214 authorization specialist jobs at 122 companies in Bound Brook, NJ
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Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
Licensed Behavior Analyst Professional Services (LBAPS): Private ABA provider serving children with autism and developmental challenges at home, school, and in the community.
Experience with insurance authorization and verification preferred; strong communication, organization, multitasking, attention to detail, and ability to manage multiple cases.
Claim Health: Private AI revenue platform automating revenue operations for post-acute care providers.
3+ YOE3+ years prior authorization experience in home health/hospice/post-acute care; deep knowledge of Medicare Advantage, Medicaid, commercial payers, payer portals, eligibility and documentation requirements; experience documenting SOPs; strong organization and attention to detail.
Polaris Pharmacy Services: Privately owned U.S. pharmacy provider serving long-term, post-acute, correctional, PACE, and specialty-care patients and facilities.
1+ YOEManage and resolve rejected pharmacy claims, communicate with payers and providers, perform data entry and reporting; HS diploma and pharmacy technician experience preferred; proficiency with Microsoft Office required.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Refuah Health Center: Nonprofit FQHC providing medical, dental, behavioral, and supportive care to Hudson Valley patients regardless of income.
High school diploma, knowledge of insurance carrier regulations, prior medical assistant experience preferred; ability to learn software/EMR and perform detailed administrative tasks; good communication and conflict-resolution skills.
Agadia: Agadia is a privately held healthcare software providing utilization-management automation to health plans, PBMs, and TPAs.
5+ YOE5+ years in healthcare operations/prior authorization with hands-on PAHub experience, strong presentation/consultative skills, analytical ability, HIPAA compliance awareness, and ability to work with customers and internal teams.
Onco360: Specialty oncology pharmacy focused on cancer and rare diseases.
1+ YOEHigh school diploma/GED and 1+ year pharmacy or prior authorization experience required; pharmacy terminology, insurance claims, Medicare, Medicaid, NCPDP, NDC billing, CoverMyMeds, and customer service skills required.
Lawall Prosthetic and Orthotic Services: Family-owned prosthetics and orthotics provider serving patients with custom devices and specialized pediatric care.
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.
St. Francis Hospital & Heart Center: Catholic nonprofit community hospital serving Long Island patients, nationally recognized for cardiac care and heart surgery.
3+ YOEMinimum 3 years healthcare experience; knowledge of CPT and ICD-10 coding; familiarity with payer authorization processes; strong written/verbal communication; proficiency with PC software; coding certification a plus.
61st Street Service Corporation: Providing administrative and clinical support for ColumbiaDoctors.
2+ YOEHigh school diploma or GED and 2+ years in physician billing or third-party payer environments. Requires managed-care eligibility, billing, and authorization knowledge; CPC and Epic experience preferred.
St. Francis Hospital & Heart Center: Catholic nonprofit community hospital serving Long Island patients, nationally recognized for cardiac care and heart surgery.
3+ YOE3+ years healthcare experience; knowledge of CPT and ICD-10 coding; familiarity with third-party payer authorization processes; strong written/verbal communication, PC and software skills; coding certification a plus.
Swan Hospice: Hospice provider serving terminally ill adults and their families across New Jersey and Michigan.
Manage accounts receivable and insurance authorizations including eligibility verification, prior authorizations, claims submission, EOB review, and documentation for hospice services.
CentralReach: Private SaaS providing autism and IDD care software to therapy providers and educators.
2+ YOERequires 2+ years of insurance verification and authorization experience, strong insurance and revenue cycle knowledge, organization, professional communication, customer focus, adaptability, and preferably ABA billing experience.
Practice Prior Authorization Specialist, ENT and Allergy
Bethlehem, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network: Non-profit regional health network providing comprehensive clinical and medical education services.
1+ YOEHigh school diploma or equivalent required. Preferred: 1–2 years in medical billing, medical office, or insurance; knowledge of medical procedures, ICD-10, CPT codes, and regulatory compliance.
Practice Prior Authorization Specialist, ENT and Allergy
Bethlehem, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network: Non-profit regional health network providing comprehensive clinical and medical education 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.
Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrenceville, New Jersey, United States
$36-$47/hrOnsiteFull Time
Capital Health: A regional non-profit health system in New Jersey.
3+ YOEHigh school diploma required; 3+ years hospital revenue cycle/prior authorization experience; proficiency with payer portals, EHR, and Microsoft Excel; strong knowledge of payer authorization rules and CPT/HCPCS.
Argus Community: Nonprofit New York social-service agency providing addiction, HIV, mental-health, education, housing, and employment services to underserved people.
Personal recovery experience and completion of a peer specialist training/certification; basic computer skills; effective empathetic communication; legal authorization to work in the U.S.
Crash Champions: Largest founder-led collision repair operator in the U.S.
High school diploma or GED, valid driver's license with clean record, attention to detail, organization, teamwork, instruction-following, background check, and U.S. work authorization.