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$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 work- ...Business Integration Specialist (Licensed Pharmacist) Location: REMOTE Duration: 12 Months Contract Graduation from an accredited... ..., roles, and intended outcomes Clinical policies and Prior Authorizations. Experience handling HIPPA and PII data Managed care knowledge...Remote workContract work
$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- ...LOCATION: This is a fully remote role open to candidates across the US. EST Time Zone SCHEDULE: 9:00am-5:30pm M-F; Must work one... .... Responsible for finalizing all denials of clinical prior authorization requests. SKILLS 2+ years lead/supervisor or retail pharmacy...Remote workWork at officeWeekday work
- ...member population. This 13-week locum assignment begins 100% remote , with the intention to transition into a permanent hybrid... ...process improvement Key Responsibilities Review and determine prior authorizations, appeals, and medical necessity Conduct peer-to-peer...Remote workWeekly payPermanent employmentLocumLocal areaImmediate start
- ...Job Title: Care Review Clinician I Location: Remote Duration: 2-3 Months+ (Possible Extension) Pay Rate: $37.97/hr. on W2... ...responsibility for Client Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. · Processes...Remote workContract workWork at office
$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 shift$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 shift- ...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
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 in$155k - $160k
...appointments. You would also have medical assistants handle prior authorizations. The patient population is almost 100% adults ages 25 years... ...Tremont Ave. We are also allowing our Psychiatric NP's to work remote for now. The hours of this position are very flexible on...Remote workFlexible hoursWeekend work$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 hours$26 per hour
...Job Description Job Description A-Line Staffing is now hiring a Fully Remote Prior Authorization LVN in Texas. This would be full time / 40+ hours per week. Position is fully remote, but candidate must reside in Texas and be licensed as an LVN in Texas. If...Remote workFull timeImmediate startMonday to Friday- ...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
- ...comprehensive care to PCHP members. This need will be FULLY remote while the provider is working locums, but they will need to... ...into a permanent role. Responsibilities: ~ Reviews prior authorization and appeals request for approval or denial of claims payment...Remote workPermanent employmentLocumLocal areaWeekend work
- ...Shift Schedule: Mon-Fri; 8a-5p Core Responsibilities: - Review prior authorization & appeals for medical necessity - Peer-to-peer provider... ...environments Other Info: - Locum-to-perm transition expected - FULLY remote while working in locums, but will transition to a hybrid...Remote workWeekly payPermanent employmentLocumLocal areaImmediate startShift work
$20 - $21 per hour
...Immediate need for a talented Authorization Specialist I . This is a 09 Months Contract opportunity... ...-term potential and is located in US (Remote) . Please review the job description... ...services in accordance with the insurance prior authorization list. Supports and...Remote workContract workWork at officeLocal areaImmediate start$140 per hour
...permanent position . During the locum phase, the role is fully remote , transitioning to a hybrid schedule upon permanent... ...0/hour On Call / Weekends: None Key Responsibilities Review prior authorization and appeals requests for medical necessity determinations Conduct...Remote workWeekly payPermanent employmentLocumLocal areaImmediate startMonday to FridayWeekend work$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 shift- ...adoption of digital and centralized solutions (e.g., eReg, remote SIVs, EMR-based identification). Build and maintain... ...general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior...Remote workLocal area
$17.74 - $31.63 per hour
...This position is National Remote. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some... ...capturing the data/information for processing (e.g. verify pricing, prior authorizations, applicable benefits). Receiving Real Time Adjustment calls...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...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
- ...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 placement
- ...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
- ...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
$140 per hour
...a strong pathway to permanent placement , starting fully remote and transitioning to a hybrid model upon conversion to permanent... ...value-based care Key Responsibilities Review prior authorizations and appeals for medical necessity Conduct peer-to-peer...Remote workHourly payPermanent employmentLocumLocal area$125 - $140 per hour
...based care. The initial 13-week locum assignment is fully remote , with a transition to a hybrid leadership role upon... ...quality management, and disease management programs Review prior authorizations, appeals, and medical necessity determinations Conduct...Remote workHourly payWeekly payPermanent employmentLocumImmediate startMonday to FridayWeekend work- ...2 weeks Hours between Monday - Friday 8:00a-5:00p CST Fully remote Pay and Benefits: Starting pay begins at 63747.33 per year... ...Strata or similar) preferred. Experience with payer audits, prior authorization processes, and coverage policy review preferred. Strong...Remote workFull timeLocal areaMonday to FridayFlexible hours
- ...Admissions Services Specialist Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute... ...calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with...Remote workLocal areaWeekend workDay shift
- ...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


