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
$34.78 - $37.8 per hour
Title: Pre-Authorization Specialist Location: Upper East Side Org Unit: Clinical Operations Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $34.78 - $37.80 *As required under NYC Human Rights Law Int 1208-2018...SuggestedFull timeWork at officeLocal areaMonday to Friday- ...A-Line Staffing Solutions is hiring a Pharmacy Tech I - Prior Authorization for a fully remote position in the United States. The role involves handling inbound calls related to prior authorizations and requires candidates to maintain accurate documentation while providing...SuggestedRemote work
- ...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
- 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...SuggestedRemote workShift work
$29 - $31 per hour
...individuals in need. We are committed to providing our clients with the best possible and most compassionate care! Job Summary The Authorizations Specialist plays a critical role in obtaining and managing authorizations for medical services provided to patients. This individual...SuggestedWork experience placementWork at officeLocal area- ...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
- ...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 jobWork from home
- 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,...
- ...Analysis therapy to individuals with Autism Spectrum Disorder. Our authorization team plays a crucial role in ensuring children receive timely... ...they need. PositionOverview We are seeking an Authorization Specialist to support insurance authorization and verification processes...
- 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 and...
- We here at Licensed Behavior Analyst Professional Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption. Your work directly enables our therapists and BCBAs to serve children and...Hourly pay
$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- ...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 of...Local areaRemote work
$18.67 - $21.96 per hour
...South Carolina, South Dakota, Vermont, West Virginia, 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 Pharmacy...TraineeshipRemote workFlexible hoursShift work- JOB SUMMARY The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for visits, procedures, surgery, treatment, and testing with the patient’s corresponding insurance company as authorized by the physician...Temporary workWork at officeMonday to Friday
- ...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...
- ...the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Works as a member of the Prior Authorization Operations team. Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and...Full timeLocal areaRemote workMonday to FridayNight shiftWeekend work
- ...Trusted | Work Together | Strive for Excellence. Join Our Prior Authorization Team at Logan Health! Location: Remote (see approved states)... ...? We're looking for a detail-oriented Prior Authorization Specialist to ensure a smooth and efficient process for obtaining prior...Full timeWork at officeRemote workShift workDay shift
- ...Job Description Job Description Description: Position Overview: Part B Authorization Specialist Part B Authorization Specialist is responsible for meticulously reviewing benefits for Part B (outpatient) services, facilitating the submission of Part B authorizations...Work at officeRemote work
$18 per hour
...platform to track adherence with a world-class pharmaceutical packing and distribution facility. About the Role The Prior Authorization Specialist is responsible for obtaining prior authorizations for all prescriptions that require insurance carrier authorizations. Supervisory...Hourly payMinimum wageTemporary workH1bWork at officeLocal areaHome officeVisa sponsorshipWork visa- Silna Health Prior Authorization And Benefits Verifications Expert 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...Hourly payFull timeFor contractorsRemote work
- ...Job Description Job Description LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access to medications, diagnostic imaging, and specialty care by managing...
- Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow...FreelanceRemote workWorldwide
- 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
$20.31 per hour
Prior Authorization Specialist Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. We're not just filling positions, we're building careers. At Emplify Health, we care for our teams, while...Full timeRemote workMonday to FridayShift work$24 - $25 per hour
Join Our Team as an ABA Authorization Specialist at Behavioral Health Works!About Us Behavioral Health Works is an expanding company dedicated to responsible and sustainable growth. We are committed to delivering personalized ABA therapy for children and adolescents diagnosed...Hourly payFull timeFlexible hours- ...We're looking for an experienced Immigration and Mobility Specialist to help manage our global immigration and international relocation... ...of immigration compliance by tracking visa expirations, work authorization status, and key deadlines, while adapting to evolving rules...Permanent employmentFull timeH1bRelocationVisa sponsorshipFlexible hours
$20.98 - $26.23 per hour
...leading home care organization with over 130 years in the business. In this role, you'll be responsible for efficiently handling authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective and timely delivery of...Work experience placementFlexible hours$22 per hour
...Overview The Prior Authorization Coordinator will facilitate the logging in and out of all prior authorization, appeal, reimbursement and grievance requests, and follow-up on requests to ensure that all are resolved and completed in a timely manner. The coordinator will...Hourly payTemporary work- ...About the Role We're looking for a Senior Accounts Receivable Specialist to join our client onboarding team — a small group of... ...Demonstrated expertise in denial resolution across multiple categories: authorization, medical necessity, timely filing, COB, coding ~ Experience...Permanent employmentFull timeWork at officeImmediate startFlexible hours
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