[{"_1":2,"_604":-5,"_605":-5},"loaderData",{"_3":4,"_426":427},"root",{"_5":6,"_13":14,"_399":400,"_412":413,"_423":-7,"_424":-5,"_425":-5},"honeypotInputProps",{"_7":8,"_9":10,"_11":12},"nameFieldName","name__confirm","validFromFieldName","from__confirm","encryptedValidFrom","8cfPz6px5y9iXlL6NIHQ60b0qgLho7v+G6u+jJz99qOwNW3iDVMP5RY=","board",{"_15":16,"_17":16,"_18":19,"_20":21,"_26":27,"_28":29,"_32":33,"_36":37,"_44":45,"_48":49,"_64":65,"_66":67,"_74":75,"_195":196,"_210":211,"_241":242,"_273":274,"_280":281,"_285":286,"_387":388,"_393":394},"name","Mediabistro","fullName","siteUrl","https://www.mediabistro.com","pages",{"_22":23,"_24":25},"home","/","jobs","/jobs","mainCss",":root{--background:white;--foreground:black;--card:oklch(100% 0 0);--card-foreground:oklch(25% .001 0);--popover:white;--popover-foreground:black;--primary:oklch(59% .23 31.14);--primary-foreground:oklch(100% 0 0);--secondary:oklch(98% .001 0);--secondary-foreground:oklch(25% .001 0);--muted:oklch(97% 0 0);--muted-foreground:oklch(55.6% 0 0);--accent:oklch(96% 0 0);--accent-foreground:oklch(25% .001 0);--destructive:oklch(65% .15 15);--border:oklch(90% .001 0);--input:oklch(90% .001 0);--ring:oklch(70% .15 25);--chart-1:oklch(70% .15 25);--chart-2:oklch(70% .12 140);--chart-3:oklch(75% .12 60);--chart-4:oklch(45% .15 260);--chart-5:oklch(20% .02 280);--sidebar:oklch(98% .001 0);--sidebar-foreground:oklch(25% .001 0);--sidebar-primary:oklch(70% .15 25);--sidebar-primary-foreground:oklch(100% 0 0);--sidebar-accent:oklch(98% .001 0);--sidebar-accent-foreground:oklch(25% .001 0);--sidebar-border:oklch(90% .001 0);--sidebar-ring:oklch(70% .15 25);--footer-background:oklch(14% .07 288.16);--footer-foreground:oklch(100% 0 0);--footer-border:oklch(70% .15 25)}.dark{--background:oklch(14% .07 288.16);--foreground:oklch(100% 0 0);--card:oklch(29% .05 287.37);--card-foreground:oklch(100% 0 0);--muted:oklch(34% .02 255);--muted-foreground:oklch(78% .01 255);--popover:oklch(29% .05 287.37);--popover-foreground:oklch(100% 0 0);--border:transparent}","sitemaps",[30,31],"https://www.mediabistro.com/sitemap.xml","https://www.mediabistro.com/jobs-sitemap.xml","analytics",{"_34":35},"gtmId","GTM-NVDRG7Q","favicon",{"_38":39,"_40":41,"_42":43},"faviconSvg","https://www.mediabistro.com/public/favicons/favicon.svg","appleTouch","https://www.mediabistro.com/public/favicons/apple-touch-icon.png","manifest","https://www.mediabistro.com/public/favicons/site.webmanifest","metaTags",{"_46":47},"ogImage","https://www.mediabistro.com/public/site-logos/mediabistro-dark-social-1200x468.png","social",{"_50":51,"_52":53,"_58":59,"_60":61,"_62":63},"facebook","https://www.facebook.com/mediabistro","twitter",{"_54":55,"_56":57},"handle","@mediabistro","url","https://twitter.com/mediabistro","linkedin","https://www.linkedin.com/company/mediabistro","youtube","https://www.youtube.com/channel/UCnoZvx8SmZOMA1XteQAVtMQ","instagram","https://www.instagram.com/mediabistro/","helpEmail","help@mediabistro.com","transactionalEmail",{"_68":69,"_70":71,"_72":73},"fromAddress","support@mediabistro.com","userPasswordResetTemplateId","d-0614cbe7ddf0404893e7c9f8208331d5","clientPasswordResetTemplateId","d-ff1301b464d1436685573e406e4c1674","header",{"_76":77,"_88":89},"logo",{"_78":79,"_80":81,"_82":83,"_84":85,"_86":87},"whiteLogo","https://www.mediabistro.com/public/site-logos/2025-mb-logo.svg","darkLogo","https://www.mediabistro.com/public/site-logos/2025-mb-logo-dark.svg","logoClasses","w-[210px] h-[50px] lg:mb-1","width",300,"height",64,"items",[90,143,168,186],{"_91":92,"_93":94,"_95":96},"type","mega-menu","text","Jobs","columns",[97,112,134],{"_88":98},[99,102,106,109],{"_91":100,"_93":101,"_56":25},"internal-link","Search Creative Jobs",{"_91":103,"_93":104,"_56":105},"link","Hot Jobs","/career-advice/get-hired/hot-jobs/",{"_91":100,"_93":107,"_56":108},"Remote Media Jobs","/jobs?keyword=media&remote=true",{"_91":100,"_93":110,"_56":111},"Create Job Alerts","/create-alert",{"_113":114,"_88":115},"title","Job Categories",[116,119,122,125,128,131],{"_91":100,"_93":117,"_56":118},"Creative & Design","/jobs?category=Creative+%26+Design",{"_91":100,"_93":120,"_56":121},"Marketing & Communications","/jobs?category=Marketing+%26+Communications",{"_91":100,"_93":123,"_56":124},"Operations & Strategy","/jobs?category=Operations+%26+Strategy",{"_91":100,"_93":126,"_56":127},"Production","/jobs?category=Production",{"_91":100,"_93":129,"_56":130},"Sales & Business Development","/jobs?category=Sales+%26+Business+Development",{"_91":100,"_93":132,"_56":133},"Writing & Editing","/jobs?category=Writing+%26+Editing",{"_113":135,"_88":136},"Quick Links",[137,139,142],{"_91":100,"_93":138,"_56":25},"Search All Jobs",{"_91":100,"_93":140,"_56":141},"Remote Jobs","/jobs?remote=true",{"_91":100,"_93":110,"_56":111},{"_91":144,"_93":145,"_88":146},"dropdown","Career Resources",[147,150,153,156,159,162,165],{"_91":103,"_93":148,"_56":149},"Career Advice & Articles","/career-advice/",{"_91":103,"_93":151,"_56":152},"Media Industry News","/media-news",{"_91":103,"_93":154,"_56":155},"Creative Tools","https://playbook.mediabistro.com/",{"_91":100,"_93":157,"_56":158},"Resume Writing Services","/resume-writing-services/",{"_91":103,"_93":160,"_56":161},"Interview Coaching","https://www.wizco.io/ava?utm_source=mediabistro&utm_medium=job_board&utm_campaign=ava_interview_coaching&utm_content=resources_nav",{"_91":100,"_93":163,"_56":164},"Job Market Insights","/trends",{"_91":103,"_93":166,"_56":167},"Member Profiles","/freelance-connect/browse/",{"_91":144,"_93":169,"_88":170},"Mediabistro Membership",[171,174,177,180,183],{"_91":103,"_93":172,"_56":173},"Membership Overview","/unlimited/",{"_91":103,"_93":175,"_56":176},"How to Pitch (Premium Tool)","/career-advice/go-freelance/how-to-pitch/",{"_91":103,"_93":178,"_56":179},"Editorial Calendars (Premium Access)","/mastheads/",{"_91":103,"_93":181,"_56":182},"Courses & Training Programs","/online-training-courses/",{"_91":103,"_93":184,"_56":185},"Membership FAQ","/unlimited/frequently-asked-questions/",{"_91":144,"_93":187,"_88":188},"Showcase",[189,192],{"_91":103,"_93":190,"_56":191},"Featured Creative Stories","/showcase",{"_91":103,"_93":193,"_56":194},"Submit your Story","/my-account/?account_tab=showcase","footer",{"_76":197,"_198":199,"_200":201,"_202":203,"_204":205,"_206":207,"_208":209},{"_78":79,"_80":81,"_82":83},"cta","","logoText","Find your next media job or showcase your creative talent","copyright","Copyright © 2026 Mediabistro","termsOfUse","/terms-of-use/","termsOfService","/terms-of-service","privacyPolicy","/privacy-policy/","styleGuide",{"_212":213,"_217":218},"images",[214,215,216],"/_static/mediabistro/mb-logo-268x268.webp","/_static/mediabistro/android-chrome-192x192.png","/_static/mediabistro/mediabistro-text-logo.webp","colors",[219,223,226,229,232,235,238],{"_15":220,"_221":222},"$primary-color","value","#339999",{"_15":224,"_221":225},"$primary-color-light","#1ab9b3",{"_15":227,"_221":228},"$dark-blue","#3c405d",{"_15":230,"_221":231},"$green","#2D7E7E",{"_15":233,"_221":234},"$grey","rgba(47, 47, 48, 0.93)",{"_15":236,"_221":237},"$darkgrey","rgba(44, 43, 45, 0.98)",{"_15":239,"_221":240},"$light-grey","#F3F3F4","jobsSearch",{"_243":244,"_251":252},"emptyMeta",[245,247],{"_113":246},"Media, Marketing & Creative Job Board | Journalism & Ad Jobs",{"_15":248,"_249":250},"description","content","The #1 job board for media, marketing, and communications professionals. Search career opportunities in advertising, public relations, journalism, and creative arts.","websiteSchema",[253],{"_254":255},"script:ld+json",{"_256":257,"_258":259,"_15":16,"_260":261,"_56":262,"_263":264},"@context","https://schema.org","@type","WebSite","alternateName","MB","https://mediabistro.com/jobs","potentialAction",{"_258":265,"_266":267,"_271":272},"SearchAction","target",{"_258":268,"_269":270},"EntryPoint","urlTemplate","https://mediabistro.com/jobs?keyword={keyword}","query-input","required name=keyword","hero",{"_113":275,"_276":277,"_198":278,"_93":279},"Find Your Next Media Job","subtitle","Discover creative opportunities at the world's leading media brands","Start Your Search","Search Media, Marketing & Creative Jobs","flags",{"_282":283,"_284":283},"extendedFilters",true,"weeklyNewsletter","postJobs",{"_287":288,"_273":293,"_296":297,"_298":299,"_280":303,"_307":308,"_320":321,"_326":327,"_331":332,"_347":348,"_350":351},"meta",[289,291],{"_113":290},"Post a Job | Hire Media, Marketing & Creative Talent - Mediabistro",{"_15":248,"_249":292},"Recruit qualified media and creative professionals on the #1 industry job board. Reach top talent in design, social media, advertising, and communications. Post a job today.",{"_113":294,"_276":295,"_248":199},"The #1 Job Board for Media, Marketing & Creative Talent","Skip the unqualified resumes. Reach journalism, publishing, and