Prior Authorization Specialist - CPhT
$60kFull-time
HealthCare Support
Prior Authorization Specialist – CPhT | Montvale, NJ HealthCare Support is seeking a Prior Authorization Specialist - CPhT to join a growing Pharmacy Benefit Management (PBM) organization in Montvale. This is a great opportunity for a Certified Pharmacy Technician looking to utilize their pharmacy experience in a non-retail, office-based setting. You'll focus on prior authorizations, pharmacy claims, and resolving coverage issues to help members access their medications. Schedule
- Monday-Friday, 10:30 AM-7:00 PM
- Onsite in Montvale, NJ
- Up to $60,000 annually, depending on experience
- Medical, dental, and vision insurance
- Multiple medical plan options, including HSA-eligible plans
- Benefits effective the 1st of the month following hire
- 401(k) company match: 50% of the first 4% contributed
- 100% immediate vesting
- Paid Time Off
- Tuition reimbursement
- Short-term and long-term disability
- Basic Life & AD&D insurance at 2x salary
- FSA and HSA options
- Provide efficient administrative and operational support to adjudication, prior authorization, and clinical review teams. Accurately process claim overrides and case documentation in accordance with standard operating procedures (SOPs). Ensure compliance with all turnaround times and quality metrics to meet member and client expectations. Assist clinical pharmacists and operations teams with workflow management and reporting needs.
- Certified Pharmacy Technician (CPhT) required
- Claims adjudication, prior authorization expertise
- Strong customer service orientation and commitment to delivering concierge-level service
- Ability to work in a fast-paced environment
- Call: View phone number on click.appcast.io
- Schedule:
- Email: View email address on click.appcast.io
Vacancy posted 12 hours ago
Similar jobs that could be interesting for youBased on the Prior Authorization Specialist - CPhT in Montvale, NJ vacancy
- ...location directions to patients. Monitors the status of pending authorizations, communicate with payer case managers to expedite approvals... ...COMPETENCIES: 1. Authorization Submission: Initiate, submit, and track prior authorization and pre-certification requests for office visits...SuggestedHourly payDaily paidFull timePart timeWork at officeFlexible hoursShift workWeekend work
- ...a Financial Representative to support one of our top healthcare clients, focused on pre‑service insurance verification and prior authorizations for peri‑op, and inpatient services. This person will work directly in insurance portals, handle complex oncology treatment...Suggested
Insight Global
Tarrytown, NY3 days ago $18.99 - $29.22 per hour
...RCCA and make a meaningful impact on the patient journey. As a fully remote Precertification Specialist, you will be responsible for obtaining and managing prior authorizations to ensure patients receive timely access to the care and treatment they need. This role requires...SuggestedFull timeTemporary workWork at officeRemote workFlexible hoursShift workUS Oncology Network-wide Career Opportunities
Teaneck, NJ4 days ago$17 - $18.15 per hour
...The Opportunity: We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting... ...Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound...SuggestedWork at officeEnsemble Health Partners
Westwood, NJ4 days ago$18.99 - $29.22 per hour
...Precertification Specialist Join RCCA and make a meaningful impact on the patient journey. As a fully remote Precertification... ...Specialist, you will be responsible for obtaining and managing prior authorizations to ensure patients receive timely access to the care and...SuggestedFull timeTemporary workRemote workFlexible hours- ...Job Description Job Description Preconstruction Cost Specialist – Concrete Projects | On-site | West Nyack, NY MaxIT Consulting – Max Corporate Group is seeking an experienced Preconstruction Cost Specialist – Concrete Projects for a U.S.-based organization specializing...Full timeContract workFor subcontractorWork at office
MaxIT Consulting - Max Corporate Group
West Nyack, NY16 days ago - ...Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue... ...the pre-registration of patient accounts prior to patient visits. This may include inbound... ...to individuals who reside and are authorized to work within the United States. Applications...Work at officeLocal areaRemote work
$95.86k - $208.27k
...Advisory.KPMG is currently seeking a Senior Specialist, IAM, SailPoint to join our Managed... ...night and weekend shiftsApplicants must be authorized to work in the U.S. without the need for... ...'s skills, job responsibilities, prior relevant experience, certain degrees and...H1bLocal areaNight shiftWeekend workKPMG
Montvale, NJ1 day ago$19 - $27 per hour
...floor. Share your passion and expertise to help athletes find the right equipment and elevate their performance in golf. As a Specialist - Golf, you will deliver personalized service, support service execution, and drive sales through strong product knowledge. Help...Hourly payMinimum wageDICK'S SPORTING GOODS INC
West Nyack, NY19 hours ago$24.72 - $29.14 per hour
...Overview Peer Specialist Samaritan Daytop Village is a leading human services organization in New York State serving over 38,000 New Yorkers annually across more than 60 locations through Transitional Housing, Community Based Services, and Residential and Outpatient...Hourly payDaily paidFull timeTemporary workSamaritan Daytop Village, Inc.
