3,358 authorization jobs at 849 companies in Framingham, MA
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Authorization Representative
Medford, Massachusetts, United States
$20-$23/hrOnsiteFull Time
Innovive Health: Home healthcare for patients with complex behavioral health issues.
1+ YOEPerform insurance verifications, obtain prior authorizations, manage patient eligibility and documentation; associate degree or equivalent, 1+ year office experience, proficiency in Microsoft Office.
Highbar: Outpatient physical therapy and specialized musculoskeletal rehabilitation services.
High school diploma/GED, basic understanding of health insurance benefits, strong attention to detail and communication; medical insurance/authorization knowledge preferred.
CareMed Specialty PharmacyNASDAQ: BTSG: A specialty pharmacy providing medication access and support for cancer and rare disease patients.
1+ YOEHigh school diploma/GED, 1+ year pharmacy or prior authorization experience, Board of Pharmacy registration, strong communication and organizational skills, HIPAA knowledge, experience with pharmacy claims and CoverMyMeds.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
0.5+ YOEPrepares and submits claims, verifies eligibility, obtains authorizations, researches and resolves billing issues; requires HS diploma, 6 months related experience, Excel and system proficiency, strong English and clerical skills.
Dana-Farber Cancer Institute: Provides comprehensive cancer treatment and conducts oncological research.
1+ YOE1+ year relevant hospital/ambulatory prior authorization or billing experience; strong payer policy knowledge, medical terminology, EMR and Microsoft Office proficiency; high school diploma required; analytical and communication skills.
Electronic Medical Records (EMR), Microsoft Office
Dana-Farber Cancer Institute: Comprehensive cancer treatment and research center.
1+ YOEHigh school diploma or equivalent,1 year relevant hospital/ambulatory experience,knowledge of payer rules,medical terminology,ability to retrieve clinical records and prepare prior authorization requests,EMR and Microsoft Office familiarity.
Electronic Medical Records (EMR), Microsoft Office
Abby Care: Trains and pays family members to provide home care.
5+ YOE5+ years Massachusetts Medicaid authorization experience (LTHH/LTSS/waiver programs), deep knowledge of HCPF and regional authorization systems, team management experience, CRM and data analysis proficiency, strong stakeholder and communication skills, must reside or relocate to Braintree, MA.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOE1+ year pharmacy or prior authorization experience; HS diploma; Board of Pharmacy registration as required; strong communication; knowledge of insurance claims and NCPDP.
Shields Health Solutions: Integrates specialty pharmacy services into hospitals and health systems
3+ YOE3+ years pharmacy technician experience, state registration and national CPhT certification required, high school/GED, leadership experience preferred, proficient with Microsoft Office and pharmacy/EMR systems, willing to travel up to 20%.
Microsoft Office, Microsoft Excel, Microsoft Word, Willow, Qs1, RX30, EMR
Brown University Health: Provides clinical care, medical education, and biomedical research services.
2+ YOEHigh school diploma, 2 years healthcare experience with emphasis on insurance billing/reimbursement, knowledge of medical terminology and CPT/ICD-10 coding, strong organizational and communication skills, computer and database experience.
The Moore Center: Support services for individuals with intellectual and developmental disabilities.
2+ YOEAssociates degree and 2+ years office experience required; proficiency with Microsoft Office and database systems; valid driver’s license and automobile insurance; strong communication, organization, and customer service skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, MMIS
FYZICAL Therapy & Balance Centers: A medical practice offering ENT and facial plastic surgery services.
Experience in surgical scheduling and prior authorizations; coordinate schedules; collect documentation; obtain authorizations; communicate with hospitals and centers.
Epic Nursing Services: Provides adult foster care and clinical case management services.
1+ YOE1+ year in healthcare intake/coordination or administrative role; strong organizational/follow-up skills; ability to manage multiple cases; excellent communication.
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
Experience in healthcare finance or billing with patient insurance verification, data accuracy, customer-facing phone skills, MS Office competency, and basic accounting knowledge; HS diploma required, associate preferred.
IT Security Manager, Authentication & Authorization
Windsor or Boston or Atlanta or Minneapolis or Charleston
$114k-$170k/yrRemoteFull Time
Voya FinancialNYSE: VOYA: Provides retirement, investment, and insurance products and services.
Experience managing technical teams and IAM/authentication/web security; strong stakeholder and process leadership; experience implementing intake/workflow, SLAs, and operational reporting.
IBM Verify Identity Access (ISVA / WebSEAL), IBM DataPower, Keycloak, Okta, PingFederate, Azure Entra, ServiceNow
Rhode Island Medical Imaging: Provides outpatient medical diagnostic imaging and interventional radiology services.
High school diploma, knowledge of third-party billing and prior authorizations, HIPAA compliance, excellent telephone and interpersonal skills; 1 year prior authorization experience preferred; bilingual a plus.