marketing pros who are ready to work.","unlimitedJobsEmail","clients@mediabistro.com","enterpriseCta",{"_93":300,"_301":302},"*Unlimited plan is for direct employers only. Hiring at scale, posting on behalf of clients, or distributing across job boards?","linkText","Contact us for custom volume pricing, multi-brand support, and programmatic distribution.",{"_304":283,"_305":283,"_306":283},"showMediaBoardSection","showRolesSection","showPlanIcon","mediaBoardSection",{"_113":309,"_276":310,"_248":311,"_312":313,"_318":319},"The #1 Destination for Media","and Creative Talent","Connect with top-tier full-time and freelance media professionals. Whether you are a leading publisher, a streaming service, or a growing brand, we deliver specialized talent you won't find on generalist job boards. Find your perfect match for:","bullets",[314,315,316,317],"News, Journalism & Book Publishing","Content Marketing, AI Prompt Engineering & Copywriting","Influencer Management, TV & Video Production","PR, Non-Profits & Education","imageAlt","Job seekers and featured job cards collage","rolesSection",{"_113":322,"_276":323,"_248":324,"_318":325},"Hire Remote and Local Talent","Across Every Media Vertical","Whether you are building an in-office team or seeking remote talent, access a specialized network of professionals in editorial, publishing, influencer marketing, and AI content strategy. Find candidates—from prompt engineers to production leads—who are ready to contribute from anywhere.","Media roles infographic","testimonialsSection",{"_113":328,"_276":329,"_248":330},"Trusted by Leading Media","and Creative Employers","See why top publishers, agencies, and brands rely on us to find exceptional talent.","testimonials",[333,339,343],{"_334":335,"_336":337,"_76":338},"company","Huffpost","quote","I love using Mediabistro for my harder to fill creative roles. Multimedia positions like photo editors, video producers, or even niche journalists yield great results. Other job boards don't always produce the specialized talent my hiring teams are looking for, and I feel like I can find that talent through Mediabistro.","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/huff-post-400x200.png",{"_334":340,"_336":341,"_76":342},"NBCUniversal","Mediabistro is valuable partner when it comes to finding top candidates in the media industry. Their team is extremely responsive, which makes the posting process quick and easy. They also offer great insight into branding company pages.","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/nbc-universal-400x200.png",{"_334":344,"_336":345,"_76":346},"The Taunton Press","What we like best about Mediabistro is the quality of targeted talent they deliver through their job board portal. We know we'll find the right type of talent for specialized positions that may be more challenging to fill. For almost fifteen years, Mediabistro has been our go-to resource for talent in the media/publishing space.","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/taunton-press-400x200.png","employersSection",{"_113":349,"_276":16},"Media and Creative Employers on","employerLogos",[352,354,357,360,363,366,369,372,375,378,381,384],{"_15":340,"_353":342},"image",{"_15":355,"_353":356},"Bloomberg","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/bloomberg-400x200.png",{"_15":358,"_353":359},"Meredith","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/meredith-400x200.png",{"_15":361,"_353":362},"Dotdash","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/dotdash-400x200.png",{"_15":364,"_353":365},"Penske Media Corporation","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/penske-media-corporation-400x200.png",{"_15":367,"_353":368},"Springer Nature","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/springer-nature-400x200.png",{"_15":370,"_353":371},"Penguin Random House","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/penguin-random-house-400x200.png",{"_15":373,"_353":374},"Fox Corporation","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/fox-corporation-400x200.png",{"_15":376,"_353":377},"Future","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/future-400x200.png",{"_15":379,"_353":380},"Hearst Television","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/hearst-television-400x200.png",{"_15":382,"_353":383},"Cox Enterprises","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/cox-enterprises-400x200.png",{"_15":385,"_353":386},"Leaf