209 authorization specialist jobs at 125 companies in Edison, NJ
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Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
Learning Ladders ABA: Provides personalized ABA therapy services for children with autism.
Experience with insurance authorization and verification preferred; strong communication, organization, multitasking, attention to detail, and ability to manage multiple cases.
VillageMD: Physician-led network providing primary, specialty, and urgent care.
2+ YOEHigh school diploma or GED required; 2–4 years of related experience preferred. Requires Microsoft Office Suite experience and knowledge of insurance benefits, referrals, authorizations, and medical documentation.
Metro Physical & Aquatic TherapyNYSE: USPH: Provides comprehensive physical, occupational, and aquatic rehabilitation services.
3+ YOEHigh school diploma/GED, 3 years related experience, prior authorization and medical practice experience, strong customer service and communication, proficiency in Microsoft Word, Outlook, Excel, and ability to document and resolve authorization issues.
Microsoft Word, Microsoft Outlook, Microsoft Excel
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.
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
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.
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.
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.
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.
Swan Hospice: Providing hospice and palliative care services to terminal patients.
Manage accounts receivable and insurance authorizations including eligibility verification, prior authorizations, claims submission, EOB review, and documentation for hospice services.
CentralReach: Software for autism care and special education therapy providers
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.
Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrenceville, New Jersey, United States
$36-$47/hrOnsiteFull Time
Capital Health: Provides comprehensive healthcare services through hospitals and medical clinics.
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: 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