21 prior authorization specialist jobs at 14 companies in Elsmere, DE
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Prior Authorization Specalist
Marlton, New Jersey, United States
$19/hrOnsiteFull Time
Advocare: Independent physician-owned medical group providing multi-specialty healthcare services.
High school diploma required; prior insurance authorization experience preferred. Must know medical terminology, have strong attention to detail, communication skills, and proficiency with listed portals.
PEAR, Availity, UHC, UMR, Tricare, Evicore, Carelon, Resmed, Care Orchestrator, CoverMyMeds, ASPN, SureScripts, Electronic medical records (EMR)
Cooper University Health Care: Academic health system providing hospital and specialty medical care.
2+ YOEVerifies insurance eligibility and benefits, secures authorizations and referrals, explains coverage to patients, and collects patient liability prior to services.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access, NaviNet, Passport, IDX Flowcast, Imagecast, EPIC EMR
Cooper University Health Care: Operates a leading academic health system in South Jersey.
2+ YOEVerify insurance eligibility and benefits, obtain authorizations and referrals, validate coordination of benefits, explain coverage, and collect patient liability prior to service.
NaviNet, Passport, IDX Flowcast, Imagecast, EPIC EMR, Microsoft Word, Microsoft Excel, Outlook, Access
Excelsia Injury Care: Specialized healthcare for motor vehicle and workplace injuries.
Prior authorization experience required; strong verbal/written communication, organization, computer literacy, EHR navigation, and ability to coordinate between offices, patients, attorneys, and imaging facilities.
Lawall Prosthetics & Orthotics: Provider of custom prosthetics and orthotics healthcare services.
Experience with insurance verification, prior authorizations, medical billing/reimbursement, knowledge of Medicare/Medicaid/Managed Care, HCPCS and ICD-10 coding, strong organization and communication, proficiency with medical billing software and Microsoft Office.
Enid or Hennessey or Fairview or Okeene or Woodward or Ponca City or King of Prussia or United States or United Kingdom or Puerto Rico or Oklahoma or Pennsylvania or North America
OnsiteFull Time
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
Schedules patient referrals and tests, obtains pre-authorizations, reviews clinical data for medical necessity, communicates with clinics, facilities, insurers, and patients, and provides courteous phone support.
Princeton Medical Management Innovations: Manages operational and administrative functions for specialized medical practices.
Experience with surgical precertification/prior authorization, knowledge of medical terminology and CPT/ICD-10, comfort with EMRs, payer portals, Microsoft and Adobe, strong communication, multitasking, and attention to detail; must live in NJ, PA, or FL.
LUX Infusion: Provides clinical infusion therapy and patient care coordination services.
Coordinate prescription refills, prior authorizations, patient and provider communication, and maintain accurate patient records; requires high school diploma/GED and pharmacy technician registration/certification or commitment to obtain within 60 days.
Sherwin-WilliamsNYSE: SHW: Global manufacturer and distributor of paints and protective coatings.
Requires English and Spanish proficiency, valid unrestricted driver's license, legal work authorization, and ability to lift up to 70 pounds. Retail, delivery, or customer service experience preferred.
Channel Partners Solutions: Provider of retail execution and consumer activation services.
High school diploma, GED, or equivalent experience; retail, merchandising, or customer service preferred. Requires reliable transportation, personal GPS-enabled device, toolkit, legal US work authorization, and ability to lift 40+ pounds.
Select MedicalNYSE: SEM: Provides specialized inpatient and outpatient rehabilitation and recovery healthcare.
High school diploma or GED required. Front desk experience and healthcare experience preferred. Responsibilities include patient registration, scheduling, communication, payments, and insurance authorization.
High school diploma or GED required. Front desk and medical office experience preferred. Duties include patient registration, scheduling, insurance verification, authorizations, and payment collection.
AllstateNYSE: ALL: Provides insurance products for vehicles, homes, and businesses.
0+ YOEDrives new business sales in retail, meets sales goals, leverages community contacts, P&C licensure preferred (must attain within 90 days), 0–2 years experience, US work authorization required.
Manufacturing Leadership Development Program - Associate Specialist, Engineering
West Point, Pennsylvania, United States
$72k-$113k/yrOnsiteFull Time
Merck & Co.NYSE: MRK: Produces prescription medicines, vaccines, and animal health products.
Bachelor's or master's degree in a listed engineering or science field, graduation by August 2027, US work authorization without sponsorship, mobility across sites, travel willingness, and strong technical, leadership, communication, and teamwork skills.
Orientation and Mobility Specialist Intern (College)
Wilkes-Barre or Berks County or Carbon County or Lehigh County or Monroe County or Northampton County or Schuylkill County
$47k-$71k/yrFieldFull Time
Pennsylvania Liquor Control Board: Regulates alcohol distribution and operates state-owned wine and spirits stores.
Must be enrolled in final year of an accredited orientation and mobility degree or certificate program; authorized by college for internship; must complete criminal history clearances (PA State Police, PA Child Abuse, FBI) and provide transcripts; able to perform essential functions.
Center for Family Services: Provides comprehensive social services and mental health support.
2+ YOEMaster's in Psychiatric Mental Health Nursing, ANA clinical nurse specialist certification, current NJ RN and APN licensure, 2 years post-bachelor community behavioral health experience, ability to evaluate, prescribe, administer injectables, manage prior authorizations, and document in EHR.