Group","https://production-rails-default.s3.us-east-2.amazonaws.com/public/post-jobs-logos/leaf-group-400x200.png","createAlertMeta",[389,391],{"_113":390},"Create Job Alerts | Media, Marketing & Creative Job Alerts",{"_15":248,"_249":392},"Never miss an opportunity. Sign up for free email alerts and get the latest jobs in social media, graphic design, writing, and marketing delivered to your inbox.","jobsPortalSignupMeta",[395,397],{"_113":396},"Sign Up | Creative, Marketing & Media Job Search",{"_15":248,"_249":398},"Create your free profile to apply for jobs, upload your resume, and set job alerts. Join the leading career community for creative, marketing, and media professionals.","requestInfo",{"_401":402,"_407":19,"_408":409,"_410":411},"hints",{"_403":404,"_405":406},"theme","light","timeZone","UTC","origin","path","/jobs/2836162817-access-reimbursement-specialist","userPrefs",{"_403":404},"env",{"_414":415,"_416":417,"_418":419,"_420":421,"_422":19},"MODE","production","SENTRY_ENV","mediabistro","NEW_JOB_BOARD_SENTRY_DSN","https://235251e3654b447a82e934b7c2ce7c93@o4504103609303040.ingest.sentry.io/4504806528253952","SENTRY_RELEASE","be7313176a7e8423e1ddab625da43b6c1aed94c6","WEBSITE_URL","user","toast","confettiId","routes/_public.jobs.$id",{"_428":429,"_429":430,"_498":499,"_519":434,"_520":434,"_521":522},"kind","job",{"_431":432,"_433":434,"_435":434,"_436":199,"_437":199,"_438":199,"_439":440,"_441":-7,"_113":442,"_248":443,"_444":445,"_446":447,"_448":199,"_449":450,"_462":463,"_464":199,"_465":199,"_466":199,"_56":467,"_468":199,"_469":199,"_470":471,"_472":471,"_473":474,"_475":434,"_476":477,"_478":409,"_479":480,"_481":443,"_482":483,"_487":488,"_489":442,"_490":484,"_491":199,"_492":493,"_494":495,"_496":497},"id",["B","2836162817"],"promoted",false,"remoteAllowed","category","duration","experienceLevel","publishedAt",["D",1773115200000],"indexedAt","Access & Reimbursement Specialist","Knowledgeable and proficient in pharmacy benefit structure of all major payer types including government and commercial payers. Knowledgeable and proficient in the entire pharmacy prior authorization and appeals process for prescriptions medications. Specialist, Pharmacy Technician, Processing, Health, Benefits, Healthcare, Program\n","descriptionText","Access & Reimbursement Specialist UnitedHealth Group Knowledgeable and proficient in pharmacy benefit structure of all major payer types including government and commercial payers. Knowledgeable and proficient in the entire pharmacy prior authorization and appeals process for prescriptions medications. Specialist, Pharmacy Technician, Processing, Health, Benefits, Healthcare, Program","shortDescription","Knowledgeable and proficient in pharmacy benefit structure of all major payer types including government and commercial payers. Knowledgeable and p...","location","locations",[451],{"_452":453,"_454":455,"_456":457,"_458":459,"_460":461},"formatted","Las Vegas, NV, United States, 89105","city","Las Vegas","state","NV","country","United States","postal_code","89105","companyName","UnitedHealth Group","salaryMin","salaryMax","salaryDescription","https://us.thebigjobsite.com/redirectfeedjob?jobid=B55B6D698249193728FB5516B57AE2C3&source=mediabistroxmlus&utm_source=mediabistroxmlus&jobSiteKey=ABE0FEA485D9BDB3ECA611AE8ECA902E","companyDescription","companyWebsite","displayLogo","https://www.mediabistro.com/public/images/desk-100x50.webp","displayThumbnail","displayHeadline","Work at UnitedHealth Group","isManualPosted","costPerClick",0.15,"displayUrl","fullUrl","https://www.mediabistro.com/jobs/2836162817-access-reimbursement-specialist","strippedDescription","parsedLocation",{"_452":484,"_485":199,"_486":199,"_454":455,"_456":457,"_458":459,"_460":461},"Las Vegas, NV, United States","street1","street2","displayPublishedAt","21 days ago","shortTitle","shortLocation","level","searchCompanyPath","/jobs?keyword=UnitedHealth+Group","searchLocationPath","/jobs?location=Las+Vegas%2C+NV%2C+United+States","searchTitlePath","/jobs?keyword=Access+%26+Reimbursement+Specialist","featuredCompany",{"_431":500,"_15":501,"_502":434,"_76":503,"_504":505,"_248":506,"_448":507,"_508":-5,"_509":-5,"_510":-5,"_511":512,"_513":514,"_515":516,"_470":503,"_478":517,"_472":518},8752,"Newsday Media Group","agency","https://production-rails-default.s3.us-east-2.amazonaws.com/public/legacy-logos/351727.GIF","slug","newsday-media-group","

