151 authorization specialist jobs at 92 companies in Cold Spring, NY
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Authorization Specialist
Port Jervis, New York, United States
OnsiteFull Time
WMCHealth: Provides inpatient and outpatient healthcare through a hospital network.
2+ YOEKnowledge of insurance requirements, ICD-10/CPT, medical terminology, clinical documentation interpretation, scheduling and authorization processes; associate degree or equivalent; intermediate computer skills; 2+ years experience preferred (3-5 years pre-authorization preferred).
WMCHealth: Integrated healthcare network providing medical services across the Hudson Valley.
2+ YOE2+ years clerical healthcare experience, high school diploma required (associates preferred). Performs insurance verification, authorizations, documentation and communication to prevent treatment delays.
Cornerstone Family Healthcare: Provides primary and preventative healthcare to underserved communities.
1+ YOEMinimum 1 year clerical health-related experience, bilingual English/Spanish, knowledge of data entry and medical terminology, pleasant telephone manner, ability to manage multiple authorization requests.
St. Joseph's Health: Provides comprehensive hospital care and specialized clinical health services.
2+ YOEHigh school diploma/GED, 2+ years medical revenue cycle experience preferred, knowledge of oncology billing and coding (CPT, ICD9, ICD10, HCPC), medical terminology, and proficiency in Microsoft Office.
Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Claim Health: AI-powered revenue platform for post-acute healthcare 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.
Advanced Radiology Consultants: Diagnostic imaging and interventional radiology services in Connecticut.
Verify patient demographics, insurance eligibility, and prior authorizations for radiology exams; strong data entry, medical terminology, ICD-10/CPT knowledge; high school diploma/GED; 1–3 years healthcare admin experience preferred; EPIC/EMR experience preferred.
Refuah Health: Provides comprehensive medical, dental, and behavioral healthcare services.
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.
Polaris Pharmacy Services: Provide pharmacy services to long-term care and correctional 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
Agadia: Healthcare technology platform for utilization management and automation.
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 pharmacy focused on oncology medication and clinical care.
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.
61st Street Service Corporation: Hiring clinical and administrative staff for ColumbiaDoctors medical practices.
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.
Catholic Health: Integrated healthcare system providing hospital and clinical medical services.
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.
Catholic Health: Provides comprehensive hospital and medical healthcare services.
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.
East Hanover Township School District: Operates public PK-8 schools for the East Hanover community.
Valid New Jersey Reading Specialist endorsement, Code 3310, required; prior teaching experience preferred; required pre-employment clearances and U.S. work authorization.
Argus Community: Provides substance abuse treatment and social services for the disadvantaged.
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.
Los Angeles or San Diego or San Francisco or Washington or Miami or Orlando or Tampa or Atlanta or Chicago or Montvale or Short Hills or New York City or Portland or Austin or Dallas or Fort Worth or Houston or McLean or Seattle
FieldFull Time
KPMG: Global professional services network providing audit, tax, and advisory.
8+ YOERequires 8+ years Salesforce development, a bachelor's degree, Platform Developer I and Agentforce Specialist credentials, Apex/LWC/Flows expertise, healthcare integration knowledge, and U.S. work authorization without sponsorship.
Salesforce, Salesforce Health Cloud, Apex, SOQL, SOSL, Lightning Web Components (LWC), Aura Components, Salesforce Flows, Agentforce, Agentforce Builder, Prompt Builder, Salesforce Data Cloud, Salesforce Service Cloud, Salesforce Marketing Cloud, REST, SOAP, Bulk API, Streaming API, Git, Copado, Gearset, Jenkins, Microsoft Azure DevOps, Epic, Genesys, MuleSoft, HL7, FHIR, Salesforce Shield, Event Monitoring, Data Masking, OmniStudio, OmniScripts, Integration Procedures, DataRaptors, CI/CD
Paramus or Piscataway or Jersey City or Pompton Plains or Tinton Falls or Clifton or New Jersey
$21-$28/hrRemoteFull Time
RightWay ABA: Provides specialized behavioral therapy for children with autism.
2+ YOE2+ years credentialing/VOB/authorization experience; working knowledge of commercial and Medicaid payers, CAQH, and authorization workflows; strong attention to detail, communication skills, and ability to work independently in a HIPAA-compliant remote workspace.
Healthy Pharmacy: Local provider of prescription medications and durable medical equipment.
0+ YOEEntry-level medical biller to perform data entry, claims processing, billing and collections, follow-up on denials, eligibility/authorization checks, reporting/analytics, and KPI tracking; training provided.