Top 199 Insurance coordinator remote Jobs in East Milton Ma

Pharmacy Care Coordinator - Remote in Massachusetts
Optum —Braintree, MA
- $18 - $32 an hour
- Full-time
- Remote
- Pass drug screening
- Mid-level
- High school diploma or GED
- AD&D insurance
- Employee stock purchase plan
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6d
Executive Coordinator
Takeda Pharmaceutical —Boston, MA
- $37.55 - $58.97 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Financial & Administrative Operations Coordinator
MCOS Financial Solutions LLC —Quincy, MA
- $35 - $45 an hour
- Part-time
- Hybrid work
- Mid-level
- QuickBooks
- Flexible schedule
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5d
Call Center Coordinator - School of Dental Medicine
Tufts University —Boston, MA
- $19.35 - $25.90 an hour
- Computer literacy
- High school diploma or GED
- Computer skills
- Dental insurance
Specialty Navigator I
Optum —Norwood, MA
- $16.15 - $28.80 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Transplant Coordinator
Paragonix Technologies, Inc. —Boston, MA
- $92,880 a year
- Remote
- Nursing
- Mid-level
- 3 years
- Commuter assistance
- Disability insurance
4d
Client Coordinator
MES Solutions —Norwood, MA
- $17 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- 401(k)
- Paid time off
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Central Study Coordinator I
Care Access —Boston, MA
- $75,000 - $95,000 a year
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
11d
OGC - Compliance Coordinator
DLA Piper —Boston, MA
- $34.09 - $48.75 an hour
- Overtime
- Hybrid work
- Microsoft Outlook
- Word processing
- Writing skills
- Health insurance
- Dental insurance
Specialty Navigator II
Optum —Norwood, MA
- $17.98 - $32.12 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Medical office experience
- AD&D insurance
- Employee stock purchase plan
Billing Managed Care Coordinator
The Brigham and Women's Hospital, Inc. —Boston, MA
- $22.22 - $31.71 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- High school diploma or GED
- Opportunities for advancement
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Business Operations Coordinator (Remote)
SOLV Energy, LLC —Boston, MA
- $60,632.00 - $75,732.80 a year
- Full-time
- Remote
- Customer service
- ERP systems
- Mid-level
- Paid holidays
- Disability insurance
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2d
TRAINING/CHANGE MANAGEMENT COORDINATOR, Procure to Pay (P2P)
Boston University —Boston, MA
- $48,100 - $76,900 a year
- Hybrid work
- Bachelor of Science
- Public speaking
- Mid-level
- Health insurance
- Dental insurance
Account Coordinator
Delta Dental of Massachusetts —Charlestown, MA
- $73,015 - $85,900 a year
- Full-time
- Hybrid work
- Mid-level
- Travel
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
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Office Coordinator - Part Time
G-P —Boston, MA
- $48,000 - $60,000 a year
- Part-time
- Background check
- Hospitality
- Word processing
- Paid parental leave
- Health insurance
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Outpatient Clinic Coordinator, per diem
Hebrew SeniorLife —Canton, MA
- $50,950.20 - $71,330.27 a year
- Per diem
- Computer literacy
- Primary Care
- HIPAA
Project Coordinator
Takeda Pharmaceutical —Cambridge, MA
- $58,400 - $91,740 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Bachelor's degree
- Paid holidays
- Disability insurance
10d
Patient Recruiter
Care Access —Boston, MA
- $26 - $34 an hour
- Remote
- Spanish
- Microsoft Excel
- Pass drug screening
- Health savings account
- Paid holidays
2d
Clinical Quality Assurance Coordinator
MES Solutions —Norwood, MA
- $27 - $29 an hour
- Full-time
- Remote
- Nursing
- Anatomy knowledge
- Microsoft Excel
- Dental insurance
- 401(k)
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11d
Recruitment Coordinator
Senior Living Residences —Braintree, MA
- $55,000 - $62,000 a year
- Email
- Background check
- Google Workspace
- Mid-level
- Paid training
- Commuter assistance
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insurance coordinator remote jobs near east milton ma

Pharmacy Care Coordinator - Remote in Massachusetts

Optum -
Braintree, MA

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Job Details

Full-time
$18 - $32 an hour
6 days ago

Benefits

AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Employee discount
Referral program
Pet insurance

Qualifications

High school diploma or GED

Full Job Description

Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.

