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1,183 prior authorization specialist jobs at 505 companies in United States

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PRIOR AUTHORIZATION SPECIALIST
Salina, Kansas, United States
OnsiteFull Time
Salina Regional Health Center
Salina Regional Health Center: Integrated health system providing comprehensive medical and diagnostic 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.
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4d
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Prior Authorization Specialist
Phoenix, Arizona, United States
OnsiteFull Time
Pure Infusion
Pure Infusion: Independent ambulatory infusion provider serving patients with chronic, autoimmune, neurological, and inflammatory conditions in private suites.
2+ YOERequires 2–3 years as a Medical Assistant with direct prior authorization and biologic therapy experience, formal MA training, high school diploma, and proficiency with EMRs, CRMs, and authorization systems.
Salesforce, WeInfuse, AMD, EMR, CRM, PMS
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3w
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Prior Authorization Specialist
Battle Creek, Michigan, United States
OnsiteFull Time
Grace Health
Grace Health: To provide patient-centered healthcare with excellence in quality, service, and access.
High school diploma/GED, medical terminology completion, processes medication prior authorizations, documents medical records, communicates with patients and staff.
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4w
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Prior Authorization Specialist
Williamsville, New York, United States
$17-$24/hr HybridFull Time
General Physician, P.C.
General Physician, P.C.: Private multi-specialty medical group providing primary and specialty care to patients across Western New York.
High school diploma/GED required. Obtain prior authorizations for medications, imaging and surgeries, verify insurance, and assist patients with financial assistance applications.
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1mo
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Prior Authorization Specialist
Louisville, Kentucky, United States
OnsiteFull Time
PharMerica
PharMerica: Private U.S. long-term-care pharmacy serving senior living, skilled nursing, behavioral health, hospice, home infusion, and specialty-care programs.
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
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1mo
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Prior Authorization Specialist
Columbus, Ohio, United States
$18-$22/hr OnsiteFull Time
Equitas Health
Equitas Health: Nonprofit Ohio healthcare system providing affirming medical, dental, pharmacy, HIV, and mental-health services to LGBTQ+ people.
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)
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2mo
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Prior Authorization Specialist
United States
RemoteFull Time, Part Time
Mendelia
Mendelia: Y Combinator-backed healthcare AI automating prior authorizations and eligibility workflows for specialty medical practices.
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
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1mo
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Prior Authorization Specialist
Albuquerque, New Mexico, United States
OnsiteFull Time
Southwest Women's Oncology
Southwest Women's Oncology: Private New Mexi gynecologic oncology practice providing cancer treatment, gynecology, wellness care, and clinical-trial access for women.
2+ YOE2+ years prior authorization experience in healthcare revenue cycle; proficiency with EMR and payer portals; knowledge of commercial, Medicare and Medicaid rules; strong organization and communication skills.
EMR
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4d
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Prior Authorization Specialist
Huntsville, Alabama, United States
OnsiteFull Time
OneOncology
OneOncology: National platform supporting independent community oncology practices.
High school diploma or equivalent, oncology experience, health insurance plan knowledge, and prior authorization experience through online portals, phone, or fax. Pharmacy technician certification preferred.
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3w
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Prior Authorization Specialist
Toledo, Ohio, United States
HybridFull Time
Medical Service Company
Medical Service Company: Family-owned post-acute healthcare provider delivering home medical equipment and respiratory and sleep disease management to patients.
3+ YOEHigh school diploma or GED and 3+ years of healthcare revenue cycle experience required, including prior authorization and insurance verification experience; computer proficiency and communication skills required.
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2w
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Prior Authorization Specialist
Naples, Florida, United States
OnsiteFull Time
Precision Healthcare Specialists
Precision Healthcare Specialists: Physician-owned Southwest Florida medical practice group providing multidisciplinary specialty care across four Florida counties.
High school diploma required; healthcare, insurance, revenue cycle, or prior authorization experience required or preferred. Requires strong computer, communication, organizational, accuracy, and problem-solving skills.
Electronic Medical Records (EMR), CPT, ICD-10, HCPCS
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3w
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Prior Authorization Specialist
Brea, California, United States
$23-$27/hr OnsiteFull Time
Infusion for Health
Infusion for Health: Healthcare provider delivering infusion therapy to adult and pediatric patients in outpatient centers and homes.
