Get new jobs by email
- ...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, KS1 day ago $68.1k - $125k
...policies and procedures. Full time remote position Travel required. PREFERENCES... ...NOTE: Applicants must be legally authorized to work in the United States. At this... ...submitted for this or any other position without prior authorization from Human Resources will...Remote workFull timeFor contractorsLocal areaArgonaut Management Services, Inc
Newark, NJ5 hours ago$38k - $64k
A healthcare service provider is seeking a Prior Authorizations Representative to handle insurance notifications and authorizations. This remote role requires strong communication skills and attention to detail as you will interact with patients, insurance companies, and...Remote job$90 - $96 per hour
...exchange between payers, providers, and patients (includes prior authorization, provider-to-provider integration, and patient access).... ...municipalities) ~ Commuter Benefits (Dallas, NYC, SF) ~ Remote opportunities available For multiple years, Genesis10...Remote workHourly payPermanent employmentContract workWork at officeGenesis10
Eagan, MN5 hours 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, PA5 hours ago - ...Manager-Pharma Role: Project Manager-Pharma Location: Remote - Dayton Remote 6 months Contract Salary: DOE $/hr. on w2... ...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, OH2 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, MO4 hours agonew$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 States4 days ago- A managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This is an ideal work-from-home position for pharmacists transitioning from retail or hospital settings. Responsibilities...Remote jobWork from home
- 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 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
- A managed care organization is seeking a Remote Prior Authorization Pharmacist to review prescription requests, ensuring accuracy and necessity while working from home. This role involves communicating decisions to providers, documenting outcomes, and collaborating with...Remote jobWork from homeFlexible hours
- ...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 States3 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
- 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
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, CA13 hours ago- 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
- A healthcare institution is seeking a Reimbursement Specialist Senior to manage complex prior authorizations and insurance appeals. This role involves mentoring colleagues and collaborating with medical staff to ensure timely access to medications. Applicants should have...Remote job
$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, ME3 days 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 States3 days ago - ...Pharmacy Technician . *** Candidate must be authorized to work in USA without requiring... ...************************* Location: 100% Remote for California Residents *** Duration: 6... ...of procedures and guidelines for the drug prior authorization program for the outpatient...Remote workContract workTemporary workWork at officeLocal area
Amerit Consulting
United States2 days 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
Duke Clinical Research Institute
Durham, NC3 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
$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$2,884 per week
...Travel Utilization Management Nurse Manager – Direct Hire (Remote) Location: Costa Mesa, CA (Remote Role) Assignment Details Start... ...experience 3–5 years in nursing leadership/management Prior authorization experience in ambulatory or health-plan settings Experience...Remote workMonday to FridayShift workHonorVet Technologies
United States1 day 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 States1 day ago - 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
...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, ME1 day ago