Newsday Media Group is a locally owned, independent media company grounded in journalistic excellence, integrity, and commitment to the communities it serves. With 19 Pulitzer Prizes and dozens of Emmy Awards, it's one of the most decorated news organizations in the country.

The company is in the middle of a significant transformation, expanding from its newspaper roots into a multimedia operation spanning digital, video, podcasts, live events, and data-driven civic engagement. NMG properties include the flagship Newsday and Newsday.com, NewsdayTV, the Newsday Live events series, and nextLI, a civic research and community forum platform funded by The Rauch Foundation.

A new 130,000-square-foot headquarters in Melville features a broadcast-quality TV studio and multimedia production space. Newsday Live produces a growing calendar of food and wine tastings, author talks, sports Q&As, concerts, and community events. Feed Me, the company's food and dining vertical, includes a web series, quarterly print magazine, and restaurant coverage. Brand 360, the in-house content studio, partners with advertisers across healthcare, education, energy, tourism, and retail.

Newsday's investigative unit has driven real-world change, from prompting schools to replace unsafe football helmets to contributing reporting that led to federal corruption convictions. Community programs include the Newsday Marching Band Festival, CheerFest, Scholar-Artist honors, and partnerships with local nonprofits focused on hunger, housing, youth education, and child welfare.

For people who care about local journalism, multimedia storytelling, and community impact, Newsday is doing the work at scale.

","Melville, NY","coloredLogo","logoAttachment","thumbnail","thumbnailAttachment","newsday.jpg","hexCode","#D52B1E","headline","Award-Winning Local Media Powerhouse Serving Long Island & New York City","/companies/newsday-media-group","https://production-rails-default.s3.amazonaws.com/uploads/company/thumbnail_attachment/8752/newsday.jpg","hasJobSubmission","isSavedJob","similarJobs",[523,535,545,565,585],{"_435":283,"_439":524,"_470":471,"_462":525,"_248":526,"_446":527,"_433":434,"_113":442,"_437":199,"_438":199,"_472":471,"_448":199,"_449":528,"_431":530,"_473":531,"_436":199,"_487":532,"_478":533,"_489":442,"_490":484,"_492":534,"_494":495,"_496":497},["D",1774882800000],"Naviguard","Access & Reimbursement Pharmacy Specialist

