40 prior authorization specialist jobs at 25 companies in Cold Spring, NY
1mo
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Prior Authorization Specialist
New York City, New York, United States
OnsiteFull Time
3+ YOE3+ years prior authorization experience in home health/hospice/post-acute care; deep knowledge of Medicare Advantage, Medicaid, commercial payers, payer portals, eligibility and documentation requirements; experience documenting SOPs; strong organization and attention to detail.
HomeCare HomeBase (HCHB), Axxess, WellSky, KanTime, Careport, Forcura, Ensocare
3w
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Prior Authorization Specialist
Spring Valley, New York, United States
$24-$30/hr OnsiteFull Time
High school diploma, knowledge of insurance carrier regulations, prior medical assistant experience preferred; ability to learn software/EMR and perform detailed administrative tasks; good communication and conflict-resolution skills.
EMR
1mo
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Prior Authorization Specialist
Rockaway Township, New Jersey, United States
$23-$25/hr OnsiteFull Time
1+ YOEManage and resolve rejected pharmacy claims, communicate with payers and providers, perform data entry and reporting; HS diploma and pharmacy technician experience preferred; proficiency with Microsoft Office required.
Microsoft Word, Microsoft Excel, Microsoft Outlook
1mo
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PAHub & Prior Authorization Specialist
Parsippany, New Jersey, United States
$80k-$100k/yr HybridFull Time
5+ YOE5+ years in healthcare operations/prior authorization with hands-on PAHub experience, strong presentation/consultative skills, analytical ability, HIPAA compliance awareness, and ability to work with customers and internal teams.
PAHub
2w
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Pharmacy Prior Authorization Specialist
New Hyde Park, New York, United States
$25/hr HybridFull Time
1+ YOEHigh school diploma/GED and 1+ year pharmacy or prior authorization experience required; pharmacy terminology, insurance claims, Medicare, Medicaid, NCPDP, NDC billing, CoverMyMeds, and customer service skills required.
CoverMyMeds, NCPDP
1w
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Prior Authorizations Specialist - General Surgery
Trumbull or Connecticut or Rhode Island
OnsiteFull Time
1+ YOEHigh school diploma preferred; at least one year of insurance and prior authorization experience preferred. Requires strong communication, telephone, computer, organization, customer service, and teamwork skills.
EPIC
22h
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Authorization Specialist
Montgomery or Maryland
$18-$22/hr RemoteFull Time
2+ YOERequires 2+ years in medical billing, prior authorization, or insurance verification; knowledge of ICD-10, CPT codes, medical terminology, payer requirements, and managed care guidelines.
ICD-10, CPT, Electronic Health Record (EHR), Icanotes EHR, Waystar, Inovalon, Availity
4d
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Prior Authorizations Specialist - General Surgery
Trumbull, Connecticut, United States
OnsiteFull Time
High school diploma preferred; prior insurance authorization experience preferred. Requires insurance knowledge, strong communication, telephone, computer, organization, customer service, and independent teamwork skills.
EPIC
2mo
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Authorization & Account Verification Specialist
Shelton, Connecticut, United States
$19-$24/hr OnsiteFull Time
Verify patient demographics, insurance eligibility, and prior authorizations for radiology exams; strong data entry, medical terminology, ICD-10/CPT knowledge; high school diploma/GED; 1–3 years healthcare admin experience preferred; EPIC/EMR experience preferred.
EPIC, EMR, ICD-10, CPT
3d
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Insurance Authorization Specialist: Infusion Therapy/Biologics
Greenwich or Fairfield
$52k-$59k/yr OnsiteFull Time
3+ YOEThree years of healthcare experience focused on prior authorizations for high-value medications, or healthcare administration/authorization coordination experience. Strong insurance knowledge, organization, communication, and EMR skills required.
EMR, Microsoft Office
3d
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Insurance Specialist
Cedar Knolls, New Jersey, United States
OnsiteFull Time
2+ YOEHigh school diploma, 2+ years in insurance verification, prior authorizations, benefits analysis, pharmacy operations, reimbursement, or patient access; New Jersey pharmacy technician registration; EMR, payer portal, Microsoft Office, Teams, and Excel proficiency.
EMR, Microsoft Office Suite, Microsoft Teams, Microsoft Excel, pharmacy platforms, payer portals, HIPAA
1mo
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Patient Support Specialist
Totowa, New Jersey, United States
$25-$27/hr OnsiteFull Time
Coordinate refills, manage prior authorizations, maintain patient records, communicate with patients/providers, and comply with pharmacy and HIPAA regulations.
Microsoft Office
2mo
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Billing Specialist
Elmhurst, New York, United States
$18-$25/hr OnsiteFull Time
0+ YOEEntry-level medical biller to perform data entry, claims processing, billing and collections, follow-up on denials, eligibility/authorization checks, reporting/analytics, and KPI tracking; training provided.
medical billing software, Microsoft Office Suite
2w
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Propane Specialist
Florida, New York, United States
$22-$33/hr FieldFull Time
High school diploma, CDL Class A or B, clean driving record, current DOT medical certification, U.S. work authorization, and willingness to rotate on-call evenings and weekends; propane experience preferred.
LYRA
2w
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Clinical Operations Specialist
Montvale, New Jersey, United States
$51k-$64k/yr OnsiteFull Time
5+ YOEHigh school diploma, Certified Pharmacy Technician credential, and 5 years of pharmacy experience including 2 years each in claims adjudication and prior authorization. Microsoft Office proficiency required.
Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft Outlook
3w
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Peer Specialist-CS531501
New York City, New York, United States
$20/hr OnsiteFull Time
Experience providing peer advocacy services to homeless people or people with disabilities; U.S. work authorization required. Former service recipients preferred. CPR and First Aid certifications must be maintained.
electronic case records
1w
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Ground Operations Specialist
Bedford Hills, New York, United States
$20-$30/hr FieldFull Time
Landscaping or tree care experience, equipment and pruning knowledge, knot knowledge, safe lifting techniques, valid driver's license, and authorization to work in the United States.
hand snips, pruners, pole saws
2w
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Customer Service Specialist
Newton, New Jersey, United States
$19/hr OnsiteFull Time
Requires legal work authorization, unrestricted driver's license, ability to lift 50 pounds frequently and 70 pounds occasionally, and willingness to work scheduled evening and weekend hours. High school diploma and one year of related experience preferred.
HireVue
2w
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Clinical Criteria Escalations Specialist
New York City, New York, United States
$95k-$115k/yr HybridFull Time
Active RN or LPN license plus experience in utilization management, prior authorization, medical necessity review, clinical appeals, CDI, payment integrity, or payer policy review. Strong clinical judgment and written communication required.
Medicare, Medicaid, LCDs, NCDs, HCPCS, CPT, ICD-10
1w
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Retail Experience Specialist ADV
Rock Tavern, New York, United States
$20-$21/hr FieldPart Time
Must be 18+, authorized to work in the US, have reliable transportation, complete assigned projects, and stand, walk, use hands repetitively, lift up to 25 pounds, and travel by car.
Caper Cart
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