38 prior authorization specialist jobs at 20 companies in Mendon, MA
1d
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Pharmacy Prior Authorization Specialist
Waltham, Massachusetts, United States
$23/hr HybridFull Time
1+ YOEHigh school diploma/GED, 1+ year pharmacy or prior authorization experience, state-required Board of Pharmacy registration, insurance claims knowledge, and CoverMyMeds experience; PTCB or associate degree preferred.
CoverMyMeds, NCPDP
2mo
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Prior Authorization Specialist - Billing Coordinator
Boston, Massachusetts, United States
$21-$28/hr OnsiteFull Time
Experience in healthcare finance or billing with patient insurance verification, data accuracy, customer-facing phone skills, MS Office competency, and basic accounting knowledge; HS diploma required, associate preferred.
Microsoft Office
1w
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Referral & Authorization Specialist
Warwick, Rhode Island, United States
OnsiteFull Time
5+ YOEHigh school diploma/GED and 5–7 years of healthcare experience, including 3 years processing insurance referrals or prior authorizations. Requires payer, billing, medical terminology, communication, and critical-thinking skills.
Microsoft 365, Electronic Health Record (EHR), EPIC, HIPAA
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)
1w
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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
1w
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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
3d
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Drug Authorization Specialist
Brookline or Boston
$45k-$49k/yr HybridFull Time
High school diploma or GED required; bachelor's degree preferred. No experience required; customer service or hospital registration experience preferred. Requires insurance knowledge, Epic familiarity, Microsoft Office proficiency, communication, and confidentiality.
Epic, Microsoft Office
2w
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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.
2mo
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Referral Specialist
Burlington, Massachusetts, United States
$25-$30/hr OnsiteFull Time
1+ YOE1+ years obtaining insurance referrals/prior authorizations in a medical setting, working knowledge of Medicare/Medicaid/commercial payer requirements, EMR and payer portal familiarity, medical terminology and CPT/ICD-10 knowledge, strong verbal/written communication.
Electronic Medical Records (EMR), Microsoft Office, CPT, ICD-10
4w
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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
1mo
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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)
1mo
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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
2w
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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.
1w
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Home Improvement Specialist
Lincoln, Rhode Island, United States
OnsiteFull Time
High school diploma, required trade-school enrollment or completion, valid driver's license, and U.S. work authorization. Related trade experience is preferred but not required; strong troubleshooting skills needed.
1w
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Customer Service Specialist
Framingham, Massachusetts, United States
$20/hr OnsitePart Time
Requires age 18+, unrestricted driver's license, work authorization without sponsorship, ability to lift 50 pounds frequently and 70 occasionally, and willingness to work evenings and weekends. Retail or customer service experience preferred.
HireVue
1mo
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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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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
5d
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Staffing and Recruitment Specialist
San Francisco or Lakewood or Washington or Atlanta or Chicago or Boston or Kansas City or Raleigh or New York or Philadelphia or Tacoma
$91k-$145k/yr OnsiteFull Time
1+ YOEOne year of specialized experience equivalent to GS-11 advising on recruitment and placement, applying federal staffing laws and hiring authorities, conducting job analyses, evaluating applicants, and issuing referral certificates.
USAJOBS, Microsoft Excel
1w
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Airside Experience Specialist - BED - FT
Bedford, Massachusetts, United States
$20-$23/hr OnsiteFull Time
High school diploma/GED, valid driver's license, English communication, color vision, physical ability to operate ground equipment, and authorization to work. Three to six months' related experience preferred.
Standard Operating Procedures (SOPs), email
1w
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Plant Health Care Specialist
Middleton, Massachusetts, United States
$25-$30/hr FieldFull Time
Preferred degree or related experience in plant health fields; valid driver's license, lawful U.S. work authorization, strong communication skills, safe equipment use, and willingness to complete training and certifications.
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