Clerical/Admin - Prior Authorization Specialist
Pride Health
Clerical/Admin - Prior Authorization Specialist
Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us. Only applicable for San Francisco candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.
Equal Employment Opportunity: Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.
Pride Health$20.5 - $27.59 per hour
...departments. Monitors outcomes to ensure medical necessity and authorization requirements are met. Provides feedback to departments on... ...: 1. 3+ years of related experience; two or more years of prior work experience in Financial Clearance activities. 2. Knowledge...SuggestedHourly payWork experience placementInterim roleImmediate startShift workBeth Israel Lahey Health
Boston, MA2 days ago- ...Cardinal Health is seeking a Senior Coordinator, Prior Authorization, to manage and track payer approvals for durable medical equipment orders. Responsibilities include preparing authorization requests, conducting follow-ups, and ensuring compliance with quality and HIPAA...SuggestedHourly payRemote work
Cardinal Health
Boston, MA1 day ago $17 - $18 per hour
...much-needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...SuggestedHourly payTemporary workWork at officeLocal areaImmediate startRemote workWork from homeHome officeFlexible hoursAccendra Health
Boston, MA3 days ago$19.81 - $28.3 per hour
Site: The General Hospital Corporation Mass General Brigham is a not‑for‑profit organization that supports patient care, research, teaching, and community service. Job Summary The ideal candidate brings a strong background in healthcare or hospital financial operations...SuggestedHourly payRemote workShift work$20 - $21 per hour
Patient Services - Radiology Authorization Specialist - Boston, MA We are seeking candidates for a Radiology Authorization Specialist position... ...exams Identify all patient access issues creating barriers to prior authorization Prepare and complete the prior authorization...SuggestedContract workWork experience placementWork at office- Daley And Associates, LLC in Boston is looking for a Radiology Authorization Specialist. This entry-level role is ideal for recent graduates eager... ..., managing patient access issues, and completing prior authorization requests. Candidates with a bachelor's degree...Hourly pay
$20 per hour
...department. Essential Functions -Perform routine administrative and clerical duties relating to a clinical service or physician practice... .... -Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results....Hourly payWork experience placementWork at officeRemote workMonday to FridayShift workDormont Manufacturing Company
Boston, MA1 day ago$23.15 - $34.4 per hour
...'re making a difference in people's lives. The Referral Specialist position will support the Department of Neurology at large... ...responsible for the processing of managed care referrals as well as prior authorizations. This will begin as an on-site role, at Beth Israel...Hourly payWork experience placementWork at officeRemote workMonday to FridayShift workDay shift2 days per weekBeth Israel Lahey Health
Boston, MA7 days ago$49.36k - $66.44k
...type, diagnosis codes, required settings and other special needs prior to scheduling. Ensure proper sequencing and timing of cases... ...portions of the financial clearing process, including prior authorizations, and insurance referrals for all surgical procedures. May use...Work at officeMonday to Friday$23.15 - $34.4 per hour
A healthcare organization in Boston is seeking a Referral Specialist to support the Department of Neurology. This role involves processing managed care referrals and prior authorizations, ensuring quality service to patients. The ideal candidate has a high school diploma...Remote jobHourly pay$23 per hour
...See below for open job opportunities. If you do not see any listings at this time, please check again later. Position: Prior Authorization Specialist Location: Waltham, MA Job Id: 661 # of Openings: 1 Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy...Full timeTemporary workLocal areaRemote workRelocation packageCareMed Specialty Pharmacy
Waltham, MA5 days ago- ...Clerical/Admin - Administrative Assistant Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement...Local area
PRIDE Health
Boston, MA1 day ago $1,482.21 per month
...Client Name Boston Medical Center (Parent) Job Type Travel Offering Non-Clinical Profession Clerical/Admin Specialty Administrative Assistant Job ID 18473751 Job Title Clerical/Admin - Administrative...Weekly payLocal areaShift workOU Health (Parent)
Boston, MA5 days ago- ...included - Confirm when required on all MR orders a. Order matches signs/symptoms b. All required orders are in place c. Prior authorization is in place d. Labs are available or ordered e. Contrast allergies are highlighted f. MR safety screening form...Part timeWeekend work
Brigham & Women's Faulkner Hospital
Boston, MA5 days ago $19.37 - $27.71 per hour
