- Family Allergy & Asthma (Louisville, KY)
- …Friday 8:30am-5:00pm Hybrid : TRAINING WILL BE HELD IN OFFICE THEN WILL RESUME REMOTE THEREAFTER. The Prior Authorization Coordinator is responsible for ... Job Type Full-time Description Title: Prior Authorization Coordinator Schedule: Full Time/ Monday -… more
- Triton Medical Solutions (Tempe, AZ)
- …update information to avoid claim processing issues with the insurer. Determine if prior authorization and/or gap exception is required for ordered services. ... appropriate clinical documentation is available and complete before submitting the prior authorization and/or gap exception. Send clinical documentation to… more
- Actalent (Houston, TX)
- …pharmacy or healthcare insurance setting Strong understanding of insurance processes and prior authorization workflows Excellent computer skills and ability to ... Remote Pharmacy Technician - Insurance & Coverage Determination Specialist Location: Remote (US Based) Job Type: Full-Time Schedule: Monday-Friday, Rotating… more
- New Jersey Courts (Cherry Hill, NJ)
- …: ISP Cherry Hill Regional Office, NJ Job Type: Full Time Remote Employment: Flexible/Hybrid Job Number: 2025-11750 Central Office/Vicinage: Central Office Division: ... or the minimum salary of the band/level, whichever is greater.Judiciary employees hired prior to August 21, 2014, are considered Schedule A. Newly hired individuals,… more
- ResCare Community Living (Charlotte, NC)
- … authorization of payroll actions and Validates/organizes payroll checks prior to distribution Inputs employee work schedules into workforce timekeeper system ... Provides support during open enrollment process, Serves as a benefits specialist for employee populations, Addresses benefits questions as needed, and Processes… more
- Marshfield Clinic (Minocqua, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Authorization Specialist ( Remote in Wisconsin & Michigan) **Cost Center:** ... and Michigan residents only eligible to apply**_** **JOB SUMMARY** The Authorization Specialist is a healthcare professional responsible for reviewing… more
- Select Medical (Columbus, OH)
- …Recovery Hospital & Acute Inpatient Rehabilitation Hospitals **Payor Relations Specialist / Prior Authorization Specialist ** **( RN , LPN )** **This ... position is remote . Must work on an 8 am - 5...ID** _335333_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- TEKsystems (Des Moines, IA)
- Description This team is 100% remote and looking for candidates with prior authorization experience, experience working major insurance and web portals, and ... provider locations in the state of Iowa with their prior authorization work. Candidates can sit anywhere...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Cognizant (Minot, ND)
- **Pre- Authorization Specialist ** This is a remote position open to any qualified applicant in the United States. **Job Overview:** Cognizant is looking to ... add a Pre- Authorization Specialist to our growing patient service... is to verify benefit eligibility, review/summarize orders, acquire prior authorization (s) and partner with respective Sales… more
- 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
- RTX Corporation (Frankfort, KY)
- **Date Posted:** 2025-07-18 **Country:** United States of America **Location:** RKY99: RTN Remote , Kentucky **Position Role Type:** Remote **U.S. Citizen, US ... secure world. We have an outstanding career opportunity for a **Principal Specialist , Global Trade** who will own and support certain export/import licensing and… more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- Prime Therapeutics (Salem, OR)
- … - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Sharecare (Atlanta, GA)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Sharecare (Columbus, OH)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... wage requirements** **.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient-benefit- specialist -- remote /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_… more
- Banner Health (Tucson, AZ)
- …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... employment, criminal and education) are required. **This is a Hybrid/ Remote position . You MUST live in Tucson or...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior… more
- Dudek (Phoenix, AZ)
- Location(s): Remote Practice/Department: Marketing Internal Title: Proposal Specialist III Work Environment: Remote Compensation: $86,000 - $95,000* Dudek's ... focused on shaping sustainable natural and urban environments. Our ideal proposal specialist has strong proposal writing and communication skills and knowledge of… more
- City and County of San Francisco (San Francisco, CA)
- …and letters. 4. Determine urgent needs that requires home care service to start prior to IHSS authorization . 5. Evaluate applicant's ability to manage own care ... like in action. Under direction, the 2916 Social Work Specialist performs a variety of specialized duties in support...the minimum qualifications will be invited to take a remote multiple-choice exam. The exam is designed to measure… more
