Authorization Specialist
AMERICARE CERTIFIED SPECIAL SERVICES INC
Job Description The HMO Authorization Specialist is an essential component of the certified agency team. The HMO Authorization Specialist is responsible for requesting authorization for home care services for patients with HMO/Managed Care payment sources and acts as a liaison between community-based COC (Coordinators of Care) and the HMO/Managed Care Companies. Requirements High School Diploma Must have homecare & managed care experience Knowledge about health insurance verification Ability to communicate both in writing and verbally required Computer Literacy – Proficiency in Word and Excel required Benefits Comprehensive benefits including medical, dental, and vision 401K plan with company match Robust time off including sick, vacation, personal days, cultural heritage day and your birthday off Opportunity for advancement Employee discount program on events, movie tickets, mobile phone plan discounts and more Equal Employment Opportunity Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law. About Americare Welcome to Americare Careers! Our commitment to providing top-notch care is deeply rooted in our passion for people — both the ones we serve and those we work alongside. When you become part of our team, you’re joining a family that’s been dedicated to the well-being of others for over 40 years. #J-18808-Ljbffr AMERICARE CERTIFIED SPECIAL SERVICES INC
- ...is seeking an experienced professional for a full-time role in West Atlantic City, NJ. This position is focused on managing pre-authorization processes and requires strong leadership qualities, medical terminology knowledge, and prior experience in similar roles. Responsibilities...SuggestedFull time
- ...Intellisight is hiring for the role of Eligibility, Authorizations & Referrals in US Healthcare. This work-from-home position requires candidates to process authorizations, manage referrals, and verify patient eligibility. The ideal candidate should have between 1 to...SuggestedRemote workWork from home
$23 per hour
...Human Hire is seeking an Authorization Specialist for their NYC office. This full-time role offers competitive pay of up to $23/hr and health, dental, and vision benefits after 90 days. Work-life balance is prioritized with a schedule of Monday to Friday from 8:30 AM...SuggestedFull timeWork at officeMonday to Friday- ...A healthcare services company in Idaho is seeking a Prior Authorization Specialist I to facilitate prior authorization approvals for patients, ensuring all necessary information is documented. This role requires a high school diploma or GED, along with a pharmacy technician...SuggestedRemote work
$18 - $22 per hour
...extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after...SuggestedHourly payFull timeTemporary workWork at officeRemote workMonday to Friday- ...Summary Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure...Work at officeLocal areaRemote workMonday to FridayShift workDay shift
$23.69 - $32 per hour
...Career Opportunities with 61st Street Service Corp Current job opportunities are posted here as they become available. Authorization Specialist II #Full Time #Remote The 61st Street Service Corporation, provides administrative and clinical support staff for...Hourly payFull timeWork at officeLocal areaImmediate startRemote work- ...A healthcare organization seeks a Scheduling and Prior Authorization Representative to manage scheduling tasks for surgeries and procedures. This full-time remote role requires effective communication and customer service skills, along with knowledge of hospital processes...Full timeRemote work
- ...Complete the precertification and prior authorization process by calling insurance companies, adjusters, and patients. Communicate the approval or denial of surgeries and/or tests effectively to physicians, physicians’ staff, and patients. Complete accuracy checks between...
- ...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 in a...Remote workWork from home
- ...Job Description The HMO Authorization Specialist is an essential component of the certified agency team. The HMO Authorization Specialist is responsible for requesting authorization for home care services for patients with HMO/Managed Care payment sources and acts as...Local area
- ...Weill Cornell Medical College is seeking a Pre-Authorization Representative in New York. This role involves managing insurance verifications, obtaining necessary prior authorizations, and ensuring patient communication. Candidates should possess a high school diploma or...Work at officeWeekday work
- ...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...
- ...LBAPS, located in New York, is seeking an Authorization Specialist to support insurance authorization and verification processes. The ideal candidate will manage multiple cases while ensuring timely access to services for individuals with Autism Spectrum Disorder. The...
- ...Ascertain, based in the United States, is seeking a Prior Authorization Assistant. In this role, you'll engage with healthcare providers and leverage AI technology to streamline prior authorizations, ensuring both accuracy and efficiency. You'll collaborate closely with...
$23.01 - $34.24 per hour
...prominent healthcare institution in New York is seeking a candidate to coordinate clinical information requests and manage payer authorizations. Responsibilities include communication with third-party payers, data entry, and reporting, as well as supporting case managers...Hourly pay- ...Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key Responsibilities Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery....Full timeWork at officeRemote workWork from home
$40k - $46k
...Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy. This remote position requires expertise in specialty infusion prior authorization and customer service skills. Candidates must have at least 2 years of relevant experience...Remote work- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Part timeRemote work
- ...Lehigh Valley Hospital is seeking a candidate for a remote position in Pennsylvania to manage benefits and authorizations for various healthcare services. This role involves collaborating with medical staff, performing insurance verifications, and ensuring compliance...Full timeRemote workDay shift
- ...Agency serving the NY Metropolitan area including Nassau, Suffolk and Westchester counties, is seeking an experienced , Authorization Specialist for our Brooklyn Corporate Office who is a strong communicator, pays extremes attention to detail and is committed to...Work at officeFlexible hours
- ...Clearway Pain Solutions is hiring for a position that requires providing quality patient care while managing prior authorizations and medication inquiries. As a Medical Assistant, you will communicate with patients and insurance companies and ensure timely processing...
- A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
- ...it never breaks. Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into decisions made in minutes, before...Remote jobHourly payFull timeFor contractors
- Capital Health is seeking an Authorization Integrity Specialist responsible for authorization controls and revenue management in Lawrenceville, NJ. This full-time position involves verifying services for scheduled accounts and participating in claim quality improvement...Full time
$22 - $26 per hour
...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-5:30pm...Remote jobMonday to FridayShift work- OpenLoop Health is seeking a Practice Authority Specialist to oversee and manage Collaborative Practice Agreements (CPAs) across multiple states. The role requires a Bachelor's degree in Healthcare Administration or a related field, with at least 1 year of experience in...Flexible hours
$34.78 - $37.8 per hour
Title: Pre-Authorization Specialist Location: Midtown Org Unit: Coding Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $34.78 - $37.80 Position Summary Under direction, is responsible for the management of insurance...Work at officeLocal areaMonday to Friday- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations: 3131 Princeton Piketime type: Full timeposted on: Posted Todayjob requisition id: JR109576Capital Health is the region's leader in providing progressive,...Full timeTemporary workPart timeWork at officeFlexible hours
$18.92 - $23.46 per hour
...carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Minimize turnaround...Full timeContract workTemporary workLocal areaRemote workFlexible hours
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