191 authorization specialist jobs at 114 companies in Wayne, NJ
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Authorization Specialist
Port Jervis, New York, United States
OnsiteFull Time
Bon Secours Community Hospital: A hospital system providing patient-centered care and administrative support services.
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).
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.
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.
U.S. Physical Therapy, Inc.NYSE: USPH: National operator of outpatient physical and occupational therapy clinics.
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: 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.
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
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.
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.
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.
Thrivewell Infusion: Private outpatient infusion provider serving patients with rare and chronic diseases across the United States.
3+ YOEThree years of healthcare experience focused on prior authorizations for high-value medications, or healthcare administration/authorization coordination experience. Strong insurance knowledge, organization, communication, and EMR skills required.
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.
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.
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.
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.
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.
FTI ConsultingNYSE: FCN: Global business advisory firm helping organizations manage complex challenges.
1+ YOEAssociate degree or equivalent experience, 1+ year billing experience, Microsoft Excel and Office proficiency, familiarity with time-and-expense billing, and U.S. work authorization required.
Somerset County Educational Services Commission: Public educational services commission providing special education, alternative education, transportation, and support services to New Jersey districts.
3+ YOEBCBA or BCABA required; master's degree preferred in applied behavior analysis, psychology, or special education; at least 3 years of relevant experience preferred; work authorization required.