14,768 prior authorization jobs at 3,192 companies in United States
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PRIOR AUTHORIZATION SPECIALIST
Salina, Kansas, United States
OnsiteFull Time
Salina Regional Health Center: Regional health system providing hospital and emergency medical services.
Obtain prior authorizations for procedures, medications, imaging; coordinate with insurers, providers and clinical staff; high school diploma/GED required; 1 year healthcare/pharmacy/authorization experience preferred but not required.
Bartlett Regional Hospital: Operates a regional medical center providing acute and specialty care.
1+ YOEHigh school diploma,1 year prior authorization experience in a hospital,ability to manage authorizations,verify insurance,resolve denials,negative drug screen required prior to hire.
Kaleida Health: Provides integrated hospital and outpatient medical care services.
Obtain prior authorizations for medications, imaging and surgeries; verify insurance and assist patients with financial assistance; high school diploma/GED required.
PainPoint Health: Operates a network of interventional pain management clinics.
1+ YOEHigh school diploma/GED, 1+ year prior authorization experience in a clinical setting, strong communication and analytical skills, proficiency with Microsoft Office Suite, knowledge of medical policies and LCDs, basic medical terminology.
CareMed Specialty PharmacyNASDAQ: BTSG: Mission-driven team focused on helping patients access life-saving medications.
1+ YOEHigh School diploma; 1+ year pharmacy or prior authorization experience; pharmacy registration; strong communication and organizational skills; knowledge of insurance processes and HIPAA.
Equitas Health: Regional healthcare system providing comprehensive medical and social services.
Handles prior authorizations and appeals for medications, collaborates with pharmacies and providers, documents in EHR, requires pharmacy or medical assistant credential and valid driver license/transportation.
0+ YOEEntry-level role requiring experience with insurance verification, reading prescriptions, and initiating prior authorizations; strong attention to detail and ability to multitask in a fast-paced environment.
Mindcolor Autism: Provides personalized ABA therapy for children with autism.
5+ YOE2+ Mgmt5+ years obtaining ABA prior authorizations, 2+ years management, strong insurance/payer knowledge, organizational and communication skills, and proficiency with Microsoft Office or Google Workspace.
UBMD Ophthalmology / Ross Eye Institute: Providing specialized medical and surgical eye care services.
Verify eligibility and obtain prior authorizations, manage documentation, coordinate with patients/providers/insurers, maintain HIPAA compliance, and adapt to changing schedules; strong organization and communication required.
Mendelia: AI-powered automation for healthcare prior authorization and administrative workflows.
1+ YOE1+ years prior authorization or related healthcare admin experience; knowledge of insurance benefits, eligibility, medical necessity, and payer systems; strong attention to detail and communication skills.
Availity, Carelon, Turning Point, UHC Provider Portal, Cigna, Aetna, CoverMyMeds, ModMed, AdvancedMD, Athena, Epic, EHR
Singing River Health System: Community-owned healthcare system operating hospitals and medical clinics.
Evaluate and obtain prior authorizations for imaging, oncology, rheumatology and other services; knowledge of medical coding/billing and revenue cycle; EMR and Microsoft Office proficiency; de-escalation training.
Electronic Medical Record (EMR), Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Minneapolis Radiation Oncology: Provider of specialized radiation therapy services for cancer treatment.
2+ YOEMust have recent prior authorization submission experience, 2 years minimum experience preferred; proficient with Microsoft Office and EMR; strong written/verbal communication, multitasking, and attention to detail.
StatCare: Private medical practice providing pulmonary, critical care, and hospitalist services.
1+ YOE1+ year prior authorization/insurance verification or medical office experience; knowledge of insurance guidelines and medical terminology; proficiency with EHR and Microsoft Office; excellent communication and customer service skills.
Foothills Neurology: Specialized neurology and movement disorder medical practice.
3+ YOE3+ years prior authorization/referrals or related medical office experience; high school diploma/GED; knowledge of insurance processes and medical terminology; experience with Athena; strong communication and organizational skills.
Boone Memorial Health: Operates a critical access hospital and outpatient medical clinics.
1+ YOECoordinate referrals and prior authorizations, schedule appointments, maintain referral logs and EMR entries, knowledge of ICD-10 and CPT, 1+ year healthcare experience, high school diploma/GED required.
Microsoft Office, Electronic Medical Records (EMR)
Brea or California or Arizona or Nevada or Washington or Colorado or Missouri
$23-$27/hrOnsiteFull Time
Infusion For Health: Provides infusion therapy services for patients with chronic conditions.
2+ YOE2+ years prior authorization experience in infusion or pharmacy; 2+ years knowledge of Medicare, Medicaid, and managed care; intermediate Microsoft Excel and Word; strong documentation, communication, and problem-solving skills.