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
- Elevate Patient Financial Solutions is seeking a Scheduling and Authorization Coordinator for a remote position. The role involves coordinating imaging scheduling, obtaining authorizations, and communicating with patients, physicians, and hospital staff to ensure smooth...SuggestedRemote job
$20.31 per hour
...supports you now and into the future. Join us and find out how a little empathy changes everything. We are looking for a Prior Authorization Specialist to join our team! In this role you will work with hospital departments and insurance companies to obtain the necessary pre...SuggestedFull timeRemote workMonday to FridayShift work- ...Responsibilities The Authorization Representative will need to cover authorizations for all services (CT, MRI, echo, surgery, minor procedures, heart monitor, PFTs, sleep studies, IP, Observations, Swing Bed, ED, VA), excluding STAT requests. Initial request and follow...Suggested
- Vital Care Infusion Services in the United States seeks a remote Authorization Specialist to initiate and manage prior authorizations, ensuring accuracy and timeliness to reduce denials and improve cash flow. The role emphasizes communication with franchise partners and...SuggestedRemote jobContract work
- Centene Corporation is seeking a dedicated professional to support the prior authorization request process and assist the utilization management team in Florida. The role ensures timely authorization determinations, documents medical information, and verifies insurance...SuggestedRemote jobHourly payFull time
- ...Ascertain is hiring a Prior Authorization Assistant to support our AI-powered authorization workflow across multiple healthcare specialties. You will manually process high-volume authorizations while guiding automated submissions and collaborating with leadership and product...
$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-5:30...Remote workMonday to FridayShift work$17.75 - $19.5 per hour
...decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a REMOTE Prior Authorization Specialist to join our team! Work Schedule: Monday – Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization & Benefits...Hourly payTemporary workCasual workInternshipRemote workMonday to FridayFlexible hours- ...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...Hourly payFull timeFor contractorsRemote work
$25.42 - $30.97 per hour
...POSITION SUMMARY: Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is...Full timeContract workWork at officeImmediate startRemote workFlexible hours- ...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...
- Are you looking for a rewarding opportunity in the healthcare field? Concordia is seeking a dedicated Authorization Specialist to manage insurance authorizations for our high-volume home health agencies and hospice agencies. In this fast-paced role, you will be responsible...Full timeWork at officeMonday to Friday
- Liberty Home Guard is seeking an Authorizations Specialist to review and approve repair or replacement services, negotiating with vendors and technicians to ensure cost-effective solutions. You will gather diagnoses, collect part numbers, and authorize estimates while maintaining...
$20 per hour
...Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Specialist I, Prior Authorization to join our team! The Specialist I, Prior Authorization (PAS) will review, process, and troubleshoot incoming Prior...Remote workFlexible hours- ...for 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 ability...
- The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to obtain initial and renewal authorizations for Specialty Pharmacy and/or Specialty Infusion services. You will collaborate with clinicians to assemble documentation per formulary guidelines...Remote job
- 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
- ...remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory compliance while improving the PA program....Remote work
- Jobgether in the United States is seeking a detail-oriented healthcare administrator to manage prior authorization cases from initial clinical review through payer portal submission. You will coordinate with clinicians and insurance portals, ensuring accurate documentation...
$25 - $28 per hour
...LLC is the administrative division supporting our licensed home care agencies, Ultimate Care and Swift Home Care. This on-site authorization role offers $25-$28 per hour, with schedule Monday-Friday 9:00AM-5:00PM at 1000 Gates Avenue, Brooklyn, NY 11221, reporting to the...Hourly payMonday to Friday$25 - $28 per hour
...Location: 1000 Gates Avenue, 4th Floor, Brooklyn, NY 11221 Schedule: Monday-Friday 9:00AM-5:00PM, Onsite Report to: Director of Authorizations Responsibilities Process and track authorizations for home health services, ensuring timely submission to insurance providers...Hourly payTemporary workWork at officeLocal areaMonday to Friday- MedImpact Healthcare Systems, Inc. is seeking a Prior Authorization Operations team member to process PA requests per client standards. You will use multiple business applications to analyze, enter data, and determine approvals based on clinical guidelines and client rules...
- Ultimate Care is seeking an Authorization Specialist to process and track home health authorizations onsite in Brooklyn, NY. The role requires coordinating with insurers, clinicians, and care teams to ensure timely approvals and accurate documentation. Experience with...Full time
$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 time...Full timeContract workTemporary workLocal areaImmediate startRemote workFlexible hours- Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...Remote job
- Emplify Health, in partnership with Gundersen Health System, is hiring a Prior Authorization Specialist to obtain pre-certifications and authorizations for services ordered by insurance. Work is 40 hours per week, Monday-Friday, with remote eligibility after in-person...Remote jobMonday to Friday
- 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- Quadax is seeking a detail‑oriented professional to support prior authorization workflows for health plans. The role combines remote work with an initial onsite training period in Middleburg Heights, OH, ensuring compliance with SOPs and KPI targets. Applicants must reside...Remote job
- Job 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 office
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