The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit verification research and benefit initiation of pharmacy claims. To ultimately obtain patient access, the role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying and obtaining financial assistance. This position is under direct supervision from the Access & Reimbursement Supervisor. This position relies heavily on the ability to accurately follow directions, thoroughly research, address and communicate prescription insurance coverage requirements as well as a comprehensive knowledge of Medicare, Medicaid and commercial plan structures and standards.\nYou'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.\nPrimary Responsibilities:\nKnowledgeable and proficient in pharmacy benefit structure of all major payer types including government and commercial payers\nKnowledgeable and proficient in the entire pharmacy prior authorization and appeals process for prescription medications\nNavigate calls to pharmacy benefit manager to determine and obtain patient benefit structure details, initiate overrides, and obtain contracting requirements\nCompletes test claims or electronic verification of benefits when applicable\nAccurately collect the information required for each program and capture the information in a Customer Relationship Management system (CRM) or database\nCoordinates with board licensed healthcare professionals including nurses, pharmacists, or supervised pharmacy interns for information needed to complete Prior Authorizations, Appeals and third-party financial assistance forms\nFollows up with pharmacy plans and third-party financial assistance organizations for general information, status updates and determination details within specified timeframes\nEffectively explains prior authorization and appeal approval or denial details with customers in a way that is easily understood to fit the audience's needs\nKeeps current with the requirements and eligibility criteria for copay assistance from public, private, and non-profit organizations related to assigned programs to assist customers with enrolling into third party financial assistance opportunities when applicable. This includes researching foundations available to support the patients' holistic needs\nKeeps current with existing treatment trends, treatment standards and updated indications related to assigned programs to complete Prior Authorization and Appeal forms\nMaintains a working knowledge of program guidelines, FAQ's, products, and therapeutic areas related to programs within the Frontier Therapies portfolio\nResponsible for reviewing, interpreting, and reacting to data provided by clients and customers\nCoordinates the triage of patient prescription to the appropriate partner for fulfillment or administration\nCommunicates customer statuses to the appropriate parties at specified intervals or as needed\nResolve customer issues through basic troubleshooting and escalate potential problems or issues that require management's attention in a timely manner\nMaintains company, employee and customer confidentiality as well as compliance with all HIPAA regulations\nProvide recommendations to IT partners on system enhancements to better drive performance and quality\nCompletes special duties or projects assigned by leadership\nWhat 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:\nPaid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays\nMedical Plan options along with participation in a Health Spending Account or a Health Saving account\nDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage\n401(k) Savings Plan, Employee Stock Purchase Plan\nEducation Reimbursement\nEmployee Discounts\nEmployee Assistance Program\nEmployee Referral Bonus Program\nVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)\nYou'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.\nRequired Qualifications:\n2+ years of Prior Authorization processing experience in an insurance or pharmacy setting\n2+ years of hands-on Pharmacy Claims Processing experience and Benefit Verification in a pharmacy setting\nAbility to work 8-hour shifts Monday through Friday with a start time between 10:00am-11:00am EST\nMust be 18 years of age OR older\nPreferred Qualifications:\nValid license, registration and/or certification, in good standing, to practice as a Pharmacy Technician as required by the Board of Pharmacy in the state employed\nSpecialty Pharmacy experience\nPharmacy Accreditation experience\nPrevious work history working in a matrixed environment, call center, operations environment\nSoft Skills:\nAbility to work independently and as a team, and maintain good judgment and accountability\nDemonstrated ability to work well with health care providers\nMeet deadlines and proactively communicates roadblocks\nSpeak, listen and write in a clear, thorough and timely manner using appropriate and effective communication tools and techniques\nStrive for thoroughness and accuracy when completing tasks\nAbility to work independently\nStrong knowledge of Internet navigation and research\nWillingness to learn and grow in the position\nParticipate in continuous quality improvement activities\nBe a team player and collaborate across functions\n*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.\nPay 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 $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.\nPursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.\nAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.\nUnitedHealth 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.\nUnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.\n","Access & Reimbursement Pharmacy Specialist

The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit verification...",[529],{"_458":459,"_454":455,"_452":453,"_456":457,"_460":461},["B","3073116382"],"Work at Naviguard","16 hours ago","/jobs/3073116382-access-reimbursement-specialist","/jobs?keyword=Naviguard",{"_435":283,"_439":536,"_470":471,"_462":537,"_248":538,"_446":527,"_433":434,"_113":442,"_437":199,"_438":199,"_472":471,"_448":199,"_449":539,"_431":541,"_473":542,"_436":199,"_487":488,"_478":543,"_489":442,"_490":484,"_492":544,"_494":495,"_496":497},["D",1773075600000],"UMR","Access & Reimbursement Pharmacy Specialist

