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Job Summary
We are seeking a detail-oriented and experienced Billing Clerk to join our healthcare team. The ideal candidate will be responsible for managing medical billing processes, ensuring accurate coding, and maintaining comprehensive medical records. This role requires strong knowledge of medical billing procedures, coding systems, and electronic health record (EHR) systems to facilitate ...

POSITION SUMMARY :
Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare deli...

Prior Authorization Specialist (Remote - Select States Only)
TRA Medical Imaging
Remote | Full-Time | Monday-Friday | $19.27-$22.93 per hour
Applicants must reside in one of the following states to be considered:
Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington.
TRA Medical Imaging is seeking an experienced Prior Authorization Specialist with strong knowledge of radi...

Company
Lumicera
About Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity....

Job Description
UW Medicine Primary Care - Prior Authorization Team has an outstanding opportunity for a Patient Services Specialist 2- Prior Authorization Specialist.
WORK SCHEDULE
* Full-time, 100% FTE (40 hours per week)
* Monday - Friday; 8am-5pm
* Day Shift
DEPARTMENT DESCRIPTION
Conveniently located along I-5 near the Northgate Transit Center, UW Medicine Primary Care at North...

We are seeking a detail-oriented and motivated Prior Authorization Specialist to join our team in a fully remote capacity, on a temporary basis. This role is critical to the revenue cycle, ensuring that insurance authorizations, benefits, and price estimates are accurately secured before patients receive care.
You will be part of a dynamic team supporting five facilities across multiple specia...

Pay: $21.56 - $24.57 per hour
Job description:
We are seeking a highly organized and detail-oriented Revenue Cycle Specialist to manage the full lifecycle of healthcare claims-from documentation review and coding to claim submission, denial management, and payment reconciliation.
The ideal candidate has strong experience with Medicaid billing, ICD/CPT coding, claim documentation, and resolving ...

POSITION SUMMARY:
Reporting to the Drug Authorization Supervisor, the Drug Authorization Specialist is responsible for independently managing all work related to drug authorizations for all injectable drug treatment plans ordered by Dana Farber Cancer Institute providers.
Working in a fast-paced, high-volume, dynamic environment, the Drug Authorization Specialist will demonstrate strong underst...

The Financial Clearance Specialist serves as a patient liaison for pre-service financial clearance at Dana-Farber Cancer Institute (DFCI) and engagement throughout the patient's financial experience. Reporting to, and under close direction of, the Access & Financial Engagement Supervisor, the Financial Clearance Specialist is responsible for managing all work related to financial clearance of n...

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Specialty home infusion experience required, and must be able to work 8:30am-5pm or later in Central Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time...

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Specialty home infusion experience required and must be able to work 8:30a-5p Pacific Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time Off
* Grea...

Job Purpose
Serves as a staff member in the Pupil Services Department. Provides support to Resource Specialist Teachers and assists assigned schools with IEP compliance.
Work Days
203 work days
Responsible to
* Director
* CEO
Functions
Essential Functions
* Provides guidance, assistance, and technical support to Resource Specialist Teachers, including
* but not limited to: ins...

Top Healthcare Provider Network
The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors' practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specia...

Our Company
PharMerica
Overview
Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
The Revenue Cy...

Top Healthcare Provider Network
The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors' practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specia...

This role is a remote role. The employee may reside anywhere in the United States.
The Patient Access Senior Specialist serves as a senior reimbursement expert responsible for managing the most complex insurance cases related to coverage of the Leva Pelvic Health System.
This role focuses on advanced appeals, payer escalation strategies, and Independent Review Organization (IRO) submissions. Th...

Job Type
Full-time
Description
Job Overview
We are seeking a detail-oriented and analytical financial reporting & billing/collections specialist to manage the full cycle of billing operations, from insurance verification and prior authorization to accounts receivable, collections, and financial reporting. The ideal candidate ensures accurate financial records, timely collections, and complianc...

Practice Specialist
Location: Remote (Massachusetts-based)
Department: Healthcare Operations
Reports To: COO
Schedule: Full-time
Spanish fluency required
About Ladder Health
Ladder Health is reimagining early childhood developmental care by delivering proactive, holistic, and family-centered support for children with or at risk of developmental delays. Built in collaboration with Boston Childre...

Overview
Scope of Responsibilities: Assist with the day-to-day operations of the clinical department of ProAct. Works under direct supervision and follows standard procedures to accomplish assigned tasks.
Job Summary: Responsibility for assisting with the prior authorization process and with tasks to meet the clinical needs of ProAct clients and members. Works closely with Clinical Services Spe...

* 2+ years prior authorization experience required.
Job Summary
The Clinical Support Specialist is responsible for completing prior authorizations and supporting all aspects of the PA process, including documentation, expedited reviews, appeals, and cross-functional coordination. This role is accountable for meeting established KPIs (e.g., turnaround time, completion rate, approval ratio), p...