• Clinical Review Nurse - Prior Authorization

    Actalent (Columbus, OH)
    Authorization Specialist * REMOTE & MUST LIVE...AM to 5 PM. No overtime is required. Pay and Benefits The pay range for this position is $36.00 - ... A PHONE INTERVIEW: 419. 980. 5823 Job Description The Authorization Specialist will perform medical necessity and...Compact State Licensure required Work Environment This position is remote , based in Ohio, with working hours from 8… more
    Actalent (06/19/25)
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  • Bilingual Pre- Authorization

    Cognizant (Minot, ND)
    **Bilingual Pre- Authorization Specialist ** This is a remote position open to any qualified applicant in the United States. **Job Overview:** Cognizant is ... growing patient service team. The main function of the Pre- Authorization Specialist is to verify benefit...calls from health insurance companies to verify eligibility and benefits + Acquire medical chart notes from reps/ thru… more
    Cognizant (06/21/25)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... leadership team. + Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or lines of business… more
    US Tech Solutions (05/08/25)
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  • Central Authorization Specialist II

    BayCare Health System (Clearwater, FL)
    …to 4:30 PM + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following onsite training) position. ... team member will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
    BayCare Health System (06/04/25)
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  • Central Authorization Specialist II…

    BayCare Health System (Clearwater, FL)
    …8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non- benefit eligible** ) remote ... (after training, the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
    BayCare Health System (06/18/25)
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  • Prior Authorization Specialist

    Select Medical (Peoria, AZ)
    …Hospitals** A joint venture with Select Medical & Banner Health Peoria, AZ **Prior Authorization Specialist ( RN or LPN ) - Part-Time Weekends** **This is ... a Remote position** **This position will work every Saturday and..._330974_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street… more
    Select Medical (05/31/25)
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  • Healthcare Insurance Authorization

    CenterWell (Jefferson City, MO)
    …**The shift is Monday-Friday, 6am-2:30pm CT/7am-3:30pm ET.** As a **Healthcare Insurance Authorization Specialist ** , you will be responsible for: + Daily ... facility partners + Prepare, submit and follow up on authorization and re- authorization requests according to applicable...HIPAA information. **CenterWell Home Health offers a variety of benefits to promote the best health and well-being of… more
    CenterWell (06/13/25)
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  • Infusion Authorization Specialist

    St. Luke's Health System (Boise, ID)
    …includes, but is not limited to, patient registration, referral coordination, complex benefit verification, prior authorization and appeals, and responding to ... from patients, providers, and the public. **_This is a remote position that will require 6 weeks training in...workflows with accuracy, efficiency, and attention to detail: + Benefit Verification + Complex Pre- Authorization + Referral… more
    St. Luke's Health System (06/11/25)
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  • Medicaid Authorization Revenue Cycle…

    Genesis Healthcare (NM)
    …the communities we serve. Responsibilities Bring your financial savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and ... maintain your assigned nursing centers' Clinical Eligibility Medicaid Authorization tracking log to obtain valid authorizations for billing and collections to… more
    Genesis Healthcare (05/23/25)
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  • Principal Specialist , Authorizations…

    RTX Corporation (Cedar Rapids, IA)
    …and the export and import of products, services and technical data. As an Authorization Specialist , you will be working with Authorization Management, ... Rd NE , Cedar Rapids, IA, 52498-0505 USA **Position Role Type:** Remote **U.S. Citizen, US Person, or Immigration Status Requirements:** **Security Clearance:**… more
    RTX Corporation (06/18/25)
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  • Patient Benefit Specialist

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …**.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient- benefit - specialist -- remote ... for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in TherigySTM +… more
    KPH Healthcare Services, Inc. (06/12/25)
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  • Lead Field Services Specialist - In Vessel…

    GE Vernova (Wilmington, NC)
    **Job Description Summary** The Lead Field Services Specialist - In Vessel Visual Inspection (IVVI) Level III will be responsible for the review and acceptance of ... schedule. **Job Description** **Essential Responsibilities:** As the Lead Field Services Specialist , IVVI Level III, you will: + Generate Indication Notification… more
    GE Vernova (06/20/25)
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  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Salem, OR)
    …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of ... authorization outcomes in pharmacy system. + Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to… more
    Prime Therapeutics (06/25/25)
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  • Global Trade Authorizations Specialist

    RTX Corporation (Hartford, CT)
    …have an exciting ** remote ** opportunity for a **Glo** **bal Trade Authorizations Specialist ** working as part of our P&W GTRM (Legal GT) GT Authorizations Team. ... **Date Posted:** 2025-06-18 **Country:** United States of America **Location:** PW208: Connecticut Remote Remote Location , Remote City, CT, 06035 USA… more
    RTX Corporation (06/19/25)
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  • Field Services Specialist - Overwatch…

    GE Vernova (Wilmington, NC)
    **Job Description Summary** The Field Services Specialist for Overwatch will be the responsible subject matter expert "SME" focused on tooling fabrication, ... is at the GEH Headquarters in Wilmington, NC; but highly qualified (US based) remote candidates will be considered. + This position requires frequent travel (70% of… more
    GE Vernova (06/21/25)
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  • Sr. Marketing Specialist - Patient…

    Medtronic (Mounds View, MN)
    …(PCS) portfolio. We are hiring a passionate, fast-paced, and strategic **Marketing Specialist ** to lead the creation and execution of marketing plans to effectively ... communicate the value of Medtronic's Remote Monitor portfolio to patients, clinicians, and our field-based...patients, clinicians, and our field-based teams. The Senior Marketing Specialist will partner with PCS product managers and sales… more
    Medtronic (06/19/25)
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  • Utilization Management Specialist - Denials…

    Penn Medicine (Lancaster, PA)
    …living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical records to determine ... billing. Work with Financial Clearance and Accounts Receivable to follow up on authorization related denials. + Facilitate Peer to Peer appeal processes and complete… more
    Penn Medicine (05/01/25)
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  • RACF Specialist - Remote

    Axxum Technologies (Mclean, VA)
    RACF Specialist - Remote Resource Access Control Facility (RACF) is a security program that serves as a component of the Security Server for the z/OS operating ... with a password phrase, digital certificate, Kerberos ticket, or a PassTicket. Authorization : RACF authorizes users to access protected resources based on the… more
    Axxum Technologies (06/26/25)
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  • Intake Specialist , Michigan…

    McLaren Health Care (Flint, MI)
    … for providers. **This position is currently fully remote .** **Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** **\#LI-AK1** **Qualifications:** ... We are looking for a Intake Specialist , to join us in leading our organization...Summary:** Responsible for the intake of information regarding the authorization of services for members of all product lines,… more
    McLaren Health Care (06/25/25)
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  • Patient Registration Specialist - Specialty…

    Option Care Health (Charleston, WV)
    …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... partners feel Option Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to prepare patients for OCH… more
    Option Care Health (06/25/25)
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