14,768 prior authorization jobs at 3,192 companies in United States

2mo
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PRIOR AUTHORIZATION SPECIALIST
Salina, Kansas, United States
OnsiteFull Time
Salina Regional Health Center
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.
4d
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Prior Authorization Specialist
Juneau, Alaska, United States
$30/hr OnsiteFull Time
Bartlett Regional Hospital
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.
2d
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Prior Authorization Specialist
Jerseyville, Illinois, United States
$17-$25/hr OnsiteFull Time
Jersey Community Hospital
Jersey Community Hospital: Provides primary and secondary medical care to local communities.
2+ YOEVerify insurance eligibility and benefits, secure prior authorizations, document communications, proficiency with EMR, 2+ years billing/prior authorization experience, HS diploma or GED required; certifications preferred.
EMR
1mo
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Prior Authorization Specialist
Auburn, New York, United States
$18-$25/hr OnsiteFull Time
Auburn Community Hospital
Auburn Community Hospital: Providing acute medical care and outpatient health services.
Experience with insurance verification and prior authorization processes; medical terminology; strong organization; HIPAA compliance.
EMR, Medent, Medical billing software
21h
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Prior Authorization Specialist
Virginia Beach, Virginia, United States
$20/hr OnsiteFull Time
Capital Digestive Care
Capital Digestive Care: Operates a network of gastroenterology clinics and endoscopy centers.
Handles prior authorization processes for healthcare claims; requires payer knowledge, communication skills, and attention to documentation.
2mo
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Prior Authorization Specialist
Williamsville, New York, United States
$17-$24/hr HybridFull Time
Kaleida Health
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.
1mo
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Prior Authorization Team Lead
Atlanta, Georgia, United States
$23/hr RemoteFull Time
PainPoint Health
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.
Microsoft Office Suite
1w
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Prior Authorization Specialist
Louisville, Kentucky, United States
OnsiteFull Time
BrightSpring Health Services
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
Completing prior authorizations, coordinating with prescribers and facility contacts, tracking claims, resolving unbilled/rejected claims; requires healthcare billing experience and strong communication.
QuickBase, Docutrack, CoverMyMeds, Frameworks, Microsoft Word, Microsoft Excel
1mo
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Prior Authorization Specialist
Woodridge, Illinois, United States
$23/hr HybridFull Time
CareMed Specialty Pharmacy
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.
CoverMyMeds, NCPDP, HIPAA-compliant systems
1w
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Prior Authorization Specialist
Columbus, Ohio, United States
$18-$22/hr OnsiteFull Time
Equitas Health
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.
Microsoft Office, Electronic Health Records (EHR)
3mo
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Prior Authorization Representative
Elk Grove Village, Illinois, United States
$23/hr HybridFull Time
Orsini Specialty Pharmacy
Orsini Specialty Pharmacy: Provides specialty pharmacy services for rare disease patients.
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.
Microsoft Office, Excel, Teams
1w
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Prior Authorization Manager
United States
$60k-$75k/yr RemoteFull Time
Mindcolor Autism
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.
Microsoft Office, Google Workspace
3mo
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Prior Authorization Specialist
Buffalo, New York, United States
$18-$23/hr HybridFull Time
UBMD Ophthalmology / Ross Eye Institute
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.
1mo
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Prior Authorization Specialist
United States
RemoteFull Time, Part Time
Mendelia
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
1w
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Prior Authorization Specialist
Pascagoula or Ocean Springs
OnsiteFull Time
Singing River Health System
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
1mo
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Prior Authorization Specialist
Edina, Minnesota, United States
$22-$25/hr HybridFull Time
Minneapolis Radiation Oncology
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.
Microsoft Office, Electronic Medical Record (EMR)
1d
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Prior Authorization Coordinator
Knoxville, Tennessee, United States
OnsiteFull Time
StatCare
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.
Electronic Health Records (EHR), Microsoft Office
1mo
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Prior Authorization Specialist
Phoenix, Arizona, United States
$20-$25/hr OnsiteFull Time
Foothills Neurology
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.
Athena
1w
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Prior Authorization Specialist
Madison, West Virginia, United States
OnsiteFull Time
Boone Memorial Health
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)
1mo
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Prior Authorization Specialist
Brea or California or Arizona or Nevada or Washington or Colorado or Missouri
$23-$27/hr OnsiteFull Time
Infusion For Health
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.
Microsoft Excel, Microsoft Word