201 authorization specialist jobs at 97 companies in Ewing, NJ
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Authorization Specialist
Allentown, Pennsylvania, United States
OnsiteFull Time
Lehigh Valley Health Network: Provides comprehensive hospital and clinical healthcare services in Pennsylvania.
1+ YOEObtain benefits/authorizations, verify insurance and benefits, perform medical necessity checks, and determine estimated patient financial responsibility; 1 year experience in insurance verification/authorizations required.
Cooper University Health Care: Academic health system providing hospital and specialty medical care.
2+ YOEVerifies insurance eligibility and benefits, secures authorizations and referrals, explains coverage to patients, and collects patient liability prior to services.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access, NaviNet, Passport, IDX Flowcast, Imagecast, EPIC EMR
Cooper University Health Care: Operates a leading academic health system in South Jersey.
2+ YOEVerify insurance eligibility and benefits, obtain authorizations and referrals, validate coordination of benefits, explain coverage, and collect patient liability prior to service.
NaviNet, Passport, IDX Flowcast, Imagecast, EPIC EMR, Microsoft Word, Microsoft Excel, Outlook, Access
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
Premier Orthopaedics: Provides comprehensive musculoskeletal care and orthopedic surgical services.
2+ YOERequires 2+ years of healthcare experience, knowledge of insurance eligibility, benefits verification, prior authorizations, HIPAA regulations, computers, and data entry; high school diploma/GED preferred.
Cooper University Health Care: Academic health system providing comprehensive medical and specialty care.
2+ YOEHigh school diploma; 2 years insurance verification/registration experience preferred; knowledge of insurance plans, COB, authorizations, referrals; skilled with payer portals; excellent communication and organizational skills.
NaviNet, Passport, IDX Flowcast, Imagecast, EPIC, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access
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.
Premier Orthopaedics: Provides specialized orthopedic treatment and comprehensive musculoskeletal care services.
2+ YOERequires 2+ years of healthcare experience, authorization or referral experience preferred, strong computer and data-entry skills, payer benefits knowledge, organizational ability, customer service orientation, and HIPAA knowledge.
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.
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.
ThrIVewell Infusion: Provider of specialized infusion and injection therapy services.
3+ YOERequires 3 years of healthcare experience focused on prior authorizations or related healthcare administration. Strong insurance policy knowledge, EMR and Microsoft Office proficiency, organization, communication, and patient advocacy skills required.
Virtua Health: Academic health system providing hospital and outpatient medical services.
High school diploma or equivalent, previous medical clerical experience, medical terminology knowledge, computer data-entry proficiency, clear communication, and professional phone skills; prior authorization experience preferred.
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.
Advocare: Independent physician-owned medical group providing multi-specialty healthcare services.
High school diploma required; prior insurance authorization experience preferred. Must know medical terminology, have strong attention to detail, communication skills, and proficiency with listed portals.
PEAR, Availity, UHC, UMR, Tricare, Evicore, Carelon, Resmed, Care Orchestrator, CoverMyMeds, ASPN, SureScripts, Electronic medical records (EMR)
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.
Allergy Administrative Assistant/Authorization Specialist - Cherry Hill
Cherry Hill, New Jersey, United States
$21/hrHybridFull Time
ENT and Allergy Associates: Provides comprehensive otolaryngology, allergy, and audiology medical services.
1+ YOEObtain and track insurance authorizations/referrals, enter data in EHR, handle patient inquiries, strong customer-service and computer skills, high school diploma/GED, 1+ year healthcare or billing experience preferred.
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.
Practice Prior Authorization Specialist, ENT and Allergy
Bethlehem, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network: Operates a network of hospitals and medical education facilities.
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.
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.