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- ...Care / Health Plan Administrative & Clinical Oversight Remote during locums' phase Hybrid model if converted to perm... ...permanent placement . Key Responsibilities Review prior authorization & appeals requests Conduct peer-to-peer consultations...Remote workPermanent employmentLocumMonday to FridayWeekend work
Lancesoft INC
Dallas, TX1 day ago - ...Monday to Friday working with insurance companies to receive prior authorization for surgeries and procedures. Medical office, health... ...authorization experience required. Possibility of position being remote after training completed. Excellent benefit package with 4...Remote workFull timeTemporary workWork at officeMonday to Friday
Wichita Surgical Specialists
Wichita, KS3 days ago $52 - $58 per hour
...facilities along with necessary documentation. * combination of remote work with field visits in the Bronx, Brooklyn, or Manhattan,... ..., Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound...Remote workHourly payTemporary workImmediate startMonday to FridayFlexible hoursShift workDay shiftA-Line Staffing Solutions
New York, NY3 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
Youngstown, OH3 days ago - ...Project Manager-Pharma Location: Remote - Dayton Remote 6 Months Contract Salary: DOE $/hr. on W2 Only US Citizen and Green... ...background. Need to be able to produce really good schedules. Clinical skills: Claims Processing Utilization Management Prior Authorizations......Remote workContract work
Staffing the Universe
Dayton, OH4 days ago $20 - $22 per hour
...Title: Customer Service Rep II Job ID: 24186 Location: Remote Duration: 24 Months Pay Rate: $20 - 22.00/hr ALTERNATE... ...Access Representative JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior...Remote workArtech
United States1 day 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, PA2 days 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 workImmediate startRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Louis, MO21 hours ago- ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers...Remote workContract workWork at office
Molina Healthcare
United States21 hours ago - ...as a hybrid model. This means a rotating schedule of working remotely and from the office. JOB SUMMARY: We are seeking a... ...Participates in performance improvement projects. Obtain prior authorizations for medications and durable medical equipment as indicated....Remote workPart timeWork at officeMonday to Friday
Dukehealth.org
Durham, NC11 days 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 nurses,...Remote workPermanent employmentLive inIntegrity Healthcare
Northridge, CA3 days ago- ...Utilization Management Tech (3) Location: Remote (UCLA will provide necessary equipment) Shift: M-F 8-5 PST DO NOT... ...will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness....Remote workShift work
Pinnacle Technology
Los Angeles, CA1 day ago - ...the life span, 2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care 3.... ...Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland...Remote workFull timeWork experience placementRelocation package
Westside Family Healthcare
United States21 hours ago $67k - $68k
...opportunity with long-term potential and is located in Missouri (Remote). Please review the job description below and contact me... ...and make on-line payment determinations for claims and prior authorizations that require medical determination. Review exception requests...Remote workFull timeWork at officeLocal areaImmediate startPyramid Consulting
United States3 days 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 hoursMaine Medical Center
Portland, ME3 days ago- ...Job Description: This is a remote position and requires the ability to effectively support a work from home environment. Must... ...number. Responsibilities: Review criteria-based prior authorizations following policy and procedure. Provide on-call after hours...Remote workWork experience placementWork from homeShift work
Varite
United States3 days ago - ...Healthcare is hiring five Pharmacy Technicians who will work 100% remotely. Schedules will be Monday-Friday, 10:00 AM-6:30 PM... ...plan providers in resolution of member prescription claim, prior authorization, and pharmacy service access issues. Articulates...Remote workWork at officeMonday to Friday
Molina Healthcare
United States21 hours ago - ...Job Summary: This is a remote position and requires the ability to effectively support... ...calls, processing cases and electronic authorizations, loading authorizations, and making... ...Experience: Review criteria-based prior authorizations following policy and procedure...Remote workWork from homeShift work
Varite
United States3 days ago $39 - $50 per hour
...and ensure a holistic and patient-centric approach to care Prior Authorization & Insurance Coordination: Verify insurance coverage and... ...case management Where You'll Work This is a fully remote role. It can be performed effectively from the Dallas, TX area...Remote workHourly payWork experience placementLocal areaFlexible hoursInsmed Incorporated
United States2 days ago$4,000 per month
...Enter imaging and lab orders as directed by APPs Complete prior authorizations If you are eager to learn new things and grow in a... ...required or must obtain within 30 days of start date. Fully remote care team members are exempt from BLS certification requirement...Remote workDaily paidFull timePart timeWork at officeImmediate startRelocation packageMonday to FridayFlexible hoursWeekend workAfternoon shiftMaineHealth
Scarborough, ME3 days ago- ...Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit... ...confidentiality. Other tasks as assigned. Travel: 100% Remote Supervisory Responsibilities: ~ N/A Qualities...Remote workHourly payWork at office
Senior Care Therapy
Montana2 days ago - ...Position Title: Clinical Review Nurse - Prior Authorization Work Location: Remote Assignment Duration: 6 months, Temp to perm Work Arrangement: Remote (Mountain/PST) Position Summary: Analyzes all prior authorization requests to determine medical necessity...Remote workPermanent employmentTemporary workFor contractorsVisa sponsorshipWork visa
Spectraforce Technologies
Phoenix, AZ2 days ago - ...Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization. Assists physicians in the prior authorization process including initiation of prior authorizations. May be cross-...Remote work
Walgreens Boots Alliance
United States3 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
$22.75 - $35.26 per hour
...This position is an onsite role and does not offer a hybrid or remote option Summary: The position would part time on the... ...time in administration support with medication refills and prior authorizations Minimum Requirements: Graduate of an accredited Practical...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift workUCHealth
Fort Collins, CO21 hours ago$22 - $24 per hour
...high-quality care. We're looking for someone who thrives in a remote environment, communicates with warmth and professionalism,... ...appointment confirmations, and follow-up communications Support prior authorizations, pharmacy refills, and lab result tracking Accurately update...Remote workFull timeWork at officeAfternoon shift$25 - $27 per hour
...Authorization and Verification Research Specialist Remote | Full time | 40 hours/week About the Role We're looking for a detail-oriented insurance verification and prior authorization expert who thrives on research and problem-solving. In this role, you'll investigate...Remote workFull timeImmediate startShift workSilna Health
Washington DC21 hours ago$21 - $24 per hour
...(must live in the state) This position is full-time and remote We are seeking a full-time Medical Biller who lives in California... .... Responsibilities for Medical Biller Requests prior authorizations for services. Appropriately and efficiently addresses...Remote workHourly payFull timeLive inWork at officeMASC Medical
Riverside, CA3 days ago$73.01k - $123.16k
...important with turnaround times. Experience with Appeals, Auditing, Prior Authorization, Compliance and Quality will be a good fit for this position... ...be discussed during our interview process. CA located – Remote position Coordinates, conducts, and documents pre-...Remote workWork experience placementWork at officeMolina Healthcare
Long Beach, CA2 days ago- ...Orthopaedic Surgeon 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, NY3 days ago
