Click to search for jobs

Job Details
Job Location: C9990 - Sugar Land, TX Salary Range: Undisclosed
Description
Healix Infusion Therapy is seeking a full-time, remote Prior Authorization Specialist to join our Corporate Clinical Review Team.
As a Prior Authorization Specialist with Healix, you will have the opportunity to work as a key member of the Clinical Review Team to review referrals for payor criteri...

Job Title: Prior Authorization Specialist
Location: Fully remote
Duration: 12 months contract
Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documenta...

About DrFirst
Here is a remarkable chance for you to join a thriving Healthcare IT company with established products, prestigious clients, substantial revenue, blue-chip institutional investors, and continuous growth. At DrFirst, you will collaborate with brilliant minds, tackling unique healthcare challenges on an unprecedented scale. Our culture is entrepreneurial, collaborative, and fast-pac...

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and geno...

About Capsule
Capsule is a new kind of pharmacy. One that is smarter, friendlier, faster, and hand-delivers your medication, same-day, for free. We have a national presence and have raised over $500MM from the best healthcare and technology investors in the world. People succeed in our culture when they are intensely focused on our customers, are energized by accomplishing ambitious goals, and ...

About Us
Osmind is a technology, services, and data company focused exclusively on psychiatry. Mental health disorders are one of the leading causes of death worldwide and are tied to shortening lifespans. Yet, we have cause for hope: there have been developments in new psychiatric medications since the first FDA approval in 1954, such as new treatments like ketamine, Spravato, and neuromodulat...

Position: Prior Authorization Specialist I
Department: Patient Access Services
Schedule: Full Time; 40-hours/week
This position requires the first 3 weeks of training on-site at Crown Colony Office Park in Quincy MA.
POSITION SUMMARY:
This position can support Boston Medical Center Heath System departments at BMC, Good Samaritan, and St Elizabeth’s Hospitals.
This position works out o...

Position: Prior Authorization Specialist I
Department: Patient Access Services
Schedule: Part Time; 24-hours/week
This position requires the first 3 weeks of training on-site at Crown Colony Office Park in Quincy MA.
POSITION SUMMARY:
This position can support Boston Medical Center Heath System departments at BMC, Good Samaritan, and St Elizabeth’s Hospitals.
This position works out o...

Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documentation of reviews.
* Transfers all clinical questions, escalations and judgement calls to the phar...

Job Details
Job Location: Amberwell Atchison - Atchison, KS Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: Periodic - As Needed Job Shift: 8 Hour Day Job Category: Patient Finance
Description
The Scheduling Clerk will be the healthcare access representative to patients and/or providers utilizing positive public relati...

Job Details
Job Location
Amberwell Atchison - Atchison, KS
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Travel Percentage
Periodic - As Needed
Job Shift
8 Hour Day
Job Category
Patient Finance
Description
The Scheduling Clerk will be the healthcare access representative to patients and/or providers utilizing positive public relations skills when scheduling patien...

Company Description
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. G...

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!
Job Title:
Authorization Specialist (Remote in Wisconsin/Michigan)
Cost Center:
101651135 Insurance Verification
Scheduled Weekly Hours:
40
Employee Type:
Regular
Work Shift:
Mon-Fri; day shifts (United States of America)
Job Description:
**Wisconsin and Michigan residents only e...

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!
Job Title:
Authorization Specialist (Remote in Wisconsin/Michigan)
Cost Center:
101651135 Insurance Verification
Scheduled Weekly Hours:
40
Employee Type:
Regular
Work Shift:
Mon-Fri; day shifts (United States of America)
Job Description:
**Wisconsin and Michigan res...

Job Description Reimbursement Specialist Description POSITION SUMMARY: Under the general supervision of the operational program leadership, the Reimbursement Specialist is responsible for various reimbursement functions, including but not limited to benefit investigations, prior authorization support, and call triage. The Reimbursement Specialist responds to all provider acco...

Description
The Authorizations Specialist is responsible for obtaining and applying all required authorizations, enabling the appropriate compensation for medical claims. Confirms patients' insurance eligibility while obtaining authorization. The specialist acts as a liaison between referring physicians' offices, case managers, adjusters, and social workers to obtain required authorizations. Ho...

About Children’s Minnesota Children’s Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children’s Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospit...

Welcome to Montage Health’s application process!
Job Description:
Position Summary
The Clinical Pharmacy Specialist will perform duties in the following areas across all lines of business, including Utilization Management, Formulary Support, Appeals and Grievances, and Audit and Reporting Support to support the pharmacy team.
This position will perform duties reviewing coverage for medicatio...

Welcome to Montage Health's application process!
Job Description:
Position Summary
The Clinical Pharmacy Specialist will perform duties in the following areas across all lines of business, including Utilization Management, Formulary Support, Appeals and Grievances, and Audit and Reporting Support to support the pharmacy team.
This position will perform duties reviewing coverage for medications ...

The Population Health Specialist II processes Network Health authorization requests in accordance with established guidelines and triages authorization workflow. This role assists with Case Management assignment of candidates and operational support, and with supporting and monitoring compliance with CMS/Federal regulatory and NCQA standards related to the authorization processes. This role pro...