The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit verification research and benefit initiation of pharmacy claims. To ultimately obtain patient access, the role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying and obtaining financial assistance. This position is under direct supervision from the Access & Reimbursement Supervisor. This position relies heavily on the ability to accurately follow directions, thoroughly research, address and communicate prescription insurance coverage requirements as well as a comprehensive knowledge of Medicare, Medicaid and commercial plan structures and standards.\nYou'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.\nPrimary Responsibilities:\nKnowledgeable and proficient in pharmacy benefit structure of all major payer types including government and commercial payers\nKnowledgeable and proficient in the entire pharmacy prior authorization and appeals process for prescription medications\nNavigate calls to pharmacy benefit manager to determine and obtain patient benefit structure details, initiate overrides, and obtain contracting requirements\nCompletes test claims or electronic verification of benefits when applicable\nAccurately collect the information required for each program and capture the information in a Customer Relationship Management system (CRM) or database\nCoordinates with board licensed healthcare professionals including nurses, pharmacists, or supervised pharmacy interns for information needed to complete Prior Authorizations, Appeals and third-party financial assistance forms\nFollows up with pharmacy plans and third-party financial assistance organizations for general information, status updates and determination details within specified timeframes\nEffectively explains prior authorization and appeal approval or denial details with customers in a way that is easily understood to fit the audience's needs\nKeeps current with the requirements and eligibility criteria for copay assistance from public, private, and non-profit organizations related to assigned programs to assist customers with enrolling into third party financial assistance opportunities when applicable. This includes researching foundations available to support the patients' holistic needs\nKeeps current with existing treatment trends, treatment standards and updated indications related to assigned programs to complete Prior Authorization and Appeal forms\nMaintains a working knowledge of program guidelines, FAQ's, products, and therapeutic areas related to programs within the Frontier Therapies portfolio\nResponsible for reviewing, interpreting, and reacting to data provided by clients and customers\nCoordinates the triage of patient prescription to the appropriate partner for fulfillment or administration\nCommunicates customer statuses to the appropriate parties at specified intervals or as needed\nResolve customer issues through basic troubleshooting and escalate potential problems or issues that require management's attention in a timely manner\nMaintains company, employee and customer confidentiality as well as compliance with all HIPAA regulations\nProvide recommendations to IT partners on system enhancements to better drive performance and quality\nCompletes special duties or projects assigned by leadership\nWhat 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:\nPaid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays\nMedical Plan options along with participation in a Health Spending Account or a Health Saving account\nDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage\n401(k) Savings Plan, Employee Stock Purchase Plan\nEducation Reimbursement\nEmployee Discounts\nEmployee Assistance Program\nEmployee Referral Bonus Program\nVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)\nYou'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.\nRequired Qualifications:\n2+ years of Prior Authorization processing experience in an insurance or pharmacy setting\n2+ years of hands-on Pharmacy Claims Processing experience and Benefit Verification in a pharmacy setting\nAbility to work 8-hour shifts Monday through Friday with a start time between 10:00am-11:00am EST\nMust be 18 years of age OR older\nPreferred Qualifications:\nValid license, registration and/or certification, in good standing, to practice as a Pharmacy Technician as required by the Board of Pharmacy in the state employed\nSpecialty Pharmacy experience\nPharmacy Accreditation experience\nPrevious work history working in a matrixed environment, call center, operations environment\nSoft Skills:\nAbility to work independently and as a team, and maintain good judgment and accountability\nDemonstrated ability to work well with health care providers\nMeet deadlines and proactively communicates roadblocks\nSpeak, listen and write in a clear, thorough and timely manner using appropriate and effective communication tools and techniques\nStrive for thoroughness and accuracy when completing tasks\nAbility to work independently\nStrong knowledge of Internet navigation and research\nWillingness to learn and grow in the position\nParticipate in continuous quality improvement activities\nBe a team player and collaborate across functions\n*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.\nPay 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 $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.\nPursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.\n",[540],{"_458":459,"_454":455,"_452":453,"_456":457,"_460":461},["B","2833172018"],"Work at UMR","/jobs/2833172018-access-reimbursement-specialist","/jobs?keyword=UMR",{"_435":434,"_439":546,"_470":471,"_462":547,"_248":548,"_446":549,"_433":434,"_113":550,"_437":199,"_438":199,"_472":471,"_448":199,"_449":551,"_431":557,"_473":558,"_436":120,"_487":559,"_478":560,"_489":550,"_490":561,"_492":562,"_494":563,"_496":564},["D",1773882000000],"Wolcott, Wood and Taylor, Inc.","Denial Recovery Specialist

The Denial Recovery Specialist is responsible for reviewing, analyzing, and resolving denied professional billing claims to ensure accurate and timely reimbursement. This role focuses on identifying root causes of denials, initiating corrective actions, and collaborating with coding, billing, and payer representatives to maximize revenue recovery and reduce future denials.\nThe ideal candidate demonstrates strong, payer knowledge, and a deep understanding of physician billing guidelines, reimbursement methodologies and analytical skills.\nDenial Resolution & Appeals\nReview denied professional claims to determine root cause and appropriate resolution.\nResearch payer policies, contracts, and billing guidelines to support appeals.\nPrepare and submit timely, well-documented appeals and reconsiderations.\nFollow up with payers to ensure proper adjudication and payment.\nTrack appeal outcomes and identify trends in overturn rates.\nAccounts Receivable Management\nManage assigned A/R workqueues to ensure timely follow-up.\nPrioritize high-dollar and aging claims to optimize cash flow.\nMonitor denial aging and escalate unresolved issues appropriately.\nRoot Cause Analysis & Prevention\nIdentify trends in denials by payer, provider, specialty, CPT, or diagnosis and escalate to management.\nCollaborate with coding and billing teams to address documentation or submission errors.\nProvide feedback to front-end and coding teams to prevent recurring denials.\nAssist in developing process improvements to improve clean claim rates.\nCompliance & Accuracy\nEnsure all billing and appeal activities comply with CMS, Medicare, Medicaid, and commercial payer regulations.\nMaintain accurate documentation of actions taken on accounts.\nProtect patient confidentiality in accordance with HIPAA guidelines.\nReporting & Performance Monitoring\nTrack and maintain users own productivity and quality metrics.\nParticipate in team meetings and training initiatives.\nQualifications\nEducation\nHigh school diploma required\nAssociate or Bachelor's degree in Healthcare Administration, Business, or related field preferred\nExperience\n35 years of professional medical billing or denial management experience\nStrong knowledge of CPT, ICD-10, HCPCS billing or coding fundamentals\nExperience working with Medicare, Medicaid, and commercial payers\nFamiliarity with Epic EHR system\nCore Competencies\nAnalytical and problem-solving skills\nKnowledge of payer guidelines and reimbursement methodologies\nDetail-oriented with strong documentation skills\nEffective written and verbal communication\nAbility to manage productivity goals and meet deadlines\nTeam-oriented with a proactive approach

