Prior Authorization Specialist I
MedImpact Healthcare
MedImpact Healthcare Systems, Inc. is hiring for a Prior Authorization Operations role to process PA requests, validate information, and ensure timely, accurate determinations following clinical guidelines and client requirements. The position emphasizes collaboration with clinical pharmacists, documentation of PA actions, and adherence to turnaround times while delivering high-quality service to providers and members. #J-18808-Ljbffr
Vacancy posted 3 days ago
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$40 - $50 per hour
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New York, NY4 days ago - ...Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...SuggestedRemote work
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New York, NY5 days ago - ...Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...SuggestedRemote work
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New York, NY1 hour ago - ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience...SuggestedRemote workWork from home
Verisma
New York, NY4 days ago $17.84 - $28.02 per hour
...Position Purpose: Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate...Hourly payFull timePart timeH1bWork at officeRemote workFlexible hoursCentene Corporation
New York, NY17 hours ago$25.42 - $30.97 per hour
...POSITION SUMMARY: Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is...Full timeContract workWork at officeImmediate startRemote workFlexible hoursBoston Medical Center
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...decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday – Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization &...Hourly payTemporary workCasual workInternshipRemote workMonday to FridayFlexible hoursLabCorp
New York, NY5 days ago- ...operations, handle phone inquiries, and schedule and pre-register patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while maintaining high service standards. The position emphasizes...Remote work
Good Shepherd Health Care System
New York, NY5 days ago - ...Demonstrates knowledge of breastfeeding learning principles. Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. BLS - Basic Life Support AHA - American Heart Association Upon Hire IBCLC - International Board...16 hoursWork at officeLocal areaShift workDay shift
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New York, NY2 days ago - ...WellDyne is seeking a Prior Authorization Tech II to initiate clinical PA requests by phone or email, create and fax cases, and document all activity with accuracy. You will also complete PA requests via telephone with prescriber staff and work closely with pharmacies,...
WellDyne
New York, NY2 days ago $33.2 - $36.94 per hour
...healthcare related field or customer service oriented position. Experience Preferred: 2 years in Healthcare/Medical Working with prior authorizations Skills - Required: Excellent verbal and written communication skills. Strong customer service orientation. Basic computer...Full timeLocal areaRemote workHome officeShift work- Sullivan County Community Hospital is seeking a Prior Authorization Representative to join our well‑established Revenue Cycle team in Sullivan, IN. The role focuses on verifying insurance, documenting payer policies, and ensuring prior authorizations are processed quickly...
- Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities...Full timeRemote work
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$18.92 - $23.46 per hour
...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. Communicate...Full timeContract workTemporary workLocal areaImmediate startRemote workFlexible hours- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...
$25 - $27 per hour
Harlem Cardiology on Madison Avenue in New York City seeks a skilled medical biller and insurance authorization specialist to obtain prior authorizations for procedures. Join a dedicated cardiology team delivering cardiovascular care to East Harlem residents; compensation...Hourly payFull time$22 - $26 per hour
...This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:3...Remote jobMonday to FridayShift work- ...Opportunity for advancement Paid time off Profit sharing Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven experience with insurance verification of commercial and HMO plans and...
- ...Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption.... ...you secure matters Responsibilities Submit and track prior authorization requests to insurance companies daily Communicate...Hourly pay
- ...the Role We're seeking a Prosci-certified Change Management Specialist to support a significant Epic Revenue Cycle transformation... ...financial assistance, digital payments, follow-up/denials, and prior authorization — leveraging new Epic AI capabilities (Emmie for patient...Remote workFlexible hours
- Abbott in Madison, WI is hiring a Prior Authorization Associate I to handle initial and ongoing patient eligibility verification and authorization processes within Epic. You will work across departments to ensure timely and accurate approvals and denials handling, with...Remote job
- ...Pharmaceutical products, seeks an accomplished Patient Access Specialist TITLE: Patient Access Specialist LOCATION: Hybrid (2 Days... ...orphan medications by helping navigate insurance coverage, prior authorization requirements, pharmacy claims, refills, and medication...Temporary workWork at officeLocal areaRemote workMonday to Friday
$16 - $31.44 per hour
Patient Access Specialist $2000 Sign On Bonus For External Candidates You'll enjoy the flexibility... ...approved scripting Obtains referral, authorization, and pre-certification information and... ...: 1+ years of experience with prior authorizations Experience with using Microsoft...Remote jobDaily paidFull timePart timeWork experience placementLive inWork at officeRelocation packageMonday to FridayShift work- Alliance Health System is seeking an Authorizations Specialist to obtain prior authorizations for treatments, working remotely or in a hybrid setup. The role reports to the Director of Authorizations and requires familiarity with CPT/ICD-10 coding and payer guidelines....Remote job
- Working remotely, the full-time Remote Authorization Specialist will be responsible for obtaining and maintaining prior authorization status for patient medications and therapies, collaborating with clinical and billing departments to ensure compliance with payer requirements...Remote jobFull time
- University of Utah Health seeks a primarily remote role to secure outpatient accounts through insurance verification and prior authorization. You will work with physicians, nurses, and financial advocates to resolve authorization issues and ensure access to care. Responsibilities...Remote job
- Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote position with a 40-hour work week. The role focuses on accurately verifying insurance eligibility, securing prior authorizations, and managing denials to support patient financial...Remote job
- A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote job
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