2+ YOE2+ years prior authorization experience in infusion or pharmacy, knowledge of Medicare/Medicaid/managed care, intermediate Microsoft Excel and Word, ability to manage multiple priorities and resolve complex issues.
Microsoft Excel, Microsoft Word
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1mo
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Prior Authorization Specialist
Kailua Kona or Hilo
$21-$28/hr OnsiteFull Time
Hawaii Island Community Health Center
Hawaii Island Community Health Center: Locally owned nonprofit community health center providing medical, dental, and behavioral healthcare to Hawaiʻi Island patients.
Submit and manage medication prior authorizations, coordinate access to specialty therapies, collaborate with providers/pharmacies; high school diploma/GED required; pharmacy technician registration obtainable within 90 days.
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1w
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Prior Authorization Specialist
Greencastle, Indiana, United States
OnsiteFull Time
Putnam County Hospital
Putnam County Hospital: Public critical-access hospital providing inpatient, emergency, outpatient, and specialty care to Putnam County and nearby communities.
2+ YOEPreferred: two years of clinical support experience in healthcare, knowledge of prior authorization, insurance verification, payer requirements, insurance portals, CPT and ICD-10 codes, anatomy, physiology, and disease processes.
Insurance portals, CPT, ICD-10
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2mo
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Prior Authorization Specialist
Phoenix, Arizona, United States
$20-$25/hr OnsiteFull Time
Foothills Neurology
Foothills Neurology: Private Phoenix neurology practice providing neurological diagnosis, specialty treatment, and brain-health services to Valley patients.
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
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5d
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Prior Authorization Specialist
Duluth, Minnesota, United States
$20-$29/hr OnsiteFull Time
Orthopaedic Associates of Duluth
Orthopaedic Associates of Duluth: Independent physician-owned orthopaedic specialty group serving Northern Minnesota with surgery, imaging, therapy, and sports medicine.
1+ YOEHigh school diploma or GED and one year of healthcare office experience required. Associate degree, CPT coding knowledge, and prior authorization experience preferred; strong communication and attention to detail required.
EMR
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2w
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Prior Authorization Specialist
Prescott Valley, Arizona, United States
OnsiteFull Time
Polara Health
Polara Health: Nonprofit behavioral-health and primary-care provider serving children, adults, and seniors in Yavapai County.
1+ YOEHigh school diploma or GED, one year of medical insurance verification or prior authorization experience, insurance and reimbursement knowledge, communication skills, valid driver's license, and Arizona fingerprint clearance eligibility.
EHR, ICD-10-CM, CPT, HCPCS
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1mo
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Prior Authorization Specialist
Columbus, Ohio, United States
$18-$22/hr OnsiteFull Time
Equitas Health
Equitas Health: Nonprofit Ohio healthcare system providing affirming medical, dental, pharmacy, HIV, and mental-health services to LGBTQ+ people.
Requires medical assistant or pharmacy technician credential (Ohio registration for RPT), reliable transportation and driver's license, proficiency with Microsoft Office and EHR, strong documentation and communication skills, prior authorization experience preferred.
CoverMyMeds, Microsoft Office, Electronic Health Records (EHR)
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2mo
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Prior Authorization Specialist
Aurora, Illinois, United States
OnsiteFull Time
Reliable Medical
Reliable Medical: Privately held U.S. provider of durable medical equipment and complex rehabilitation technology for patients with mobility impairments.
High school diploma, prior authorization/DME experience required, office experience, proficiency with Microsoft Outlook/Word/Excel/SharePoint, knowledge of HCPC billing codes and medical terminology, strong communication and attention to detail.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft SharePoint
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2w
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PRIOR AUTHORIZATION SPECIALIST
United States
RemoteFull Time
Careerswift
Careerswift: The career & hiring platform for modern talent and teams.
2+ YOERequires 2+ years in prior authorization, insurance verification, medical billing, or related healthcare work; payer portal experience; clinical documentation skills; strong communication, detail, follow-through, and independent remote work abilities.
insurance payer portals, EMR, Epic, Athena, eClinicalWorks
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