56 prior authorization specialist jobs at 37 companies in Hell's Kitchen, NY
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Prior Authorization Specialist
New York City, New York, United States
OnsiteFull Time
Claim Health: AI-powered revenue platform for post-acute healthcare providers.
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.
Refuah Health: Provides comprehensive medical, dental, and behavioral healthcare services.
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.
Polaris Pharmacy Services: Provide pharmacy services to long-term care and correctional facilities
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
Agadia: Healthcare technology platform for utilization management and automation.
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.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
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.
Learning Ladders ABA: Provides personalized ABA therapy services for children with autism.
Experience with insurance authorization and verification preferred; strong communication, organization, multitasking, attention to detail, and ability to manage multiple cases.
Stony Brook Community Medical: Providing community-based medical care and specialized clinical services.
Coordinates medical referrals and prior authorizations, verifies patient registration and insurance information, performs eligibility checks, communicates with providers and patients, and enters authorizations into healthcare systems.
Metro Physical & Aquatic TherapyNYSE: USPH: Provides comprehensive physical, occupational, and aquatic rehabilitation services.
3+ YOEHigh school diploma/GED, 3 years related experience, prior authorization and medical practice experience, strong customer service and communication, proficiency in Microsoft Word, Outlook, Excel, and ability to document and resolve authorization issues.
Microsoft Word, Microsoft Outlook, Microsoft Excel
ThrIVewell Infusion: Provider of specialized infusion and injection therapy services.
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.
Swan Hospice: Providing hospice and palliative care services to terminal patients.
Manage accounts receivable and insurance authorizations including eligibility verification, prior authorizations, claims submission, EOB review, and documentation for hospice services.
Maryland Oncology Hematology: Provider of community-based medical oncology and hematology care.
3+ YOEHigh school diploma or GED and 3 years of medical billing experience in a healthcare setting. Requires payer knowledge, CPT/ICD-10 familiarity, practice management software skills, and strong communication and problem-solving abilities.
Prism Vision GroupNYSE: MCK: Provides administrative and business management services for eye care practices.
3+ YOEHigh school diploma or GED and 3 years of hands-on medical billing experience in a healthcare setting. Requires CPT/ICD-10 knowledge, computer skills, communication, problem-solving, and HIPAA awareness.
LUX Infusion: Provides clinical infusion therapy and patient care coordination services.
Coordinate refills, manage prior authorizations, maintain patient records, communicate with patients/providers, and comply with pharmacy and HIPAA regulations.
Crash Champions: Provider of automotive collision repair and refinishing services.
High school diploma or GED, valid driver's license with clean record, attention to detail, organization, teamwork, instruction-following, background check, and U.S. work authorization.
0+ YOEAssociate degree or equivalent experience, progressive logistics or operations experience, analytical and relationship management skills, Microsoft Office proficiency, driver's license, 10% travel, and U.S. work authorization required.
Microsoft Office, Customer Relationship Management (CRM) systems, Business intelligence tools, Dispatch systems, Reporting tools, Financial systems, Operational software platforms
Healthy Pharmacy: Local provider of prescription medications and durable medical equipment.
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.
Superior Plus: Distributes propane and refined fuels across North America.
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.
EmpiRx Health: Value-based pharmacy benefit management and population health services.
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
Institute for Community Living: Provides behavioral health services and supportive housing for vulnerable populations.
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.