portland, ME2 days ago- ...Pharmacist II to join their Clinical Pharmacy Services team. This remote position focuses on administering drug utilization review... ...calls to assess drug therapy appropriateness, and making prior authorization decisions. Candidates should have a Bachelor of Science in Pharmacy...Remote workWork experience placement
UMass Med School
Westborough, MA3 hours agonew - ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex...Remote work
US Tech Solutions
Florida2 days ago - ...assessments and coordinate necessary prescriptionssuch as antibioticsunder provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients,...Remote job
$17.85 - $26.42 per hour
...Job Opportunity: Remote Certified Pharmacy Technician 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...Remote jobHourly payWork experience placementWork at office- ...Veterinary Care Representative (Remote) Chewy Veterinary Care is hiring full-time Veterinary Care Representatives... ...appointment-related needs Conduct follow-ups and outreach for prior medical requests and authorizations Research and resolve customer issues using active...Remote workHourly payFull timeLocal areaFlexible hours
$55 per hour
...Utilization Management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. This role... ...35 words per minute. Work Environment This is a fully remote position, available to candidates residing in the United States...Remote workContract workTemporary workMonday to FridayRotating shiftActalent
Saint Paul, MN1 day ago- ...Pharmacies to obtain patient benefits. Understands and completes Prior Authorization calls within the In Process queue Completes call sheets... ...plan with company matching. Flexible schedules with both remote and hybrid work options. Professional development and...Remote workContract workWork at officeMonday to FridayFlexible hours
eBlu Solutions, Inc.
Louisville, KY26 days ago - ...conditions appropriate for outpatient psychiatry. You will have full time assistance to handle administrative and clinical tasks (prior authorizations, scheduling, obtaining outside records, etc.) Should enjoy practicing independently Candidate should be computer/EMR/e-...Remote workFull timeMonday to FridayFlexible hours
Boston Neurobehavioral Associates
United States7 hours ago $145 per hour
...care. With a flexible part-time schedule, the option to work remotely, and a meaningful patient population, this role is ideal for... ..., treatment planning, and clinical documentation • Manage prior authorizations and medication-related approvals • Treat a community...Remote workPart timeFlexible hoursDay shiftSmith Arnold Partners
New York, NY1 day ago- ...for a Revenue Cycle Specialist to join their team! This is a remote work position that requires residency in KY or IN... ...as well as pre and postbilling. Obtains pre-determinations, prior authorizations, and retro authorizations when required bypayor. Responds to...Remote workWork experience placementShift workDay shift
Baptist Health
Louisville, KY1 day ago - ...Primary) Education Professional Travel Job Description AFMC is looking to contract with physicians to complete prior authorizations and retrospective reviews. Compensation is paid by review completed. Specialists Needed: Hematologist/...Remote workFull timeContract workLocal areaWork from home
Arkansas Foundation for Medical Care
United States4 days ago $22 - $26 per hour
...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. Grow with us...Remote workLocal areaMonday to Fridayknownwell
Atlanta, GA7 hours ago- ...Social Workers, Nurses, and more). Dedicated prescription and prior authorization support, with pharmacy and medication access coordinators to... ...your goals. Additional Job Details (if applicable) Remote Type Onsite Work Location 307 West Central...Remote workFull timePart timeFlexible hoursShift work
Mass General Brigham
Natick, MA1 day ago - ...patient care, ensuring accurate verification of insurance, prior authorizations, and understanding of patient financial responsibility. The... ...catalyst for change, and promotes creative solutions by serving as a role model. **The position offers a remote work option....Remote work
HMH HOSPITALS CORPORATION
Edison, NJ3 days ago $67.5k
...Job Opportunity At Highmark Inc. Job Summary: This position reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician...Remote workWork at officeLocal areaColumbus Staffing
Columbus, OH3 hours agonew- ...weekends, no major holidays. This position will be primarily remote with occasional on site requirements. Training will take... ...Youll Do Reviews and submits requests for medication prior authorization. Retrieves prescription information from the electronic medical...Remote workFull timeTemporary workPart timeWork at officeLocal areaMonday to FridayShift work
Elliot Health System
Manchester, NH15 hours ago - ...Required: -CA RN License -prior UM experience for insurance companies is a MUST!! -EPIC & InterQual exp *position is remote* Conducts preauthorization, concurrent, and retrospective... ...referral review - manages prior authorizations and retrospective referrals as documented...Remote workContract work
Zenex Partners
Sacramento, CA2 days ago - ...patients. Support recruitment for HF clinical trials. During Remote Monitoring: Download interrogation from device website,... ...Manage prescription refills as directed by provider. Complete prior authorizations, patient/insurance requested forms, assist with provider...Remote workRelocation packageMonday to FridayDay shift
Duke Clinical Research Institute
Raleigh, NC2 days ago $28.94 - $51.63 per hour
...and you will have the flexibility to work remotely as you take on some tough challenges. * Primary Responsibilities: Authorization review and entry for HCBS authorizations using... ...experience Utilization management, prior authorization, and case management experience...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaUnitedHealth Group
Arlington, VA3 days ago$17.98 - $32.12 per hour
...relationship. Manages a high volume of calls most often from a remote setting for a defined service line and is responsible for... ...requests for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayShift work- ...guidelines, submit and manage referral and authorization requests/requirements when necessary,... .... They will provide support and process prior authorization appeals and denials, when... ...Schedule: Monday-Friday, 8:30am - 5:00pm. + Remote position. + Full benefits such as...Remote workTemporary workWork at officeRelocation packageMonday to Friday
$6,000 per month
...Responsibilities: Review approximately 20 prior authorization (auth) requests daily , Monday-Friday. Complete all reviews and submit... ...auth for your review Additional Notes: This is a remote, part-time contract role Reviewers are expected to...Remote workContract workPart timeMonday to FridayHeritage Sierra Medical Group
United States4 days ago