Responsible for navigating requests for the prior authorization of medications not covered by a patient's insurance in accordance with insurance provider guidelines. Serves as an expert on subject matters for medication prior authorizations and maintains a solid understanding of healthcare insurance policies, drug information, pharmacy benefit management, and medical terminology.

Schedule: Monday - Friday, 8:30am - 5:00pm
Location: This role is Remote in Massachusetts.

If you reside in Massachusetts, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

Responsible for communicating directly with patients, insurance companies, providers, clinical pharmacists and pharmacies to support timely review and processing of prior authorization requests for new and refill prescriptions
Acquires and maintains a working knowledge of health plan formulary and authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization
Develops proficiencies in utilization of Epic in accordance with department standard work guidelines
Verifies patient's demographics, insurance eligibility and prescription benefit information required to process new and refill prescriptions, where permitted by state law
Gathers all necessary information from chart review and identifies correct forms needed to submit prior authorization request to insurance providers
Works as a patient advocate and functions as a liaison between the patient and payer to answer routine and complex inquiries, reimbursement questions, and avoid insurance delays
Communicates with providers and patients to provide updates on the status of their prior authorizations or appeals
Provides prompt feedback to physicians and management regarding issues with medication authorization denials and health plan recommendations and or alternatives when provided by the insurance company
Assists patients with financial assistance for high copay medication utilizing manufacturer coupons, manufacturer patient assistance programs or provides patient with the appropriate Med Cost Savings Form and collaborates with Clinical Pharmacists as necessary
Acquires and maintains a working knowledge of drug manufacturer patient assistance programs to include drug manufacturer coupons/vouchers and has knowledge of how to access them
Ability to perform all tasks of a pharmacy care coordinator and other similar and related duties to assist with staff cross coverage as required or directed by the supervisor
Provides superior phone services and quality customer service to ensure the highest level of patient satisfaction
Interacts effectively and professionally with all patients, prescribers, payors, pharmacies and all location departments of Atrius Health
Ability to work quickly and accurately on an independent basis with great attention to detail, and displaying initiative to quickly identify and resolve variances and discrepancies
Follows all professional and departmental guidelines for PHI and HIPPA compliance and with all relevant laws, regulations, and policies related to medication prior authorizations
Actively contributes to the evaluation and continuous improvement of the prior authorization process as well as department projects, prescription initiatives, policies, and procedures
Complies with established departmental policies, procedures, and objectives
Enhances professional growth and development through educational programs, seminars, etc.
Follows all downtime and emergency processes per departmental policies
Regular, reliable and predicable attendance is required

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma/GED
1+ years of Pharmacy Technician or prior authorization experience
1+ years of experience using Microsoft systems
Reside in Massachusetts

Preferred Qualifications:

Bachelor's or Associate's degree in medical assisting or graduate of certificate program preferred with commensurate pharmacy experience and pharmacy knowledge
Experience with Pharmacy management or EMR software and operational platforms

Soft Skills:

Excellent attention to detail and strong organizational skills required
Must demonstrate excellent customer service and communication skills as well as problem-solving abilities

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

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Refine Your Search

insurance coordinator remote jobs in east milton ma

Pharmacy Care Coordinator - Remote in Massachusetts

Executive Coordinator

Financial & Administrative Operations Coordinator

Call Center Coordinator - School of Dental Medicine

Specialty Navigator I

Transplant Coordinator

Client Coordinator

Central Study Coordinator I

OGC - Compliance Coordinator

Specialty Navigator II

Billing Managed Care Coordinator

Business Operations Coordinator (Remote)

TRAINING/CHANGE MANAGEMENT COORDINATOR, Procure to Pay (P2P)

Account Coordinator

Office Coordinator - Part Time

Outpatient Clinic Coordinator, per diem

Project Coordinator

Patient Recruiter

Clinical Quality Assurance Coordinator

Recruitment Coordinator

I want to receive the latest job alert for insurance coordinator remote in east milton ma

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