197 authorization specialist jobs at 113 companies in Randolph, NJ

1mo
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Authorization Specialist
Port Jervis, New York, United States
OnsiteFull Time
Bon Secours Community Hospital
Bon Secours Community Hospital: Integrated healthcare provider serving New York's Hudson Valley region.
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).
Cerner, Cadence, RTE
2mo
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Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
Licensed Behavior Analyst Professional Services (LBAPS)
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.
3w
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Authorization Specialist
Valhalla, New York, United States
$22-$28/hr OnsiteFull Time
Westchester Medical Center
Westchester Medical Center: Public-benefit academic hospital providing advanced, specialized, trauma, transplant, and critical care to Hudson Valley patients.
2+ YOE2+ years clerical healthcare experience, high school diploma required (associates preferred). Performs insurance verification, authorizations, documentation and communication to prevent treatment delays.
3mo
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Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
Americare
Americare: Home health care provider based in New York.
No specific qualifications listed.
1mo
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Prior Authorization Specialist
New York City, New York, United States
OnsiteFull Time
Claim Health
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.
HomeCare HomeBase (HCHB), Axxess, WellSky, KanTime, Careport, Forcura, Ensocare
1mo
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Prior Authorization Specialist
Rockaway Township, New Jersey, United States
$23-$25/hr OnsiteFull Time
Polaris Pharmacy Services
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
3w
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Prior Authorization Specialist
Spring Valley, New York, United States
$24-$30/hr OnsiteFull Time
Refuah Health Center
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.
EMR
1mo
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PAHub & Prior Authorization Specialist
Parsippany, New Jersey, United States
$80k-$100k/yr HybridFull Time
Agadia
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.
PAHub
2w
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Pharmacy Prior Authorization Specialist
New Hyde Park, New York, United States
$25/hr HybridFull Time
Onco360
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.
CoverMyMeds, NCPDP
1mo
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Insurance Verification & Authorization Specialist
Langhorne, Pennsylvania, United States
OnsiteFull Time
Lawall Prosthetic and Orthotic Services
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.
HCPCS, ICD-10, Microsoft Office
3w
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Pre-Authorization Specialist FT Woodland Park
Woodland Park, New Jersey, United States
$19/hr OnsiteFull Time
Englewood Health
Englewood Health: Non-profit health system providing inpatient and outpatient care.
Verifies patient insurance benefits and pre-certifications and assists obtaining authorizations. High school diploma or GED required.
4w
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Authorization-Referrals Specialist III #Full Time
Fort Lee, New Jersey, United States
$29-$37/hr OnsiteFull Time
61st Street Service Corporation
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.
Epic
2mo
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Admin Asst-Insurance Authorization
Roslyn, New York, United States
$25-$35/hr OnsiteFull Time
St. Francis Hospital & Heart Center
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.
Epic
2mo
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Admin Asst-Insurance Authorization
Roslyn, New York, United States
$25-$35/hr OnsiteFull Time
St. Francis Hospital & Heart Center
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.
Epic
1w
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Patient Responsibility, VOB & Authorization Specialist
Holmdel or Fort Lauderdale or Verona
$45k/yr HybridFull Time
CentralReach
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.
CentralReach
1mo
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Medical Insurance Authorization Specialist, Temp-To-Hire
New York City or Lake Success
$21-$23/hr OnsiteFull Time
Northwell Health
Northwell Health: New York's largest integrated healthcare network.
3+ YOEBilingual English-Spanish required; 3+ years healthcare billing/collections; experience with insurance verification, pre-authorization, patient check-in, EHR, and handling patient payments.
EHR
2w
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Practice Prior Authorization Specialist, ENT and Allergy
Bethlehem, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network
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.
Electronic Health Record (EHR), ICD-10, CPT
2w
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Practice Prior Authorization Specialist, ENT and Allergy
Bethlehem, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network
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.
Electronic Health Record (EHR), ICD-10, CPT
1mo
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Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrenceville, New Jersey, United States
$36-$47/hr OnsiteFull Time
Capital Health
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.
EHR, Microsoft Excel
2mo
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Peer Specialist- SSP (Part Time)
Bronx, New York, United States
$18/hr OnsitePart Time
Argus Community
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.

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