43 prior authorization specialist jobs at 22 companies in Canton, MA
1d
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Prior Authorization Specialist
Somerville, Massachusetts, United States
$28/hr RemoteFull Time
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
1+ YOEHigh school diploma or equivalent required. 1–2 years of medical authorization or related experience preferred; 0–1 year Epic experience preferred. Requires insurance benefits, medical terminology, communication, and database skills.
Epic, Microsoft Teams, electronic health record, CPT
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
5d
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Authorization Specialist
Boston, Massachusetts, United States
$20-$33/hr OnsiteFull Time
High school diploma or equivalent required. Requires multitasking, attention to detail, productivity, quality focus, and ability to work in a fast-paced environment; healthcare or medical billing experience preferred.
HSA, Flexible Spending Accounts
5d
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Authorization Specialist
Boston, Massachusetts, United States
$20-$33/hr OnsiteFull Time
High school diploma or equivalent; ability to multitask, manage multiple referrals, maintain productivity and quality, and work in a fast-paced environment. Healthcare or medical billing experience preferred.
6d
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Authorization Specialist
Boston, Massachusetts, United States
$20-$33/hr OnsiteFull Time
High school diploma or equivalent required; healthcare or medical billing experience preferred. Requires multitasking, attention to detail, productivity, and quality focus in a fast-paced environment.
medical coding
1w
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Drug Authorization Specialist
Brookline, Massachusetts, United States
$45k-$49k/yr RemoteFull Time
Experience with drug prior authorizations, payer coverage policies, insurance eligibility, referrals, clinical information, hospital information systems, HIPAA confidentiality, and accurate documentation.
EPIC, Electronic Medical Records (EMR)
2mo
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Insurance Authorization Specialist
Providence, Rhode Island, United States
$20/hr OnsiteFull Time
High school diploma or GED, basic understanding of health insurance benefits, strong attention to detail, and preference for medical insurance and authorization knowledge.
401(k)
13h
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Referral & Authorization Specialist
Warwick, Rhode Island, United States
OnsiteFull Time
5+ YOEHigh school diploma or GED, 5-7 years of healthcare experience, and 3 years processing insurance referrals or prior authorizations. Requires payer, billing, medical terminology, communication, and critical-thinking knowledge.
Microsoft 365, Electronic Health Records (EHR), EPIC, HIPAA
1d
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Referral & Authorization Specialist
Warwick, Rhode Island, United States
OnsiteFull Time
5+ YOEHigh school diploma/GED required; 5–7 years healthcare experience and 3 years processing insurance referrals or prior authorizations required. Associate degree, medical assistant credential, and bilingual skills preferred.
Microsoft 365, Electronic Health Record (EHR), EPIC, HIPAA
6d
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Reading Specialist / Middle School
Revere, Massachusetts, United States
OnsiteFull Time
Reading Specialist or Special Education license preferred, middle school experience, satisfactory state and federal background checks, bachelor's degree preferred, and required work authorization.
2w
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Patient Service Specialist
Foxborough, Massachusetts, United States
$18-$30/hr OnsiteFull Time
1+ YOECustomer-service focused front-desk role handling calls, scheduling, registration, insurance eligibility and prior authorizations; high school diploma required; EMR experience preferred.
EPIC, EMR, Athena, Microsoft Word, Microsoft Excel, Microsoft Outlook
2w
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Patient Service Specialist
Foxborough, Massachusetts, United States
$18-$30/hr OnsiteFull Time
Front‑desk patient service in a physician practice: phone triage, scheduling, registration, insurance eligibility, prior authorizations, EMR documentation; strong customer service and communication skills; HS diploma required.
EPIC, EMR, Microsoft Word, Microsoft Excel, Microsoft Outlook, Athena
4w
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Prescription Fulfillment Specialist
Andover or Nashua
$22-$30/hr RemoteFull Time
Certified Medical Assistant (CMA) required, high school diploma/GED, processing prescription refills and prior authorizations, EMR proficiency, strong organization and communication; 2+ years MA experience preferred.
Electronic Medical Records (EMR)
4d
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Detail-Oriented Cleaning Specialist
Boston, Massachusetts, United States
$22-$23/hr OnsitePart Time
Requires legal U.S. work authorization, attention to detail, reliability, ability to work independently and collaboratively, and adherence to cleaning and safety procedures.
1mo
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Referrals Specialist - (16.5-hours)
Methuen or Lawrence
$19-$21/hr HybridPart Time
1+ YOEProcesses referrals and prior authorizations, schedules specialty appointments, uses payer portals, contacts clinics, calls patients within 48 hours. HS diploma/GED, medical/admin training, and 1+ year clinical or hospital experience; bilingual (Spanish) preferred.
6d
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Customer Service Specialist
Pawtucket, Rhode Island, United States
$18/hr OnsiteFull Time
Valid unrestricted driver's license, legal work authorization, ability to lift up to 70 pounds, and evening/weekend availability. High school diploma and one year of relevant experience preferred.
HireVue
3w
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Intake Engagement & Billing Specialist
Lawrence, Massachusetts, United States
$51k/yr FieldFull Time
2+ YOE2+ years healthcare or human services experience; knowledge of MassHealth/Medicare, prior authorizations, billing support; CAC certification required; valid US driver's license and ability to drive; EHR and Microsoft Office proficiency.
Electronic Health Records (EHRs), Microsoft Office Suite
1w
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Reading Specialist , .50 (1 year position)
Bourne or Bourne
$28k-$51k/hr OnsitePart Time, Temporary
2+ YOEMassachusetts Teacher of Reading certificate required; bachelor's degree preferred; at least two years of relevant experience preferred; work authorization required.
2mo
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Patient Financial Clearance Specialist
Warwick, Rhode Island, United States
$23-$37/hr OnsiteFull Time
5+ YOEHigh school/GED required; associate or CMA preferred. 5+ years healthcare experience and 3+ years prior authorization/NOA/estimate experience. Knowledge of No Surprises Act, payer requirements, strong communication, EPIC and Microsoft 365 experience.
Microsoft 365, EHRs, EPIC
2d
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Adapted Physical Education Specialist
Assonet, Massachusetts, United States
OnsiteFull Time
Bachelor's degree preferred; experience not required. Requires work authorization and ability to develop adaptive fitness programs, conduct evaluations, supervise aides, maintain records, and collaborate with interdisciplinary teams.
MCAS
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