Prior authorization processing jobs

Richmond, Virginia, United States
Hybrid
Internship · Intern
$16–$32 per hour

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Pharmacy Intern

Elevance Health · Posted Nov 6, 2026

Richmond, Virginia, United States
Hybrid
Internship · Intern
$16–$32 per hour

Apply with Referso

Regulatory & Payer Operations Support Specialist

Coloplast A/S · Posted Nov 4, 2026

Ventura, California, United States
$24–$24 per hour
2+ years

Provides regulatory, payer, and operational support at the office level, ensuring survey readiness, Medicaid and payer coordination, insurance verification, prior authorization, audit response, medical records retrieval, and office administrative operations.

Compensation

The starting hourly rate for this position is $24.07. Hired candidates may be eligible to receive additional compensation for applicable experience and may also be eligible for bonuses and/or incentives.

Responsibilities

Serve as local point of contact for CMS, Medicaid, accreditation, and payer surveys
Maintain continuous survey readiness and compliance
Coordinate mock surveys, compliance audits, and readiness assessments
Maintain regulatory documentation and support office leadership in compliance monitoring
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory

Requirements

High school diploma or equivalent
Associate or bachelor's degree in healthcare administration, Business Administration, Public Health, Regulatory Affairs, or related field
Nice to have: DMEPOS
Nice to have: HME
Nice to have: home health

Skills

Regulatory & Payer Operations Support Specialist

Coloplast A/S · Posted Nov 4, 2026

Texarkana, Texas, United States
On-site
Full-time · Associate
$24 per hour
2+ years

Serve as the office-level regulatory, payer, and operational support lead focusing on survey readiness, Medicaid/payer coordination, and administrative operations.

Compensation

Responsibilities

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys.
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements.
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions.
Maintain regulatory documentation and support office leadership in compliance monitoring.
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory.

Requirements

Associate or bachelor's degree in healthcare administration
Business Administration
Public Health
Regulatory Affairs
Nice to have: DMEPOS

Skills

Regulatory & Payer Operations Support Specialist

Coloplast A/S · Posted Nov 4, 2026

Tigard, Oregon, United States
On-site
Full-time · Associate
$24 per hour
2+ years

The role serves as the office-level regulatory, payer, and operational support lead responsible for survey readiness, Medicaid and payer coordination, and providing operational support with insurance verification, prior authorization, audit response coordination, medical records retrieval, and office administrative operations.

Compensation

Responsibilities

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys.
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements.
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions.
Maintain regulatory documentation and support office leadership in compliance monitoring.
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory.

Requirements

Associate's degree in healthcare administration
Bachelor's degree in Business Administration
Bachelor's degree in Public Health
Bachelor's degree in Regulatory Affairs
Nice to have: DMEPOS

Skills

Medicaid Medicare

Regulatory & Payer Operations Support Specialist

Coloplast A/S · Posted Nov 4, 2026

Brevard, North Carolina, United States
On-site
Full-time · Associate
$24 per hour
2+ years

Medicaid Medicare payer operations revenue cycle

Serve as the office-level regulatory, payer, and operational support lead responsible for survey readiness, Medicaid/payer coordination, and administrative operations.

Compensation

Responsibilities

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys.
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements.
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions.
Maintain regulatory documentation and support office leadership in compliance monitoring.
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory.

Requirements

Associate degree
Bachelor's degree
Nice to have: DMEPOS
Nice to have: HME
Nice to have: home health

Skills

Associate Production Operator

Coloplast A/S · Posted Nov 4, 2026

Minneapolis, Minnesota, United States
On-site
Full-time · Associate
$24–$24 per hour
2+ years

Compensation

Responsibilities

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions
Maintain regulatory documentation and support office leadership in compliance monitoring
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory

Requirements

Associate or bachelor's degree in healthcare administration, Business Administration, Public Health, Regulatory Affairs, or related field
Nice to have: DMEPOS
Nice to have: HME
Nice to have: home health
Nice to have: regulated healthcare environments

Skills

Associate Production Operator

Coloplast A/S · Posted Nov 4, 2026

Minneapolis, Minnesota, United States
On-site
$24–$24 per hour
2+ years

Compensation

Responsibilities

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions
Maintain regulatory documentation and support office leadership in compliance monitoring
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory

Requirements

Associate or bachelor's degree in healthcare administration, Business Administration, Public Health, Regulatory Affairs, or related field
Nice to have: DMEPOS
Nice to have: HME
Nice to have: home health
Nice to have: regulated healthcare environments

Skills

Associate Production Operator

Coloplast A/S · Posted Nov 4, 2026

Minneapolis, Minnesota, United States
On-site
Associate
$24–$24 per hour
2+ years

Medicaid Medicare payer operations revenue cycle healthcare reimbursement

Provide regulatory, payer, and operational support at the office level, ensuring compliance and efficient service to patients and customers.

Compensation

Responsibilities

Serve as local point of contact for CMS, Medicaid, accreditation, and payer surveys
Maintain continuous survey readiness and compliance
Coordinate mock surveys, compliance audits, and readiness assessments
Support insurance eligibility and benefit verification
Submit and track prior authorization requests

Requirements

Associate or bachelor's degree in healthcare administration
Business Administration
Public Health
Regulatory Affairs
Nice to have: DMEPOS

Skills

Regulatory & Payer Operations Support Specialist (Coral Springs, FL)

Coloplast A/S · Posted Nov 4, 2026

Coral Springs, Florida, United States
On-site
Full-time · Associate
$24 per hour
2+ years

Serves as the office-level regulatory, payer, and operational support lead responsible for survey readiness, Medicaid and payer coordination, and operational support.

Compensation

The starting hourly rate for this position is $24.07.

Responsibilities

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys.
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements.
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions.
Maintain regulatory documentation and support office leadership in compliance monitoring.
Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory.

Requirements

Associate or bachelor's degree in healthcare administration, Business Administration, Public Health, Regulatory Affairs, or related field
Nice to have: DMEPOS
Nice to have: HME
Nice to have: home health
Nice to have: CMS

Skills