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Remote Medical Authorization Jobs in Raleigh, NC

Medical, dental, vision plans, disability, and life insurance coverage for you and your family that ... For global locations, you must have established and current work authorization and permanently ...

Security Program Manager (Remote)

Durham, NC ยท Remote

$124K - $151K/yr

... authorization, and provisioning Maintain clear documentation in tools such as Confluence and Jira ... innovative medical treatments to help improve patient outcomes and population health worldwide.

New

Security Program Manager (Remote)

Durham, NC ยท Remote

$124K - $151K/yr

... authorization, and provisioning Maintain clear documentation in tools such as Confluence and Jira ... innovative medical treatments to help improve patient outcomes and population health worldwide.

New

Security Program Manager (Remote)

Durham, NC ยท On-site +1

$124K - $151K/yr

... authorization, and provisioning โ€ข Maintain clear documentation in tools such as Confluence and ... innovative medical treatments to help improve patient outcomes and population health worldwide.

New

Psychiatrist - Part Time/Full Time

Cary, NC ยท Remote

$325K - $375K/yr

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Active, unrestricted medical license (multi-state licensing support available) * Interest in ...

Senior Pega Developer

Raleigh, NC ยท Remote

$130K - $139K/yr

Remote Citizenship: Must be a US Citizen or Permanent Resident Security Clearance: USDA Public ... authorized Development, Modernization, and Enhancement (DM&E) activities for Pega-based ...

Strong understanding of standard Ethernet networks, VPNs, and remote access. * Familiarity with ... Medical, Dental, & Vision Insurance Starting Day 1! Life Insurance Paid Time Off Paid Holidays ...

Psychiatrist - Part Time/Full Time

Raleigh, NC ยท Remote

$325K - $375K/yr

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Active, unrestricted medical license (multi-state licensing support available) * Interest in ...

Psychiatrist - Part Time/Full Time

Durham, NC ยท Remote

$325K - $375K/yr

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Active, unrestricted medical license (multi-state licensing support available) * Interest in ...

Epic Denials Management Operator

Raleigh, NC ยท Remote

$17.50 - $23.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

Senior Lead Project Engineer

Raleigh, NC ยท Remote

$96K - $125K/yr

Engineering & Science Job Schedule: Full time Remote: No At Hitachi Energy, we're not just building ... Candidate must already have work authorization that would permit them to work for Hitachi Energy in ...

Senior Lead Project Engineer

Raleigh, NC ยท On-site +1

$96K - $125K/yr

Engineering & Science Job Schedule: Full time Remote: No At Hitachi Energy, we're not just building ... Candidate must already have work authorization that would permit them to work for Hitachi Energy in ...

Senior Cloud Technical Lead - Remote US or Hybrid | Cary, North Carolina Nice to meet you! We're ... Medical plan options include: * PPO with low annual deductible and copays. * HDHP combined with a ...

Showing results 41-60

Remote Medical Authorization information

What is a remote medical authorization specialist?

A Remote Medical Authorization specialist is a professional who reviews and processes medical authorization requests from healthcare providers, typically working from a remote location. Their main responsibility is to ensure that medical procedures, treatments, or medications meet specific criteria for insurance coverage or regulatory compliance before approval. They communicate with providers, insurance companies, and sometimes patients to gather necessary information and make informed decisions. This role requires a strong understanding of medical terminology, insurance policies, and healthcare regulations. Remote Medical Authorization specialists play a crucial role in streamlining healthcare access while managing cost and compliance.

What are the key skills and qualifications needed to thrive as a remote medical authorization specialist?

To thrive as a Remote Medical Authorization Specialist, you need a solid understanding of medical terminology, insurance procedures, and prior authorization processes, usually backed by experience in healthcare administration or a related field. Familiarity with electronic health records (EHR) systems, insurance portals, and authorization management software is typically required. Strong attention to detail, effective communication, and organizational skills are crucial for handling complex cases and collaborating across teams. These competencies are vital for ensuring timely, accurate authorizations that support patient care and optimize reimbursement.

What are some common challenges faced by professionals in a remote medical authorization role, and how can they be effectively managed?

Professionals in a Remote Medical Authorization role often encounter challenges such as coordinating with multiple healthcare providers, managing a high volume of authorization requests, and ensuring compliance with complex insurance policies. Effective communication skills, attention to detail, and strong organizational abilities are essential for managing these demands. Utilizing digital tools and maintaining up-to-date knowledge of payer guidelines can help streamline workflows and reduce errors. Building strong relationships with both clinical teams and insurance representatives also supports smoother case resolution.

What is the difference between Remote Medical Authorization vs Remote Medical Billing Specialist?

