- Williams Adley (Washington, DC)
- …Description: Williams Adley is seeking a highly motivated and experienced Recruiting Specialist to support our mission of attracting top-tier talent in a dynamic ... contracting environment. Reporting to the Human Resources Senior Manager, the Recruiting Specialist will manage the whole lifecycle of the recruitment process for… more
- PharmaCord (Cincinnati, OH)
- …consecutive years of experience in relevant field. Certification examples include PACS ( Prior Authorization Certified Specialist ), CHES (Certified Health ... and communicates patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary exclusions. Serves… more
- PharmaCord (Jeffersonville, IN)
- …6 months customer service experience, payer benefits experience (reimbursement, prior authorization , etc.), healthcare industry experience or healthcare ... When you join the team as the Customer Care Specialist , you'll have the opportunity to make a difference...6 months, or 1 year within a client-facing role, prior to being considered eligible for lateral or promotion… more
- Cordis (Irvine, CA)
- …that address unmet and critical medical needs. **Responsibilities** The **Field Specialist , Clinical Research** position that provides case support to physicians ... 3 years' experience working directly with physicians and healthcare professionals + Prior experience with clinical trials (preferred) + Experience in coronary or… more
- New England Cancer Specialists (Westbrook, ME)
- Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Remote Prior Authorization Specialist . This position will join a ... extraordinary professional care and customer service to our customers. The Prior Authorization Specialist will handle non-clinical administrative aspects of… more
- BrightSpring Health Services (New Hyde Park, NY)
- …prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: ( Remote )Monday - Friday8:30am - ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- … Type Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE Polaris ... Prior Authorization Technician - Remote ... Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for… 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
- US Tech Solutions (May, OK)
- …providers, and others, delivering professional phone support through the criteria-based prior authorization process. Responsibilities include accurate and timely ... **Location:** ** Remote ** **Duration: 06 months contract** **Position Summary** +...Responsibilities** + Handle in-bound calls professionally, providing assistance per prior authorization guidelines + Maintain complete, accurate,… more
- BayCare Health System (Clearwater, FL)
- …8:00am - 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require on-site training ... will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying.../or Managed Care experience + Highly Preferred - Infusion prior authorization + Highly Preferred - Oncology… more
- Robert Half Accountemps (Houston, TX)
- … Specialist to join our in-person team. This is not a remote opportunity-the Patient Financial Authorization Specialist will work Monday through ... Description Are you an experienced Patient Financial Authorization Specialist looking to make a...efficient manner + Provide accurate cost estimates to patients prior to the start of treatment + Scrub the… more
- TEKsystems (Daytona Beach, FL)
- Program Specialist REMOTE Pay Rate: $21/hr Schedule: Ranges M-F 8am-8:30pm EST Anticipated Start Date: 12/1/2025 End Date: 3/31/2026 Contract length: 4 months ... health care, insurance, patient access, medical terminology, patient registration, prior authorization , inbound call, administrative support, customer service,… 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
- Koniag Government Services (Chantilly, VA)
- …Solutions, LLC,** a Koniag Government Services company, is seeking an ICAM Security Specialist with a Secret clearance to support KDS and our government customer. ... This is a remote opportunity. We offer competitive compensation and an extraordinary...more. Koniag Data Solutions is seeking a dedicated Security Specialist to support our Program Management Office (PMO) in… more
- Medtronic (Lafayette, CO)
- …portfolio positioning, launch execution, or commercial program development + Experience in remote monitoring, digital health, or analytics + Prior experience ... HealthCast (TM) portfolio delivers intelligent patient monitoring through wearables, remote monitoring, analytics, and connectivity solutions. As the global… more
- Sharecare (Austin, TX)
- …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
- Sharecare (Oklahoma City, OK)
- …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
- 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
- Henry Ford Health System (Rochester Hills, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... benefits including a fresh perspective on workplace flexibility. * ** Remote based position anywhere in the United States, must...of a prior authorization request + Thoroughly researches issues… more