Blauvelt, NY4 days ago- ...an impact and want the excitement of being on a team that wins. Job Description We are currently looking for a SHIPPING SPECIALIST to join the Warehousing team. The ideal candidate will be a career-focused and professional individual looking to grow...Minimum wageWork experience placementLocal areaFlexible hours
Teledyne Technologies
Chestnut Ridge, NY19 hours ago $52k
Here's a polished job posting you can use for job boards, LinkedIn, or Indeed. It highlights the key qualifications while making the opportunity appealing to candidates. Logistics & International Shipping Coordinator Location: Chestnut Ridge, NY Schedule: ...Hourly payTemporary workLocal areaImmediate startMonday to FridayLHH Recruitment Solutions
Chestnut Ridge, NY19 hours ago- ...shared responsibility and we work together to foster a culture where everyone belongs and is inspired to do their best work. As a Specialist, you build brand loyalty and create owners of Apple products and services. You’re dedicated to selling and delivering a customer...Part timeSeasonal workLocal areaRelocationNight shift
Apple
Nanuet, NY3 days ago $15.92 - $20.5 per hour
...coverage and operational continuity during times when the Photo Specialist is not scheduled. Follows company policies, asset protection... ...six months of experience in a retail environment. Prefer to have prior work experience with Walgreens. We will consider employment of...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shiftWalgreens
Hillsdale, NJ1 day ago- Confluent Health is seeking a Care Coordinator to greet patients and manage front desk operations at our West Nyack, NY location. You will oversee check-in/check-out, scheduling, insurance verification, and phone inquiries, ensuring a smooth patient experience. Ideal candidates...
Confluent Health
West Nyack, NY2 days ago $20 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools...Local areaHome Depot
Nanuet, NY3 days ago$114.1k - $268.18k
...Advisory.KPMG is currently seeking a Lead Specialist, Cloud Security to join our Managed... ...outcomesAbility to travel as neededApplicants must be authorized to work in the U.S. without the need for... ...'s skills, job responsibilities, prior relevant experience, certain degrees and...H1bLocal areaKPMG
Montvale, NJ1 day ago- ...Advisory.KPMG is currently seeking a Lead Specialist, Oracle GL/AP to join our Managed... ...depending on client and business needsMust be authorized to work in the U.S. without the need for... ...'s skills, job responsibilities, prior relevant experience, certain degrees and...H1bLocal area
KPMG
Montvale, NJ3 days ago - A leading engineering consulting firm based in Pearl River, New York, is seeking a highly motivated Permitting Specialist. In this role, you will review project scopes, manage environmental regulatory permits, and ensure compliance with federal, state, and local requirements...Local area
- A leading home improvement retailer seeks an Asset Protection Specialist in West Nyack, NY. The role focuses on preventing theft and fraud while ensuring safety compliance in the store. Responsibilities include monitoring security, preparing detailed reports, and interacting...
$69.72k
...Chromalloy! Job Summary We’re looking for a Maintenance Specialist to join our manufacturing team. In this role, you'll maintain... ...with your Form I-9 information to confirm that you are authorized to work in the U.S. Any offer of employment will also be...Permanent employmentFull timeLocal areaMonday to FridayShift workDay shift$24.72 - $29.14 per hour
Samaritan Daytop Village is seeking a full-time Peer Specialist in Blauvelt, NY, offering a supportive role for individuals facing mental health or substance use challenges. The candidate should have lived experience, hold a required NYS peer certification, and be skilled...Hourly payFull time$50.62k
NIPD - NJ has an opening for a Behavioral Intervention Specialist. This is a clinical position which involves the assignment to several programs where the BIS is responsible for the assessment of individuals’ habilitative, behavioral and psychiatric needs and the development...Full timeMonday to FridayFlexible hours- Highland Medical, P.C. in West Nyack, New York is seeking an Authorization Specialist to verify coverage, obtain pre-certifications for... ...on coverage limitations or out-of-pocket costs, coordinate prior authorizations, and work closely with EPIC and payer portals...Work at office
- Havenova Home Care Solutions on Long Island, NY is seeking a warm, reliable babysitter to join our team. The role involves providing safe, nurturing, and engaging care in the home environment for children and families. You will supervise children, lead age-appropriate activities...Flexible hours
- ...employees. Powered By Innovation, Passion, And Purpose. Start Your K&A Career We are seeking a highly motivated and skilled Permitting Specialist to join our team at K&A Engineering in Spring Valley, New York. In this role, you will have the opportunity to work on exciting...Temporary workLocal areaFlexible hours
- Tailored Brands, Inc. is seeking Seasonal Sales Associates for our Nanuet, NY store. Join a culture that values belonging, inclusivity, and an inspiring environment while helping customers express their true selves. You will engage customers, merchandise, handle cash, and...Hourly paySeasonal workFlexible hours
- Thimble Alterations is seeking a skilled wedding dress specialist to join their network of alteration professionals in Park Ridge, New Jersey. The role requires precision tailoring on bridal gowns and working confidently with delicate fabrics. Ideal candidates will have...Flexible hours
- Record Center SpecialistRecord Center Specialists have to kneel, squat, reach, and bend forward frequently throughout their shifts. Their primary tasks include the moving, arranging, lifting and loading of storage boxes, bins and totes. Boxes, bins and totes range in weight...Shift work
$18 - $20 per hour
Patriot Medical Health in Woodcliff Lake, NJ is seeking a Medical Receptionist / Patient Scheduling Coordinator to be the welcoming voice of the practice. The role involves managing patient calls, coordinating provider schedules, and ensuring timely care for diverse patients...Hourly payFull timeWork at officeMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Specialist - CPhT. Be the first to apply!
