406 Ventures is seeking a Prior Authorization Workflow Analyst to play a critical role in customer implementation processes at Humata Health. The position can be remote or hybrid, based in Orlando ...
406 Ventures is seeking a Prior Authorization Workflow Analyst to play a critical role in customer implementation processes at Humata Health. The position can be remote or hybrid, based in Orlando ...
406 Ventures is seeking a Prior Authorization Workflow Analyst to play a critical role in customer implementation processes at Humata Health. The position can be remote or hybrid, based in Orlando ...
406 Ventures is seeking a Prior Authorization Workflow Analyst to play a critical role in customer implementation processes at Humata Health. The position can be remote or hybrid, based in Orlando ...
Prior Authorization Workflow Analyst
Orlando, FL · On-site +1
Location Remote | US Employment Type Full time Location Type Remote Department Customer Delivery What we're looking for: The Prior Authorization Workflow Analyst plays a critical role in Humata ...
Prior Authorization Workflow Analyst
Orlando, FL · On-site +1
Location Remote | US Employment Type Full time Location Type Remote Department Customer Delivery What we're looking for: The Prior Authorization Workflow Analyst plays a critical role in Humata ...
Prior Authorization Workflow Analyst
Orlando, FL · On-site +1
Location Remote | US Employment Type Full time Location Type Remote Department Customer Delivery What we're looking for: The Prior Authorization Workflow Analyst plays a critical role in Humata ...
Prior Authorization Workflow Analyst
Orlando, FL · On-site +1
Location Remote | US Employment Type Full time Location Type Remote Department Customer Delivery What we're looking for: The Prior Authorization Workflow Analyst plays a critical role in Humata ...
... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
Referral & Authorization Care Coordinator
Miami, FL · Remote
$47K - $52K/yr
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to ... Remote-first -- work from home anywhere within our approved states * Growth: Tailored professional ...
Quick apply
Referral & Authorization Care Coordinator
Miami, FL · Remote
$47K - $52K/yr
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to ... Remote-first -- work from home anywhere within our approved states * Growth: Tailored professional ...
Authorization and Referral Specialist - Radiation Oncology
Tampa, FL · Remote
$17 - $22.75/hr
Essential Duties and Responsibilities Insurance Authorization Management Obtain prior ... Proficiency with remote access technologies, virtual private networks (VPNs), electronic medical ...
Authorization and Referral Specialist - Radiation Oncology
Tampa, FL · Remote
$17 - $22.75/hr
Essential Duties and Responsibilities Insurance Authorization Management Obtain prior ... Proficiency with remote access technologies, virtual private networks (VPNs), electronic medical ...
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses ... prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL ...
Quick apply
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses ... prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL ...
Utilization Management Rep I (contract)
Tampa, FL · Remote
$35K - $40K/yr
Prior authorization, claims, or insurance experience. * Strong communication, customer service, and ... The position is remote. The training will be onsite in the Tampa office for 1-2 weeks. * 5411 Sky ...
Utilization Management Rep I (contract)
Tampa, FL · Remote
$35K - $40K/yr
Prior authorization, claims, or insurance experience. * Strong communication, customer service, and ... The position is remote. The training will be onsite in the Tampa office for 1-2 weeks. * 5411 Sky ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Tampa, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Tampa, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Orlando, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Orlando, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Saint Petersburg, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Saint Petersburg, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Jacksonville, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Jacksonville, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Miami, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE
Miami, FL · Remote
$26.41 - $51.49/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors, and ...
Care Review Clinician (RN) - Remote in FL
Orlando, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Orlando, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Saint Petersburg, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Saint Petersburg, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Miami, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Miami, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Tampa, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Tampa, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Jacksonville, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Care Review Clinician (RN) - Remote in FL
Jacksonville, FL · Remote
$26.41 - $43/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Remote Cigna Prior Authorization information
What is the difference between Remote Cigna Prior Authorization vs Remote Cigna Claims Specialist?
| Aspect | Remote Cigna Prior Authorization | Remote Cigna Claims Specialist |
|---|---|---|
| Primary Role | Reviewing and approving prior authorization requests for medical services | Processing and reviewing insurance claims for reimbursement |
| Required Credentials | Healthcare knowledge, insurance policies, possibly medical background | Insurance knowledge, claims processing experience, attention to detail |
| Work Environment | Remote, healthcare insurance setting | Remote, insurance claims processing environment |
| Industry Usage | Healthcare insurance companies, providers | Insurance companies, third-party administrators |
Remote Cigna Prior Authorization specialists focus on evaluating requests for medical services before approval, ensuring compliance with policies. In contrast, Remote Cigna Claims Specialists handle the processing and review of claims after services are rendered. Both roles require insurance knowledge and often work remotely within the healthcare insurance industry, but their core responsibilities differ significantly.

Full-time
This job post has expired today. Applications are no longer accepted.
Job description
406 Ventures is seeking a Prior Authorization Workflow Analyst to play a critical role in customer implementation processes at Humata Health. The position can be remote or hybrid, based in Orlando, Florida. You will collaborate with hospital staff to optimize workflows and ensure alignment with Humata's automation platform. Ideal candidates hold a Bachelor's degree and have a minimum of three years' experience in Prior Authorization. Strong analytical skills and experience with Epic systems are required. Enjoy a competitive salary, comprehensive benefits, and a flexible work environment. #J-18808-Ljbffr
About .406 Ventures
Sourced by ZipRecruiter
Industry
Investment clubs and venture capital companies
Company size
1 - 10 Employees
Headquarters location
Boston, MA, US
Year founded
2005