...full-time, 40-hour Practice Specialist to join our Sports Medicine... ...related issues for staff. Manage authorizations in collaboration with... ...routine administrative and clerical duties relating to a clinical... ...or takes messages related to prior authorizations, provider questions...Hourly payFull timeRemote workMonday to FridayShift workWeekend workMass General Brigham
Wellesley, MA5 days ago$18.44 - $27.39 per hour
...included - Confirm when required on all MR orders a. Order matches signs/symptoms b. All required orders are in place c. Prior authorization is in place d. Labs are available or ordered e. Contrast allergies are highlighted f. MR safety screening form...Hourly payPart timeRemote workShift workWeekend workMass General Brigham
Boston, MA3 days ago$18.81 - $23.51 per hour
...organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business... ...patients on their insurance status. 3. Completes prior insurance authorizations and pre-certifications for patient procedures. 4....Work experience placementCasual workWork at officeMonday to FridayFlexible hoursShift workTufts Medicine
Malden, MA4 days ago$17.79 - $25 per hour
...Medical Assistant/Patient Service Specialist Hybrid position medical assistant and admin assistant POSITION SUMMARY: This position is to function... ...with ordering. Responsible to obtain prior authorizations and/or insurance referrals as per practice need...Full timeFixed term contractWork at officeFlexible hoursAya Healthcare
Brighton, MA5 days ago$21.53 - $28.98 per hour
...is analyzed and submitted to insurance companies for approval prior to the patient's date of service. Collaborate with insurance companies... .... Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide...Hourly payFlexible hoursShift work- Dana-Farber Cancer Institute in Boston is seeking an individual to handle administrative tasks in a fast-paced clinic environment. This role involves scheduling appointments, liaising between patients and providers, and delivering excellent customer service. The ideal candidate...
- Milton Hershey School, a cost-free pre-K through 12th grade residential school, is seeking a Youth Development Specialist in the Education, Training & E-Learning department. This role supports students’ academic, social, and emotional growth through mentoring, small-group...Full time
$45.5k - $54.4k
Dana-Farber Cancer Institute in Boston is seeking a dedicated individual to handle administrative tasks in a busy clinic setting. The role involves scheduling appointments, liaising with patients, and delivering exemplary customer service. The ideal candidate possesses ...- Optum is looking for a Hospital Admissions / Prior Authorization Coordinator to deliver excellent patient care and streamline surgical bookings. In this role, you'll coordinate with clinicians, manage patient admissions, and ensure smooth communication. Required qualifications...Remote job
$45.5k - $54.4k
Dana-Farber Cancer Institute seeks a dedicated individual for administrative tasks on the clinic floor in Boston. This role involves scheduling appointments, providing excellent customer service, and collaborating effectively with patients and providers. Candidates should...- Dana-Farber Cancer Institute is hiring for a position in Boston that focuses on scheduling appointments and supporting patient care in an oncology clinic. You'll work closely with patients, families, and leadership, ensuring exemplary service while managing complex scheduling...
$20 per hour
...0 per hour Shift Schedule: 8:30 AM 5:00 PM Monday Friday Work Mode: Remote Responsibilities Prioritizes incoming Prior Authorization requests received from faxes and the provider portal. Processes incoming requests, including authorizing specified services...Remote jobHourly payWork at officeMonday to FridayShift work- ...Accurately collects, verifies, and records all patient demographic and insurance information. Complete medication prior authorizations Providing routine clerical support as needed to the transplant unit Accurately record dialysis statistics in excel Fax/upload records...Temporary workRelocation packageMonday to Friday
$25 - $30 per hour
...Referral Specialist Burlington, Massachusetts, United States This candidate should... ...securing all required referrals and insurance authorizations for patients with upcoming appointments... ...referrals or insurance authorizations prior to their visit Obtain referrals from...Work at officeLocal areaThe Vascular Care Group
Burlington, MA4 days ago- ...Description Job Description The intake specialist manages various aspects of the in-take... ...proper documentation, insurance authorizations, and payments, ultimately ensuring the... ...and patient demographics. Insurance Prior Authorizations: Communicate with insurance...Full timeWork at office
- Endourologist The Department of Urology at Mass General Brigham is seeking board-eligible or board-certified urologists with fellowship training in endourology. The ideal candidate will have specialized training in the management of nephrolithiasis and BPH, including...
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