prior authorization remote

Remote Raven is hiring a full-time Prior Authorization Coordinator to support a multi-location dermatology and skin cancer surgical group in Arizona. The practice provides medical dermatology, skin cancer detection and surgical treatment, aesthetics, and allergy services across several Arizona locations, and it performs a steady volume of scheduled surgical...

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage  the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...

Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers. As a Prior Authorization Specialist, you are responsible for obtaining pre-certifications and pre-authorizations for procedures and...

Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder)Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization ReviewRelevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not...

Job Summary: Reporting to the Clinical Director and working closely with the Clinical Team, this role plays a key part in ensuring the financial health of the organization. The position serves as a vital link between patients with mental health and/or substance use disorders and insurance providers, healthcare services, and billing operations. It is...

WE'RE HIRING: Senior Prior Authorization Specialist & Team Lead Remote | Full-Time | US Eastern Hours We're looking for an experienced Senior Prior Authorization Specialist & Team Lead to support behavioral and mental health practices with insurance verification and eligibility. Responsibilities:-Verify insurance eligibility and benefits-Review...

WE'RE HIRING: Senior Prior Authorization Specialist & Team Lead Remote | Full-Time | US Eastern Hours We're looking for an experienced Senior Prior Authorization Specialist & Team Lead to support behavioral and mental health practices with insurance verification and eligibility. Responsibilities:-Verify insurance eligibility and benefits-Review copays,...

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage  the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...

Prior Authorization, Verification and Eligibility Location: Bridgetowne, Quezon CityWork Setup: OnsiteSchedule: Night ShiftWe are looking for an experienced  Account Specialist team under Patient Access – Benefits & Authorization. Key Responsibilities: Supervise daily operations involving insurance verification, benefits review, package registration,...

Remote Raven is hiring a full-time Prior Authorization Coordinator to support a multi-location dermatology and skin cancer surgical group in Arizona. The practice provides medical dermatology, skin cancer detection and surgical treatment, aesthetics, and allergy services across several Arizona locations, and it performs a steady volume of scheduled surgical...

Team Lead Job Description RESPONSIBILITIES Managing the day-to-day activities of the team. Motivating the team to achieve organizational goals. Developing and implementing a timeline to achieve targets. Delegating tasks to team members Conducting training of team members to maximize their potential Empowering team members with skills to improve their...

Team Lead Job Description RESPONSIBILITIES Managing the day-to-day activities of the team. Motivating the team to achieve organizational goals. Developing and implementing a timeline to achieve targets. Delegating tasks to team members Conducting training of team members to maximize their potential Empowering team members with skills to improve...

Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers. As a Prior Authorization Specialist, you are responsible for obtaining pre-certifications and pre-authorizations for procedures and...

Healthcare Prior Authorization Coordinator Non-Clinical Work Set-up: Onsite - Potential to WFH after training Location: Valero, Makati CitySchedule: Graveyard | Shifting Hours Position Summary The Healthcare Prior Authorization Coordinator is responsible for providing administrative support to the Utilization Management (UM) department by coordinating...

PATIENT ACCESS - LEAD / SUPERVISOR Company: Confidential HiringLocation: Bridgetowne, Quezon CityWork Setup: OnsiteSchedule: Mid Shift We are looking for an experienced Patient Account Specialist Supervisor to oversee the daily operations, performance, quality, and development of the Account Specialist team under Patient Access – Benefits &...

Key Responsibilities:  Working within Epic and Surescripts ePA to process prior authorizations.  Working in Epic and CoverMyMeds as needed to process prior authorizations.  Communicating denials to clinic staff within Epic Telephone Encounter.  Maintaining quality standards and turnaround times.  Follow up on e-PA’s due to denials or...

We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between healthcare providers, patients, and insurance...

Responsibilities: Assist in the initiation of new prior authorization requests to providers Identify the correct prior authorization form required for the patient’s insurance provider Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms Follow up with medical offices to check the...

PATIENT ACCESS - LEAD / SUPERVISOR Company: Confidential HiringLocation: Bridgetowne, Quezon CityWork Setup: OnsiteSchedule: Mid Shift We are looking for an experienced Patient Account Specialist Supervisor to oversee the daily operations, performance, quality, and development of the Account Specialist team under Patient Access - Benefits &...

Winning Assistants LLC. seeks a Medical Virtual Assistant to support prior authorization and billing tasks for a U.S.-based mobile primary and palliative care practice.This full-time, remote role follows a Monday–Friday 8:00 AM–5:00 PM MDT schedule with breaks; pay is 5–6 USD per hour. You will manage prior authorizations in Athena EHR, assist with...