","Denial Recovery Specialist

The Denial Recovery Specialist is responsible for reviewing, analyzing, and resolving denied professional billi...","Denial Recovery Specialist",[552],{"_458":459,"_454":553,"_452":554,"_456":555,"_460":556},"Chicago","Chicago, IL, United States, 60601","IL","60601",["B","2928756454"],"Work at Wolcott, Wood and Taylor, Inc.","12 days ago","/jobs/2928756454-denial-recovery-specialist","Chicago, IL, United States","/jobs?keyword=Wolcott%2C+Wood+and+Taylor%2C+Inc.","/jobs?location=Chicago%2C+IL%2C+United+States","/jobs?keyword=Denial+Recovery+Specialist",{"_435":434,"_439":566,"_470":471,"_462":567,"_248":568,"_446":569,"_433":434,"_113":570,"_437":199,"_438":199,"_472":471,"_448":199,"_449":571,"_431":577,"_473":578,"_436":120,"_487":579,"_478":580,"_489":570,"_490":581,"_492":582,"_494":583,"_496":584},["D",1773910800000],"Texas Children's Medical Center","A leading children's hospital in Houston is seeking an Authorization Specialist. The role involves securing financial authorization, acting as a liaison with payers, and ensuring compliance with authorization requirements. Candidates should have experience in patient access registration and possess a High School Diploma or GED. This full-time position offers a chance to work in a dynamic environment with opportunities for professional growth and development.\n#J-18808-Ljbffr\n","A leading children's hospital in Houston is seeking an Authorization Specialist. The role involves securing financial authorization, acting as a li...","Pre-Auth & Payer Liaison Specialist",[572],{"_458":459,"_454":573,"_452":574,"_456":575,"_460":576},"Houston","Houston, TX, United States, 77246","TX","77246",["B","2933333491"],"Work at Texas Children's Medical Center","11 days ago","/jobs/2933333491-pre-auth-payer-liaison-specialist","Houston, TX, United States","/jobs?keyword=Texas+Children%27s+Medical+Center","/jobs?location=Houston%2C+TX%2C+United+States","/jobs?keyword=Pre-Auth+%26+Payer+Liaison+Specialist",{"_435":434,"_439":586,"_470":471,"_462":587,"_248":588,"_446":589,"_433":434,"_113":590,"_437":199,"_438":199,"_472":471,"_448":199,"_449":591,"_431":597,"_473":598,"_436":120,"_487":488,"_478":599,"_489":590,"_490":600,"_492":601,"_494":602,"_496":603},["D",1773115200000],"Medical University of South Carolina","Job Description Summary

Entity\nMedical University Hospital Authority (MUHA)

Worker Type\nEmployee

Worker Sub-Type\nRegular

Cost Center\nCC002349 CHSCorp - Precertification Unit

Pay Rate Type\nHourly

Pay Grade\nHealth-20

Scheduled Weekly Hours\n40

Work Shift

Job Description

Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care, via phone, fax, or payer websites. The Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.

Additional Job Description\nEducation: High School Degree or Equivalent Work Experience: 1 year

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees\n","Job Description Summary

Entity\nMedical University Hospital Authority (MUHA)

Worker Type\nEmployee

Worker Sub-Type\nRegular...","Precertification/Authorization Specialist",[592],{"_458":459,"_454":593,"_452":594,"_456":595,"_460":596},"Charleston","Charleston, SC, United States, 29408","SC","29408",["B","845918088"],"Work at Medical University of South Carolina","/jobs/845918088-precertification-authorization-specialist","Charleston, SC, United States","/jobs?keyword=Medical+University+of+South+Carolina","/jobs?location=Charleston%2C+SC%2C+United+States","/jobs?keyword=Precertification%2FAuthorization+Specialist","actionData","errors"]