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Typical pay range: $21.54 - $29.08 hourly, varies on experience.
Surgical Specialist - Remote/Hybrid - Redmond, Oregon
Job Description
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Prior Authorizations and Referral Management Representative
REPORTS TO POSITION: Clinic Manager
DEPARTMENT: St Charles Medical Group
DA...

Typical pay range: $21.54 - $29.08 hourly, varies on experience.
Gastroenterology Clinic - Remote Hybrid, Bend - Oregon
T. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Prior Authorizations and Referral Management Representative
REPORTS TO POSITION: Clinic Manager
DEPARTMENT: St Charles Medical Group
DATE LAST REVIEWED: ...

Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Accountable to obtain prior authorization for medications. Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, de...

The Pharmacy Technician position is a dynamic position responsible for the intake and review of prior authorization requests for medications requested under the medical benefit. The Pharmacy Technician is responsible for approval decisions/denial recommendations based on predetermined clinical criteria, updates to units requested, decision notification for members and providers, establishing go...

Job Description
Perform duties to assist in all clinical functions of the prior authorization required to access drug benefits. Facilitate efforts in the review of clinical documentation and appropriate drug selection to aid in procurement of drug authorizations, working within the limits of standard or accepted practice. Demonstrate the company's core values of respect, honesty, integrity, div...

Funding Coodinator
Insurance Verification/Order Processing
Remote, United States • ID: 13088-128 • Full-Time/Regular
Why Numotion?
By joining Numotion, you will be a part of the nation’s leading provider of Complex Rehabilitation Technology. Numotion is helping thousands of people with individually configured, medically necessary mobility products and services. From manu...

Funding Coordinator
Insurance Verification/Order Processing
Remote, United States • ID: 13160-128 • Full-Time/Regular
Pay Range: $18/HR- $20/HR. Exact compensation may vary based on skills, experience, and location.
Why Numotion?
By joining Numotion, you will be a part of the nation’s leading provider of Complex Rehabilitation Technology. Numotion is helping thousands o...

Become a part of our caring community and help us put health first
Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...

Overview
Part Time Mon - Fri
20 hours/week
Fully Remote
Reporting to RCM Manager, Revenue Integrity Specialist is primarily responsible for maximizing reimbursement through monitoring and analyzing the charging policies and practices for all clinical departments. The professional in this role is also responsible for communicating the charging policies and practices knowledge to both clinica...

Extraordinary Care. Extraordinary Careers.
With the nation's largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acu...

Exemption Status:
United States of America (Non-Exempt)
$104,341 - $146,599 - $188,857
"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and ben...

Care Manager (Medical Billing/Insurance - Patient Support)
MUST BE ABLE TO WORK THE 11:30am - 8:00pm ET SHIFT
Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status. This is a remote position with option to work in the Durham...

Extraordinary Careers. Endless Possibilities.
With the nation’s largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients wit...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Job Summary:
This position is responsible for receiving verbal and written request for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescri...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Job Summary:
This position is responsible for receiving verbal and written request for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescript...

$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a cultu...

Care Manager (Medical Billing/Insurance - Patient Support)
MUST BE ABLE TO WORK THE 11:30am - 8:00pm ET SHIFT
Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status. This is a remote position with option to work in the ...

We are seeking a highly motivated individual to be a part of our Documentation and Insurance Verification team. This role will be responsible to collect provide day-to-day guidance to this small team (5 staff members) while also becoming an expert in performing insurance verifications and chasing documentation requirements for Durable Medical Equipment (DME) orders for urology, ostomy, wound ca...

Job Details
Job Location
Remote - North Carolina - North Carolina
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Travel Percentage
None
Job Shift
Day
Description
This is a fully remote position and candidates MUST reside within the State of Georgia.
Schedules available in Eastern and Central time zones!
Available Work Schedules
Monday - Friday with the possibility ...

Job Details
Job Location
Remote - Texas - Texas
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Travel Percentage
None
Job Shift
Day
Description
This is a fully remote position and candidates MUST reside within the State of Texas.
Schedules available in Eastern, Central, Mountain time zones!
Available Work Schedules
Monday - Friday with the possibility of a floating...