5,597 authorization jobs at 840 companies in Pennsylvania
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Authorization Specialist
Minnesota or Malvern or Mendota Heights or San Diego
$17-$31/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
High school diploma or GED, insurance benefits and authorization request experience, data entry experience, and Microsoft Office knowledge including Outlook and Word.
Microsoft Office, Microsoft Outlook, Microsoft Word
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEHigh school diploma, 2 years related experience in preregistration/patient access/authorizations/insurance verification/billing, strong attention to detail and communication.
Connect America: Provides digital health and emergency response monitoring systems.
1+ YOEHigh school diploma/GED, 1-3 years call center/customer service experience, 1+ year billing/office healthcare experience, proficiency with MS Word, Excel and Outlook, strong verbal/written communication.
Microsoft Word, Microsoft Excel, Microsoft Outlook
CHC Solutions: Distributes medical equipment and supplies directly to patients.
Experience with insurance and customer service in healthcare preferred; strong typing and computer skills including Microsoft Word, Excel, Outlook; exceptional verbal and written communication; time management and multitasking skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook
TrueNorth Wellness Services: Provides community-based behavioral health and wellness support services.
High school diploma or GED; computer proficiency with Word, Outlook, and the internet; reliable transportation; insurance or medical billing experience preferred; required Pennsylvania clearances and mandated reporting training.
Microsoft Word, Microsoft Outlook, Electronic Medical Records (EMR)
Penn Highlands Healthcare: Provides integrated hospital and community healthcare services in Pennsylvania.
High school diploma or equivalent, relevant medical experience, physician office administration experience, and knowledge of payer authorization requirements. CPR required within one year.
House Rx: Platform for medically integrated specialty medication dispensing.
5+ YOE2+ Mgmt5+ years specialty pharmacy prior authorization experience, 2+ years supervisory experience, deep PA knowledge across commercial/Medicare/Medicaid payers, experience with PA workflow tools and EMR, strong communication and data skills, Pittsburgh-based or willing to relocate.
UPMC: Integrated health system providing clinical care and medical insurance.
1+ YOEHigh school diploma or equivalent +2 years medical environment experience (or Associate +1 year). Medical terminology course required. Knowledge of ICD-9, CPT, HCPCS, Microsoft Office, strong communication and judgment.
Microsoft Office, ICD-9-CM, CPT, HCPCS Level II, UPMC system, Electronic payor web sites
Redeemer Health: Provides hospital, home health, and senior residential care services.
Handles insurance authorizations, patient registration, insurance verification, and supports patient access for oncology treatments; strong communication and computer skills required.
Mid Atlantic Retina: Provides specialized diagnostic and surgical care for retinal disorders
Knowledge of benefit investigation, eligibility, authorizations, and referrals; experience with CPT and ICD-10 codes; Microsoft Office Suite required. Benefit authorization experience preferred.
Associate Insurance Authorization II - Pshvi Nyes Road
Harrisburg, Pennsylvania, United States
OnsiteFull Time
Penn State Health: Academic health system providing medical care, research, and education.
2+ YOEHigh school diploma or equivalent and two years relevant experience; obtaining authorizations and insurance verifications for patients; background checks required.
CencoraNYSE: COR: Distributes pharmaceuticals and provides global healthcare supply chain solutions.
2+ YOE2+ years pharmacy experience, PA and insurance verification knowledge, PA form completion, PA certification preferred (PTCB), full pharmacy technician licensure in PA, EMR/pharmacy software experience, strong communication and organizational skills.
Quality Life Services: Operates senior living facilities and provides post-acute healthcare services.
Prior home health or healthcare billing experience; knowledge of demographics and insurance; managed care coordination experience; attention to detail and multitasking; Home Care Home Base experience beneficial.
Phoenix or Boise or Nashville or Jefferson City or Austin or Annapolis or Boulder or Tallahassee or Carson City or Harrisburg or Topeka or Raleigh or Charleston or Seaford or Lansing
$18-$20/hrRemoteFull Time
Blue Cloud Pediatric Surgery Centers: Operates specialized ambulatory surgery centers for pediatric dental care.
1+ YOEHigh school diploma; 1 year insurance verification/billing preferred; strong benefits knowledge; ability to handle multiple tasks in deadline-driven environment.
Medical Billing Software, Office Suite, HIPAA Compliance Systems
Tri-State Orthopaedics & Sports Medicine: Provides comprehensive orthopedic and sports medicine patient care.
1+ YOEHigh school diploma or equivalent, 1–2 years in medical billing, insurance verification, or prior authorizations, medical terminology, CPT and ICD-10 coding, EHR experience, and strong computer and telephone skills.
Lawall Prosthetics & Orthotics: Provider of custom prosthetics and orthotics healthcare services.
Experience with insurance verification, prior authorizations, medical billing/reimbursement, knowledge of Medicare/Medicaid/Managed Care, HCPCS and ICD-10 coding, strong organization and communication, proficiency with medical billing software and Microsoft Office.
Blink Health: Digital platform for affordable prescription medications and pharmacy access.
High school diploma/GED required (bachelor's preferred). Customer service or inbound call center experience required. Strong verbal/written communication, attention to detail, and ability to work 8am-8pm shifts.
Redeemer Health: Community-based healthcare system providing medical and support services.
High school graduate; 2 years insurance verification/registration experience in hospital or physician office; strong problem solving, communication, and teamwork; proficient in medical terminology and payer portals.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school/GED, 1+ years pharmacy/prior-auth experience, pharmacy technician license/registration as required, strong communication and insurance/claims knowledge including CoverMyMeds and NCPDP.
Practice Prior Authorization Specialist, ENT and Allergy
Bethlehem, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network: Non-profit health system providing integrated medical and educational services.
1+ YOEHigh school diploma or equivalent required; 1–2 years of medical billing, medical office, or insurance experience preferred. Requires knowledge of medical procedures, ICD-10, CPT codes, and regulatory compliance.