Manage prior authorization requests and coordinate specialty medication processes for a fully remote healthcare team.
Act as a liaison between pharmacies, prescribers, members, and vendors to resolve complex medication-related issues.
Support single case agreements, member financial assistance, and compliance with contractual and regulatory requirements.
The hiring company is a healthcare organization that administers specialty pharmacy and medical benefit programs. It operates fully remotely, fostering a collaborative and customer-focused culture that prioritizes compliance, member support, and process improvement.
Manage end-to-end case activities for insurance verification, authorization, and reimbursement.
Serve as the single point of contact among patients, providers, payors, and internal teams.
Prioritize competing demands to ensure timely patient access to therapy.
PRO-Spectus supports patient services programs by navigating patient access from benefit verification through claims and reimbursement resolution. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives.
Oversee daily operations of the Central Infusion Referral Center, managing referrals, prior authorizations, and intake processes.
Lead and develop a team while performing intake coordinator duties at least 50% of the time.
Drive performance improvement initiatives and ensure compliance with payer requirements and accreditation standards.
UnityPoint Health is a healthcare system delivering comprehensive care, including infusion therapy, across Iowa, Illinois, and Wisconsin. It is recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging, employee recognition, and professional development.
Manage prior authorization requests, reviewing clinical documentation and verifying ICD-10 and CPT codes.
Submit requests via payer portals, monitor pending cases, and follow up with insurers.
Investigate denials, prepare appeals, and coordinate with providers to prevent care delays.
Jobgether is an AI-powered job platform that matches candidates with relevant opportunities through objective review processes. It focuses on efficient recruitment and data privacy, using technology to support hiring decisions.
Help members navigate US health insurance, including billing questions, denied claims, and appeals.
Coordinate with providers, insurers, and members to resolve coverage issues and prior authorizations.
Translate complex insurance benefits into clear guidance and identify trends to improve the member experience.
This company provides a global safety net for remote workers, offering health, income, and travel coverage. It operates as a remote-first organization with a culture of empathy, integrity, and a mission to improve access to healthcare worldwide.
Manage referral workflows from intake through closure, ensuring accurate and efficient progress.
Coordinate the full prior authorization lifecycle including submission, tracking, follow-up, and appeals.
Facilitate patient scheduling and care coordination across providers, clinics, specialists, and payers.
Indigenous Pact is committed to improving access to quality healthcare services through innovative, patient-centered care coordination. They are an equal opportunity employer dedicated to fostering an inclusive and barrier-free work environment.
Prepare, review, and submit accurate prior authorization requests to PBMs and health plans for anti-obesity medications.
Act as an escalation point to resolve complex coverage inquiries from Medical Providers, Member Services, and Client Success.
Maintain HIPAA compliance and accurately document hours using designated ADP pay codes.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies and fosters a diverse, inclusive culture.