AspectRemote Medical AuthorizationRemote Medical Billing Specialist
Required CredentialsMedical license, certification in medical authorization or prior authorizationMedical billing certification, knowledge of coding and insurance
Work EnvironmentHealthcare providers, insurance companies, remoteMedical offices, insurance companies, remote
Industry UsageUsed to obtain prior approvals for treatments or proceduresHandles billing, coding, and insurance claims processing

Remote Medical Authorization focuses on obtaining prior approvals for medical procedures, requiring medical credentials. Remote Medical Billing Specialists handle billing and coding tasks, often requiring billing certifications. Both roles are essential in healthcare but serve different functions within the industry.

What cities near Raleigh, NC are hiring for Remote Medical Authorization jobs?

Cities near Raleigh, NC with the most Remote Medical Authorization job openings:

B2B Marketing Manager(Remote US)

Raleigh, NC โ€ข Remote

$80K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday


Job description

Directive Consulting is the leading B2B marketing agency for brands that are serious about the metrics that matter most.


With over a decade of expertise and 420+ B2B brands under our belt, we've earned our reputation on real outcomes. We run through 3 divisions: Performance, Communications, and Commerce, all wired to share intelligence and answer to revenue. That system spans everything from Paid Media and Content Marketing, to PR and Paid Social, to Marketplace and Lifecycle Marketing. Tying it all together is our methodology, DiscoverabilityOS™, which aligns brand and demand to guide your ICP to choose you across every decision point.
We move fast. We think boldly. We hire people who challenge the status quo, build campaigns worth talking about, and make bold brands impossible to ignore. If you live for performance, love solving hard problems, and want your work to actually mean something, you'll fit right in.

About The Role

We are looking to offer a compelling and competitive new demand gen offering for our customers here at Directive. In this role, you will directly work with no more than seven accounts and be directly responsible for their performance marketing. 

The ideal candidate for this role is an exceptionally strong T-Shaped Marketer with deep expertise in the SaaS marketplace across Paid, SEO, and CRO. A crucial part of this role will not only be executing campaigns; but also, interfacing with customers, pitching strategy, and ensuring that results are exceeded.

We value your ability to drive client results as an individual contributor and believe that the ideal candidate revels in owning the success of their client portfolio. You will only be successful in this role if you are strong at marketing strategy, execution, communication, and project management.

Roles & Responsibilities

  • Own the success of SMB clients, across channels

  • Handle client relationships with poise, confidence, and empathy

  • Project manage and organize your accounts

  • Build relationships with your point of contacts

  • Deep technical knowledge of Strategy, Paid Media, SEO, and CRO for tech companies

  • Strong SaaS background preferred

  • Skilled at having a large impact in a very specific role

  • Creative spark for marketing + deep passion for getting results

What You Offer

  • 2+ years of experience in agency-side marketing

  • 2+ years of experience in performance marketing

  • Brilliant strategist and a truly T-shaped marketer

  • World-class project manager who knows how to get things done on time and below cost

  • Availability to travel

  • Driven to stay ahead of industry trends, including actively learning how AI and automation can enhance marketing and operations.

What We Offer

 We have a set living wage at Directive; The annual base salary range for this position based in the United States is $80,000- $85,000 USD with potential for bonus eligibility. This salary range is an estimate, and the actual salary may vary based on Directive's compensation practices, job related skills, and depth of experience.

  Medical, dental, vision plans, disability, and life insurance coverage for you and your family that fit your lifestyle

Including a 100% employer-paid plan for you and a 50% employer contribution for your dependents

Benefits to Support the Whole Person:

  Mental - Access to certified therapists through Spring Health, membership to Headspace

  Physical - Gympass

Time Off - Unlimited PTO (2-week minimum), Paid Company Holidays, Your Birthday Off, End of Year Recharge (Closed December 24 - January 1), Paid Parental Leave

Financial - Traditional and Roth 401(k) with a 3% company match

  Bonus - Annual bonus based on tenure, which scales in total amount over time

  Annual Anniversary Trip to Newport Beach, CA with peers and executive leadership for fun and entertainment! 

Work Environment Requirements

As a remote-first company, you’ll have the ability to work from anywhere in the US, with the option to enjoy our state-of-the-art offices in Irvine, California. For some positions, as posted, we will accommodate global opportunities where we have established businesses, including Canada, the UK, and Australia. For global locations, you must have established and current work authorization and permanently reside in that country.

This role has the opportunity to operate 100% virtually from your home office. We primarily collaborate with our colleagues through virtual meetings (Zoom), and Slack. In this role, you will be required to operate a laptop computer (PC or Mac available), computer software platforms, and other office productivity tools as necessary. Due to the nature of this role, you must be able to remain stationary for extended periods, must be able to observe and interpret written and/or verbal communication, must have reliable internet access, and a professional background.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.

If you require reasonable accommodations in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, direct your inquiries to careers@directiveconsulting.com.

Additional Information

At Directive, one of our core values is People First. We’re committed to fostering a more diverse and inclusive culture in the digital landscape. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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