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 ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
Adhere and perform timely prospective review for services requiring prior authorization as well as ... Our physicians represent more than 100 specialties and sub-specialties, and have more than one ...
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 ...
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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 ...
Pharmacy Customer Service Representative
Tampa, FL · Remote
$19 - $20/hr
Remote Pharmacy Customer Service Representative 100% Remote | Start Date: August 10, 2026 Location ... Prior authorization-related concerns * Medication access issues and pharmacy support Many calls are ...
Pharmacy Customer Service Representative
Tampa, FL · Remote
$19 - $20/hr
Remote Pharmacy Customer Service Representative 100% Remote | Start Date: August 10, 2026 Location ... Prior authorization-related concerns * Medication access issues and pharmacy support Many calls are ...
Revenue Cycle Management Team Lead
Tampa, FL · On-site +1
$17 - $17.75/hr
Lead, coach, and support a remote team of Revenue Cycle Representatives. * Monitor daily ... prior authorization support Hardware & Software Requirements To be successful in this remote role ...
Revenue Cycle Management Team Lead
Tampa, FL · On-site +1
$17 - $17.75/hr
Lead, coach, and support a remote team of Revenue Cycle Representatives. * Monitor daily ... prior authorization support Hardware & Software Requirements To be successful in this remote role ...
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 ...
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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 ...
This is a remote position. Job Responsibilities: * Perform outbound calls to obtain appropriate ... Provide prior authorizations and appeals support. * Assist patients with the enrollment process for ...
This is a remote position. Job Responsibilities: * Perform outbound calls to obtain appropriate ... Provide prior authorizations and appeals support. * Assist patients with the enrollment process for ...
Bilingual Care Manager - Patient Support Call Center -Remote
Tampa, FL · Remote
$23 - $24/hr
This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...
Bilingual Care Manager - Patient Support Call Center -Remote
Tampa, FL · Remote
$23 - $24/hr
This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The estimate displayed represents the typical wage range of candidates hired. Factors that may be ...
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Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The estimate displayed represents the typical wage range of candidates hired. Factors that may be ...
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The estimate displayed represents the typical wage range of candidates hired. Factors that may be ...
Quick apply
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The estimate displayed represents the typical wage range of candidates hired. Factors that may be ...
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The estimate displayed represents the typical wage range of candidates hired. Factors that may be ...
Quick apply
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The estimate displayed represents the typical wage range of candidates hired. Factors that may be ...
Remote Client Relations Representative
Orlando, FL · On-site +1
Comprehensive Training & Mentorship No prior industry experience required. We provide structured ... Must be legally authorized to work in the United States * Computer or laptop * Reliable high-speed ...
Remote Client Relations Representative
Orlando, FL · On-site +1
Comprehensive Training & Mentorship No prior industry experience required. We provide structured ... Must be legally authorized to work in the United States * Computer or laptop * Reliable high-speed ...
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The physical demands described above are representative of those that must be met by an employee to ...
Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS ... The physical demands described above are representative of those that must be met by an employee to ...
Care Coordinator
Orlando, FL · Remote
$75K - $85K/yr
Serve as first point of escalation for CC team questions on referrals, prior authorizations, DME ... Remote position based in Central Florida (Orlando metro area preferred) * Must be available during ...
Care Coordinator
Orlando, FL · Remote
$75K - $85K/yr
Serve as first point of escalation for CC team questions on referrals, prior authorizations, DME ... Remote position based in Central Florida (Orlando metro area preferred) * Must be available during ...
Life Insurance Sales Representative - Remote
Saint Petersburg, FL · Remote
$50K - $100K/yr
No prior experience required -- full training provided * Must have been out of high school for at ... Legally authorized to work in the United States and reside in a U.S. state Compensation:
Quick apply
Life Insurance Sales Representative - Remote
Saint Petersburg, FL · Remote
$50K - $100K/yr
No prior experience required -- full training provided * Must have been out of high school for at ... Legally authorized to work in the United States and reside in a U.S. state Compensation:
Life Insurance Sales Representative - Remote
Miami, FL · Remote
$50K - $100K/yr
No prior experience required -- full training provided * Must have been out of high school for at ... Legally authorized to work in the United States and reside in a U.S. state Compensation:
Quick apply
Life Insurance Sales Representative - Remote
Miami, FL · Remote
$50K - $100K/yr
No prior experience required -- full training provided * Must have been out of high school for at ... Legally authorized to work in the United States and reside in a U.S. state Compensation:
Remote Prior Authorization Representative Express Scripts information
What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?
| Aspect | Remote Prior Authorization Representative Express Scripts | Remote Claims Processor |
|---|---|---|
| Credentials | High school diploma, healthcare certifications often preferred | High school diploma, healthcare or insurance certifications |
| Work Environment | Remote, healthcare insurance setting | Remote, insurance claims processing environment |
| Employer & Industry | Express Scripts, healthcare/pharmacy industry | Various insurance companies, healthcare industry |
| Primary Responsibilities | Review and approve prior authorization requests | Review and process insurance claims |
The Remote Prior Authorization Representative at Express Scripts focuses on evaluating and approving prior authorization requests for medications, ensuring timely patient access. In contrast, a Remote Claims Processor handles the review and processing of insurance claims after services are rendered. While both roles require healthcare knowledge and remote work skills, their core functions differ in the stages of the insurance process they manage.
What are the most commonly searched types of Prior Authorization Representative Express Scripts jobs in Florida? The most popular types of Prior Authorization Representative Express Scripts jobs in Florida are:
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Full-time
Posted 6 days ago
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