2w
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Referral & Prior Auth Rep III
Rochester, New York, United States
$20-$27/hr OnsiteFull Time
2+ YOEHigh school diploma or equivalent and 2 years relevant experience; knowledge of medical terminology, scheduling software, EMR; strong customer relations and data analysis skills.
Epic, EMR, ICD, CPT
3mo
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Practice Prior Auth and Referral Specialist - Sleep Medicine
Bethlehem, Pennsylvania, United States
OnsiteFull Time
1+ YOECoordinate prior-authorizations and referrals, verify insurance, schedule appointments, and document approvals.
EHR, ICD-10, CPT codes, Medical billing software
1w
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Lead, Network Prior Auth and Referral Specailist
Allentown, Pennsylvania, United States
OnsiteFull Time
3+ YOE3+ years outpatient or business office healthcare experience, high school diploma, strong customer service, insurance knowledge, computer experience; bilingual preferred.
2w
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Prior Authorization Specialist
El Paso, Texas, United States
OnsiteFull Time
1+ YOEVerifying insurance coverage, obtaining pre-authorizations, submitting appeals, maintaining records, and liaising between providers, patients, and payers;Requires relevant certification or associate degree and 1+ year prior auth or related experience.
PACS
1w
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VOB & Auth Coordinator
Rochester Hills, Michigan, United States
$52k/yr HybridFull Time
2+ YOE2 years insurance verification/prior authorization experience, high school diploma, strong communication and organizational skills, 45 WPM typing, HIPAA and Medicare knowledge, familiarity with HCPCS and ICD-10.
Healthcare Common Procedure Coding (HCPCS), International Classification of Diseases (ICD) 10
1w
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Pharmacy Prior Authorization Specialist
Pittsburgh, Pennsylvania, United States
$23/hr RemoteFull Time
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.
CoverMyMeds, NCPDP
1w
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Insurance Verification Auth Specialist
United States
$23-$33/hr RemoteFull Time
2+ YOE2+ years experience with complex prior authorizations or insurance coordination in healthcare. Proficiency with medical terminology, CPT/HCPCS interpretation, customer service, and reviewing medical records.
1w
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Pharmacy Technician, Prior Auth, Remote
Long Beach or United States
RemoteFull Time
2+ YOE2+ years pharmacy technician experience or equivalent; CPhT or state pharmacy technician license; BLS/HIPAA compliance; Microsoft Office/Excel proficiency; strong communication and confidentiality skills.
Microsoft Office, Microsoft Excel
3mo
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Benefits Verification and Auth Specialist
United States
$22-$28/hr RemoteFull Time
1+ YOE1–2 years in benefit verification, medical insurance, or prior authorization; HS diploma; knowledge of payers; strong communication and organizational skills; experience with RCM systems/EMRs.
1d
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Patient Auth and Referral Specialist I
California, United States
$20-$30/hr RemoteFull Time
0+ YOEHigh school diploma, 0–2 years healthcare administration or patient access experience; familiarity with managed care and authorization processes; EHR and Microsoft Office familiarity preferred; HIPAA knowledge; strong communication and attention to detail.
Electronic Health Records (EHR), Microsoft Office
4d
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Call Center Payer Auth Specialist
Richmond, Indiana, United States
OnsiteFull Time
1+ YOEHigh school diploma, minimum 1 year front-office experience; prior pre-certification/prior authorization experience preferred; ability to obtain authorizations, schedule procedures, and enter CPT-based requests.
5d
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Medical Director - Prior Authorization - CA licensure required - Remote
Torrance or United States
$249k-$373k/yr RemoteFull Time
5+ YOEMD/DO with active CA physician license, ABMS/AOA board certification,5+ years clinical practice post-residency, understanding of evidence-based medicine and managed care; utilization/prior auth experience preferred.
1w
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Medical Assistant
Baltimore or Glen Burnie
$19-$31/hr OnsiteFull Time
Front and back office medical assistant for orthopedics; patient registration, scheduling, triage, prior auths, patient records; EPIC and Microsoft Office proficiency; MA certification preferred.
EPIC, Microsoft Office
1mo
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LPN/RMA/CMA Office Nurse I
Weber City, Virginia, United States
OnsiteFull Time
0+ YOELPN or MA certification required, CPR/BLS required, 0–2 years LPN experience acceptable; duties include vitals, documentation, medication administration, prior auths, and patient education.
myHMG
2w
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OBGYN Triage Nurse
Newburyport, Massachusetts, United States
$32-$47/hr OnsiteFull Time
Handles high-volume patient calls, assesses symptoms, determines next steps, performs administrative tasks (prior auths, refills), requires influenza vaccination; open to new grads, LPNs and RNs.
2w
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Transcranial Magnetic Stimulation Technician (TMS Tech)
Aitkin, Minnesota, United States
$19-$22/yr OnsiteFull Time
2+ YOEHigh school diploma/GED,2+ years customer service or patient-facing experience,Microsoft Office proficiency; scheduling/insurance/prior auth experience preferred.
Microsoft Office
3mo
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Specialty Pharmacy Technician II
Boston, Massachusetts, United States
$17-$34/hr HybridFull Time
4+ YOEHigh school diploma or equivalent; 4–5 years pharmacy experience; specialty meds and prior auth; strong communication and organization; multitask in fast-paced environment.
Pharmacy software, Prior authorization systems
1w
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Surgical Services Precertification Specialist
Cuyahoga Falls, Ohio, United States
OnsitePart Time
Verify benefits, obtain prior authorizations, review clinical documentation, communicate with payers, and maintain EMR records; high school diploma required, associate preferred; insurance/prior auth or medical billing experience preferred.
Electronic Medical Records (EMR), Microsoft Office
1mo
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Procedure Authorization Specialist- Remote
Phoenix, Arizona, United States
RemoteFull Time
2+ YOE2+ years healthcare experience required; prior authorizations/referrals experience preferred. Must understand eligibility/benefits/prior auth, HIPAA, strong data entry and customer service skills, and proficiency with Microsoft Office.
Microsoft Excel, Microsoft Word, Microsoft Outlook
1mo
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Clinical Support Coordinator - Bloomfield, CT
Bloomfield, Connecticut, United States
$23-$34/hr OnsiteFull Time
2+ YOENationally certified phlebotomist, BLS, 2+ years clinical experience, insurance verification/prior auth experience, EMR documentation skills, valid driver's license and reliable transportation.
EMR/EHR
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