Prior Authorization Specialist

Job Title: Prior Authorization Specialist Location: Fully Remote Duration: 12 months contract Job Description: The CD Representative II will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information...

A-Line Staffing is now hiring a Remote Prior Authorization Licensed Practical/Vocational Nurse ! The Remote Prior Authorization Licensed Practical/Vocational Nurse would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. Remote Prior Authorization Licensed Practical/Vocational Nurse ...

Job Title: Pharmacist I - Prior Authorization Location: 100% Remote (NC) Duration: 4 months (possible extension) Schedule: Monday- Friday 8:30 am – 5 pm EST Duties: · As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on...

A-Line Staffing is now hiring a Remote Prior Authorization Licensed Practical/Vocational Nurse ! The Remote Prior Authorization Licensed Practical/Vocational Nurse would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. Remote Prior Authorization Licensed Practical/Vocational Nurse ...

Description: This person will be responsible for pre-certifications for radiology services for oncology. These individuals will be utilizing physician and medical records and clinical documentation and need to have excellent communication skills as they will be communicating with clinical teams, patients and the pharmacy. They will provide clinical info to...

The Authorization Specialist works in collaboration with the Aveanna Healthcare clinical and administrative staff, patients, and insurance carriers to ensure optimal payment for the care Aveanna provides. This role is a remote hybrid position where y Authorization, Health, Specialist, Remote, Home, Insurance, Healthcare

Benefits Verification Specialist 100% Remote Pay: $23/hr Schedule: M-F 8:30am-5pm EST Estimated Start Date: July 29th 2024 Description: A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There...

Description: A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility...

Title: Benefit Verification Specialist Location: Remote Duration: 3+ month’s Working hours: 8:30am to 5:30pm EST or 10:30am – 7:30pm EST Note: Training shift timing Schedule - 8:30am – 5:30pm EST or 10:30am – 7:30pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for...

Title: Benefit Verification Specialist Location: Remote Duration: 3+ month’s Working hours: 8:30am to 5:30pm EST or 10:30am – 7:30pm EST Note: Training shift timing Schedule - 8:30am – 5:30pm EST or 10:30am – 7:30pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for...

Title: Patient Access Specialist Location: Remote Duration: 3+ month’s Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share...

Duration: 12+ months contract Job Description: As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate...

Duration: 12+ months contract Job Description: As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate...

Duration: 12+ months contract Job Description: As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate...

Description: A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the...

- This position is under the Procurement Line of Business of the Bank. The Senior Sourcing Specialist is expected to manage complex sourcing activities. These include but not limited to, statement of work, work authorization, change orders, renewals Sourcing, Specialist, Senior, Manager, Business Partner, Operations, Business Services

REMOTE Top Secret Required This program requires US Citizenship This position is part of the NOAA Cyber Security Center (NCSC) Security Operations Center (SOC) that executes 24x7 cybersecurity monitoring and incident response for NOAA networks. The Security Controls Assessor (SCA) executes cybersecurity assessments based on NIST SP-800-53...

REMOTE Top Secret Required This program requires US Citizenship This position is part of the NOAA Cyber Security Center (NCSC) Security Operations Center (SOC) that executes 24x7 cybersecurity monitoring and incident response for NOAA networks. The Security Controls Assessor (SCA) executes cybersecurity assessments based on NIST SP-800-53...

**ONLINE MERCHANDISING SPECIALIST** ON-SITE - 5 DAYS A WEEK **Job Duties**: - Plans for future merchandise needs for the website based on upcoming promotions in partnership with the Online Merchandising Team. - Inputs and maintains product data in various systems. - Works collaboratively with cross-functional teams in the organization to manage the...

Job DescriptionJob DescriptionAscensa Health is seeking an Electronic Health Records Specialist to support the clinical and utilization managers by tracking the flow of data and authorizations for services. Duties Include, but are not limited to:Tracking flow of CONNECTS authorizations and reporting information to Clinical and Utilization Managers.Monitoring...