1mo
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Insurance Authorization Specialist
Providence, Rhode Island, United States
$20/hr OnsiteFull Time
High school diploma/GED, basic understanding of health insurance benefits, strong attention to detail and communication; medical insurance/authorization knowledge preferred.
1mo
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Authorization Spec-Surg-Ancillary
Fairhaven, Massachusetts, United States
$19-$32/hr OnsiteFull Time
Associates degree (or equivalent) required, medical terminology certificate and coding experience preferred; strong payer-portal and revenue-cycle skills, 40 WPM typing, communication skills, and ability to manage authorizations, estimates, and appeals.
1w
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Prior Authorization Specialist
Waltham, Massachusetts, United States
$23/hr HybridFull Time
1+ YOEHigh school diploma/GED, 1+ year pharmacy or prior authorization experience, Board of Pharmacy registration, strong communication and organizational skills, HIPAA knowledge, experience with pharmacy claims and CoverMyMeds.
CoverMyMeds, NCPDP
1mo
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Authorization Specialist/Biller
Warwick, Rhode Island, United States
OnsiteFull Time
0.5+ YOEPrepares and submits claims, verifies eligibility, obtains authorizations, researches and resolves billing issues; requires HS diploma, 6 months related experience, Excel and system proficiency, strong English and clerical skills.
McKesson, Horizon, Microsoft Excel
2w
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Radiology Authorization Specialist
Brookline, Massachusetts, United States
$44k-$48k/yr HybridFull Time
1+ YOE1+ year relevant hospital/ambulatory prior authorization or billing experience; strong payer policy knowledge, medical terminology, EMR and Microsoft Office proficiency; high school diploma required; analytical and communication skills.
Electronic Medical Records (EMR), Microsoft Office
2w
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Insurance Authorization Representative
Attleboro, Massachusetts, United States
$20-$30/hr HybridFull Time
1+ YOEHigh school diploma, 1-3 years healthcare experience, strong typing and computer skills, interpersonal skills for payer/physician/patient interaction, ability to lift 15 lbs; prior-authorization experience preferred.
1w
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Radiology Authorization Specialist
Brookline or Boston
$135k-$162k/yr RemoteFull Time
1+ YOEHigh school diploma or equivalent,1 year relevant hospital/ambulatory experience,knowledge of payer rules,medical terminology,ability to retrieve clinical records and prepare prior authorization requests,EMR and Microsoft Office familiarity.
Electronic Medical Records (EMR), Microsoft Office
1mo
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Payor Authorization Operations Manager
Braintree or Boston
HybridFull Time
5+ YOE5+ years Massachusetts Medicaid authorization experience (LTHH/LTSS/waiver programs), deep knowledge of HCPF and regional authorization systems, team management experience, CRM and data analysis proficiency, strong stakeholder and communication skills, must reside or relocate to Braintree, MA.
CRM, HCPF, MAPAR, Acentra, Kepro, PAR system
2mo
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Pharmacy Prior Authorization Specialist
Waltham, Massachusetts, United States
$23/hr HybridFull Time
1+ YOE1+ year pharmacy or prior authorization experience; HS diploma; Board of Pharmacy registration as required; strong communication; knowledge of insurance claims and NCPDP.
CoverMyMeds, NCPDP, pharmacy insurance claims
1mo
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Prior Authorization Coord
Providence, Rhode Island, United States
$19-$31/hr OnsiteFull Time
2+ YOEHigh school diploma, 2 years healthcare experience with emphasis on insurance billing/reimbursement, knowledge of medical terminology and CPT/ICD-10 coding, strong organizational and communication skills, computer and database experience.
CPT, ICD-10
1mo
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Insurance Authorization Specialist
Wakefield, Rhode Island, United States
$20/hr OnsiteFull Time
3+ YOEMinimum 3 years related experience; proficiency in Microsoft Excel and Word; strong typing, verbal and written communication, customer service; knowledge of medical terminology, insurance verification, and healthcare coding systems.
Microsoft Excel, Microsoft Word
4d
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Prior Authorization Supervisor
Stoughton or Phoenix
RemoteFull Time
3+ YOEActive state pharmacy technician license and national CPhT required, 3+ years pharmacy technician experience, high school/GED, leadership and pharmacy operations experience, strong communication and Excel skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams, Microsoft PowerPoint, Willow, Qs1, RX30, EMR
1d
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Medication Authorization and Access Manager
Westwood, Massachusetts, United States
$95k-$118k/yr OnsiteFull Time
Manage prior authorizations, patient assistance programs, denial management; supervise staff; collaborate with clinics, data analytics, and finance; influenza vaccination required.
3mo
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Intake and Authorization Coordinator
Boston, Massachusetts, United States
$22-$24/hr OnsiteFull Time
1+ YOE1+ year in healthcare intake/coordination or administrative role; strong organizational/follow-up skills; ability to manage multiple cases; excellent communication.
Ritiko EHR
1mo
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Prior Authorization Specialist - Billing Coordinator
Boston, Massachusetts, United States
$21-$28/hr OnsiteFull Time
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
Experience in healthcare finance or billing with patient insurance verification, data accuracy, customer-facing phone skills, MS Office competency, and basic accounting knowledge; HS diploma required, associate preferred.
Microsoft Office
2w
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Cybersecurity Assessment and Authorization Validator
Middletown, Rhode Island, United States
$83k-$125k/yr OnsiteFull Time
2+ YOEActive Secret clearance (or ability to obtain), Bachelor's degree in a relevant field (or 7+ years experience), 2–4 years cybersecurity/IA experience, IAT Level II/III (Security+ required or obtainable), knowledge of RMF and DoD/Navy security processes.
RMF, Assured Compliance Assessment Solution (ACAS), STIG, SCAP, CSAR
2w
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IT Security Manager, Authentication & Authorization
Windsor or Boston or Atlanta or Minneapolis or Charleston
$114k-$170k/yr RemoteFull Time
Experience managing technical teams and IAM/authentication/web security; strong stakeholder and process leadership; experience implementing intake/workflow, SLAs, and operational reporting.
IBM Verify Identity Access (ISVA / WebSEAL), IBM DataPower, Keycloak, Okta, PingFederate, Azure Entra, ServiceNow
1w
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Authorizations Specialist (Part-Time)
Warwick, Rhode Island, United States
HybridPart Time
High school diploma, knowledge of third-party billing and prior authorizations, HIPAA compliance, excellent telephone and interpersonal skills; 1 year prior authorization experience preferred; bilingual a plus.
3mo
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Binding Authority Underwriter
Boston, Massachusetts, United States
$76k-$95k/yr OnsiteFull Time
5+ YOEBachelor’s degree required; Master’s preferred; 5 years Binding Authority/Underwriting experience; state P&C licenses; CIC/CPCU preferred.
3w
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Director, SDS Authoring Services
Bethesda or Richmond or Cleveland or Raleigh or Philadelphia or Boston or Atlanta or Jacksonville or Charlottesville or Houston
$125k-$140k/yr RemoteFull Time
8+ YOE7+ MgmtBachelor's in chemistry/engineering or related, 8+ years in SDS authoring/chemical regulatory consulting with 7+ years leading global teams; strong knowledge of GHS, OSHA, ADR, DOT, IATA, IMDG; experience with SDS platforms and data-driven operations.
SAP, MSDgen, WERCS, ProSteward
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