Dallas, TX · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
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Dallas, TX · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...
Posted today
Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...
Posted today
Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...
Posted today
Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...
Posted today
Remote (Local DFW candidates only) Work hours: PRN - must be available to work Monday - Friday Care ... Utilization Management and pre-authorization experience preferred * RN upon hire required and * CCM ...
New
Remote (Local DFW candidates only) Work hours: PRN - must be available to work Monday - Friday Care ... Utilization Management and pre-authorization experience preferred * RN upon hire required and * CCM ...
New
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
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Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Frisco, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Frisco, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically ...
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This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically ...
Frisco, TX · On-site +1
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Frisco, TX · On-site +1
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Quick apply
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Quick apply
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Quick apply
Dallas, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including * Reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Dallas, TX · On-site +1
$60K - $150K/yr
No prior experience required. Full training provided. Fast onboarding process. If you're looking ... authorized to work in the U.S. • Willing to obtain a Life & Health License (company-assisted ...
Dallas, TX · On-site +1
$60K - $150K/yr
No prior experience required. Full training provided. Fast onboarding process. If you're looking ... authorized to work in the U.S. • Willing to obtain a Life & Health License (company-assisted ...
Dallas, TX · On-site +1
$65K - $75K/yr
Overview 100% Remote / Work from Home The On Call Triage RN manages the after-hours on-call administrative operations for assigned branches, after-hours and all company holidays. Ensures that patient ...
Dallas, TX · On-site +1
$65K - $75K/yr
Overview 100% Remote / Work from Home The On Call Triage RN manages the after-hours on-call administrative operations for assigned branches, after-hours and all company holidays. Ensures that patient ...
Dallas, TX · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
New
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Dallas, TX · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
New
Frisco, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Quick apply
Frisco, TX · Remote
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Dallas, TX · Remote
$21/hr
Fully remote - Must US South/East Region: FL, TX, GA, SC, NC, GA, TN Preference for candidates ... prior authorization criteria, and claims adjudication, while assisting network pharmacies with ...
New
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Dallas, TX · Remote
$21/hr
Fully remote - Must US South/East Region: FL, TX, GA, SC, NC, GA, TN Preference for candidates ... prior authorization criteria, and claims adjudication, while assisting network pharmacies with ...
New
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working in the insurance or managed care industry using ...
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working in the insurance or managed care industry using ...
Dallas, TX · On-site +1
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Quick apply
Dallas, TX · On-site +1
$23 - $27/hr
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes * Communicate with patients ...
Dallas, TX · Remote
Preferred RN compact License Required Location: We are only hiring from the following states ... Prior experience with telehealth platforms * Comfort operating in an entrepreneurial or start-up ...
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Dallas, TX · Remote
Preferred RN compact License Required Location: We are only hiring from the following states ... Prior experience with telehealth platforms * Comfort operating in an entrepreneurial or start-up ...
Create the future of e-health together with us by becoming a Licensed Practical Nurse (LPN/LVN) - Remote Patient Monitoring RNs welcome to apply Remote | Full-Time | Monday to Friday | No Nights ...
Create the future of e-health together with us by becoming a Licensed Practical Nurse (LPN/LVN) - Remote Patient Monitoring RNs welcome to apply Remote | Full-Time | Monday to Friday | No Nights ...
$6.71 - $12
0% of jobs
$12 - $17.29
0% of jobs
$17.29 - $22.58
4% of jobs
$22.58 - $27.87
18% of jobs
$28.56 is the 25th percentile. Wages below this are outliers.
$27.87 - $33.16
20% of jobs
The median wage is $35.34 / hr.
$33.16 - $38.45
18% of jobs
$43.21 is the 75th percentile. Wages above this are outliers.
$38.45 - $43.74
16% of jobs
$43.74 - $49.03
10% of jobs
$49.03 - $54.32
6% of jobs
$54.32 - $59.61
4% of jobs
$59.61 - $64.90
3% of jobs
$6
$38
$64
| Aspect | Remote Prior Authorization Rn | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review | Certification in coding (CPC, CCS), high school diploma or equivalent |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Medical offices, insurance companies, remote coding platforms |
| Industry Usage | Utilization review, patient authorization, insurance approval | Medical record review, billing, coding for insurance claims |
Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.
For Remote Prior Authorization Rn jobs in Arlington, TX, the most frequently searched job titles are:
The top searched job categories for Remote Prior Authorization Rn jobs in Arlington, TX are:
Cities near Arlington, TX with the most Remote Prior Authorization Rn job openings:
$41/hr
Full-time
Posted 10 days ago
Remote position, however, candidates must reside in the State of TX or State of IL
This position is a contract for about 9 months.
Pay: $41/hour
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations.
Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience.
Needs to be able to navigate MCG and Medical policies with the reviews.
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