266 authorization specialist jobs at 102 companies in Pennsylvania
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Authorization Specialist
Allentown, Pennsylvania, United States
OnsiteFull Time
Lehigh Valley Health Network: Nonprofit healthcare network providing comprehensive medical services.
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.
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: Private orthopaedic medical practice serving Greater Philadelphia patients with surgical, therapy, imaging, and urgent care.
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.
Philadelphia Hand to Shoulder Center: Private Philadelphia-area orthopedic practice providing patients hand, wrist, arm, elbow, and shoulder surgery, therapy, and rehabilitation.
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.
TrueNorth Wellness Services: Nonprofit Central Pennsylvania behavioral health agency providing trauma-informed mental health, autism, crisis, counseling, and residential 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)
CHC Solutions, Inc.: Medical-supply serving patients nationwide with wound-care, urology, ostomy, enteral, diabetic, orthopedic, and incontinence products.
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
Tri-State Orthopaedics & Sports Medicine: Independent Pittsburgh-area orthopaedic practice providing surgery, therapy, sports medicine, and urgent care to Western Pennsylvania families.
Strong customer service, telephone communication, computer and typing skills, organization, multitasking, confidentiality, and ability to work independently and across departments. Insurance and prior authorization knowledge preferred; new graduates welcome.
American Endovascular: Private vascular-care support organization operating outpatient centers with affiliated physicians treating peripheral artery disease.
1+ YOEHigh school diploma, customer service and medical authorization experience, strong organization, and multitasking ability required. Must reliably commute to or relocate before starting in Glen Rock.
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.
Blink Health Pharmacy: Private U.S. healthcare technology providing discounted prescription medicines, pharmacy pickup, and home delivery to American patients.
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.
Thrivewell Infusion: Private outpatient infusion provider serving patients with rare and chronic diseases across the United States.
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.
Onco360: Specialty oncology pharmacy focused on cancer and rare diseases.
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 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.
Pharmacy Insurance Authorization Specialist - 25 Hope Dr Pharmacy
Hershey, Pennsylvania, United States
OnsiteFull Time
Penn State Health: Integrated academic health system serving central Pennsylvania.
2+ YOEHigh school diploma or equivalent and two years of prior authorization experience in a pharmacy or clinical setting; pharmacy technician or billing experience preferred.
Chester-Upland School District: Public Pennsylvania school district serving Chester, Upland, and Chester Township students through K–12 education.
5+ YOEBachelor's degree in the assigned area and valid reading specialist certificate required; five years of teaching experience preferred. Requires Pennsylvania criminal, child abuse, and FBI clearances, physical with TB test, and work authorization proof.
West Shore Home: Technology-enabled home remodeling services provider.
High school diploma or equivalent, U.S. work authorization without sponsorship, strong attention to detail, independent and collaborative work skills; HRIS experience preferred.
Enid or Hennessey or Fairview or Okeene or Woodward or Ponca City or King of Prussia or United States or United Kingdom or Puerto Rico or Oklahoma or Pennsylvania or North America
OnsiteFull Time
Independence Physician Management: UHS-owned physician practice management organization developing multispecialty networks and urgent care clinics for independent physicians.
Schedules patient referrals and tests, obtains pre-authorizations, reviews clinical data for medical necessity, communicates with clinics, facilities, insurers, and patients, and provides courteous phone support.
ThalesEuronext Paris: HO: Global technology leader in aerospace, defense, and security.
High school diploma or equivalent; computer and Microsoft Outlook proficiency; ability to work autonomously, lift up to 60 pounds, and obtain powered industrial equipment authorization. Shipping and forklift experience preferred.
Microsoft Outlook, forklift, electric walkie pallet jack, fork truck, electric hand truck, Clark truck
Hughesville or Spring Run or Oakdale or Duncansville or West Hazleton
FieldFull Time
Lambert's Cable Splicing Company, LLC: U.S. telecommunications and utility contractor providing aerial, underground, fiber-splicing, engineering, and project-management services.
3+ YOERequires 3–5 years of field or utility safety experience, safety regulations knowledge, high school diploma/GED or equivalent, valid driver's license, U.S. work authorization, and safe driving record.