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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, TX18 hours 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$15.87 - $27.25 per hour
...healthcare organization is seeking a qualified individual for the remote role focused on insurance verification. The candidate will... ...and verify complete insurance information and ensure the prior authorization process is efficiently managed. Responsibilities include...Remote jobHourly pay- ...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, OH2 days ago $150k - $170k
Location: Remote (EST preferred) Department: ESG Risk Solutions Reports to: ESG Risk Solutions... ...position with significant underwriting authority and portfolio ownership, responsible for... ...Agencies: All resumes submitted without prior HR authorization will be considered...Remote workTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...Manager to oversee the execution of strategic programs like Gold Carding and Provider Incentive Programs. This remote position requires managing the Prior Authorization list to ensure compliance and efficiency. The ideal candidate will have significant program management...Remote job
- ...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 - ...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- ...leading nonprofit healthcare organization in St. Louis is seeking an individual for a critical role in managing medication prior authorizations. This position requires attention to detail, effective communication, and the ability to work collaboratively with healthcare...Remote job
- ...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 States15 hours ago - A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth...Remote jobWork from home
$50k - $60k
A prominent healthcare provider is seeking a Prior Authorization Specialist to manage the prior authorization process for pain management procedures. This remote position requires strong insurance knowledge, prior authorization experience, and familiarity with Medicare...Remote job- A leading sports management company in New York is seeking a Prior Authorization Coordinator to facilitate insurance authorization processes for clients. This role includes verifying coverage, submitting requests, and educating clients about the process. Strong communication...Remote jobFlexible hours
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The ideal candidate will hold a PharmD or Bachelor of Pharmacy, possess an active U.S. pharmacist license, and have experience...Remote jobWork from homeFlexible hours
- ...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 - A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is perfect for pharmacists transitioning from retail or hospital environments while...Remote jobWork from home
$62k - $85.1k
...Coordinator to work from home in Oregon, Washington, Idaho, or Utah. The role involves coordinating operational initiatives, enhancing prior authorization processes, and ensuring regulatory compliance. Ideal candidates will have a bachelor's degree and a minimum of 3 years in the...Remote jobWork from homePhysician / 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- ...global medical device firm is seeking a Pre-Authorization Specialist II to facilitate insurance... ...verifying medical benefits, submitting prior authorization requests, and providing outstanding... ...Office. This position follows a remote work model and requires minimal travel....Remote jobWork at office
- ...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 States15 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- ...barriers in their healthcare. This role is crucial for managing prior authorizations and collaborating with insurance and healthcare providers.... ...advocacy in a supportive team environment. Hybrid or remote work options enhance flexibility and work-life balance. #J-1...Remote job
- ...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 $18 - $23 per hour
...medical insurance benefit verification, pre-authorization for durable medical equipment (DME), and... ...DME products and services. Obtain prior authorizations and address denials and appeals... ..., WI, with potential for a hybrid/remote schedule thereafter. Preferred Qualifications...Remote workFull timePart timeWork at officeWeekday work- Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote jobWork from homeFlexible hours
$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$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
