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
- ...About the Role We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically...Suggested
$101.18k - $120.46k
...Senior Shared Services Specialist Argo Group is an underwriter of specialty insurance products... ...direction and within broad limits and authority, partner with adjuster, auto/property... ...for this or any other position without prior authorization from Human Resources will...SuggestedWork experience placementLocal area- ...To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption...SuggestedLocal areaRemote work
- ...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
$26.76 - $30.8 per hour
...s): Bilingual Claims Intake/FNOL/Triage Specialist Employment Type: Full-Time FLSA Status:... ...direction and within standard limits and authority provide clerical support to claims adjusters... ...diploma (or equivalent) and 3 years' prior relevant work experience; or A...SuggestedHourly payFull timeTraineeshipWork experience placementWork at officeLocal area$18.67 - $21.96 per hour
...Island, South Carolina, South Dakota, Vermont, WestVirginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty...TraineeshipRemote workFlexible hoursShift work- ...Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team. Work schedule is Monday–Friday, 8:00am–5:00pm EST. Responsibilities include AP submission, benefit verification, and billing inquiries in a remote setting. Minimum qualifications include a...Remote workMonday to Friday
- ...Overview Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: Benefits Competitive salary Health insurance Opportunity for advancement Paid time off Profit sharing Health benefits...
- ...Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess...
$55k - $60k
...and a competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations,... ...various health plans. This role reports to the Manager, Prior Authorization within the Reimbursement Operations Department...Full timeContract workRemote work- ...orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and...Contract work
- Raventra Health is seeking a Prior Authorization Specialist to coordinate requests for scheduled procedures, treatments, and services, working with payer portals, provider teams, and clinical documentation to secure timely approvals. You will submit and track authorizations...Remote job
$93.4k - $116.8k
...execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. Conducts review of requests for prior authorization of health services, as required in certain product lines, and prepares written responses consistent with regulatory...Work experience placementWork at officeFlexible hours- Date Posted: 2026-07-23 Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and...Private practiceRemote work
$61.29k - $68.86k
...join our team as an Offshore Operational Specialist. In this role, the successful candidate... ...Responsibilities Financial Clearance, Authorization, Eligibility Verification & Patient... ...Financial Clearance activities, including prior authorization, eligibility verification...Work at officeRemote work- ...Behavioral Health Revenue Cycle Coordinator to help patients access care quickly by verifying insurance benefits, obtaining prior authorizations, and reconciling balances. You will identify and fix issues that cause denials and support patients with billing questions via...Remote job
- ...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
- Judi Health is seeking a PA Systems Specialist to maintain and validate prior authorization criteria, decision trees, and templates within the PA system. You will translate clinical requirements into system logic, collaborate with pharmacists and cross-functional teams,...
- Agadia Health Systems, Inc. is seeking a PAHub & Prior Authorization Specialist to serve as a trusted consultant for customers and internal teams. You will bridge product functionality with customer operations, implementation, and training to maximize value and adoption...Remote job
- ...and specialty providers. Job Overview: The Intake Specialist is responsible for managing incoming referrals for specialty... ...Ensure all required elements are obtained prior to benefits investigation and authorization Conduct welcome calls to patients, explaining services...Work at officeRemote work
- JOB SUMMARY The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for visits... ...authorization is secured with the insurance company prior to scheduled service. Obtains authorization timely when the...Temporary workWork at officeMonday to Friday
- ...Carolina, and Eastern North Carolina. The Field Reimbursement Specialist (FRS) serves as a subject‑matter expert on reimbursement,... ...position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the supported...Work at officeLocal areaNight shift
- 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$75.35k - $98.89k
Hi, we're Oscar. We're hiring a Senior Specialist, Process Improvement to join our Authorization Services Process Improvement team. Oscar is the first health insurance... ...to get agreement on decision Bonus points: Prior work experience in Prior Authorizations or...Full timeTemporary workWork experience placementWork at officeFlexible hoursShift work$21.38 - $44.4 per hour
...$21.38-$44.40/hr (Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and collecting from their assigned payor... ...School Diploma or General Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical billing environment...$19.5 per hour
Job Details Health Care Administrative Support Referrals Specialist I- Hybrid- Bilingual English/Spanish Bronx,NY Posted:8/17/202... ...reception calls and providing referral action steps. Seeks prior authorization from patient insurance carriers. Responds in a timely manner...Hourly payFull timeWork at officeWork from homeMonday to Friday- 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,...
- ...Solutions and currently, I am looking for a EDI Integration Specialist (Not Developer) for our client . Please see the job... ...healthcare processes including claims, eligibility, payments, and prior authorizations. ~ Solid understanding of XML, JSON, SQL, REST, and...Contract workRemote work
$40 - $50 per hour
...and Jack Dorsey . Position: Healthcare Administrative Specialist Type: Contract Compensation: $40–$50/hour... ...insurance verification. Design efficient processes for prior authorizations and utilization support through payer portals. Review and...Contract workSummer workWork at officeRemote work
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