25 prior authorization specialist jobs at 17 companies in Niles, IL
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Prior Authorization Specialist
Aurora, Illinois, United States
OnsiteFull Time
Reliable Medical: Privately held U.S. provider of durable medical equipment and complex rehabilitation technology for patients with mobility impairments.
High school diploma, prior authorization/DME experience required, office experience, proficiency with Microsoft Outlook/Word/Excel/SharePoint, knowledge of HCPC billing codes and medical terminology, strong communication and attention to detail.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft SharePoint
Onco360: Specialty oncology pharmacy focused on cancer and rare diseases.
1+ YOEHigh school diploma/GED, 1+ years pharmacy/prior authorization experience, Board of Pharmacy registration, strong communication and organizational skills, knowledge of pharmacy claims, Medicare/Medicaid, NCPDP, and CoverMyMeds.
Froedtert South: Regional healthcare system serving southeastern Wisconsin and northern Illinois.
Experience with prior authorizations, referrals, patient registration, insurance verification, and health plans; knowledge of payors, medical terminology, ICD-10, CPT, HCPC codes, Microsoft Office, and strong communication skills.
Carepoint Pharmacy: Independent mail-service pharmacy serving patients, physicians, and providers nationwide with home infusion, specialty medications, and oral prescriptions.
Active pharmacy technician license and certification (PTCB/ExCPT or grandfathered), experience with major PBMs, ability to complete prior authorizations, read medical charts, use Cover My Meds, and knowledge of ICD-10; employed ≥6 months required.
Doctors of Physical Therapy: Founder-owned outpatient physical therapy serving patients through in-clinic, in-home, and virtual care.
No prior authorization experience required; strong communication, problem-solving, attention to detail, and Microsoft Office (Excel, Word) proficiency; reliable and able to work independently.
Retina Consultants, Ltd.: Medical and surgical retina practice serving Chicagoland patients with adult, pediatric, inherited, oncologic, and inflammatory eye care.
High school diploma or equivalent required, working knowledge of insurance, referrals, and prior authorizations, plus strong communication, multitasking, organization, problem-solving, and initiative.
Duly Health and Care: Physician-led multi-specialty medical group providing comprehensive healthcare services.
2+ YOERequires 2+ years in utilization management, prior authorization, referral management, or managed care; experience with referrals, authorizations, clinical documentation, payer requirements, and MCG Guidelines.
MCG Guidelines, CMS, Microsoft Office, Electronic Health Records (EHR), Epic
Happy Maids: Family-owned residential cleaning serving Barrington-area homeowners with recurring, deep, move-out, and one-time cleaning.
Valid driver’s license and reliable vehicle, ability to lift up to 30 lbs and remain active all day, legal authorization to work in the U.S., pass a background check.
SavATree: Provider of professional tree, shrub, and lawn care services.
Landscaping experience preferred, knowledge of tree care equipment, pruning tools, knots, and safe lifting techniques. Requires a valid driver's license, U.S. work authorization, and willingness to complete required training.
Harvard Community Unit School District 50: Public Illinois pre-K–12 school district serving more than 2,500 students across five schools.
Requires Professional Educator License or eligibility with Library Media/Technology Endorsement; ability to integrate digital resources, support instruction, manage collections, and collaborate with staff; citizenship/residency/work authorization required.
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/yrOnsiteFull Time
Office of Human Resources Management: U.S. government agency managing federal property and providing acquisition, technology, and shared services to federal agencies.
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.
VertivNYSE: VRT: Global leader in critical digital infrastructure and cooling solutions.
0+ YOERequires an engineering degree with no experience, technical school plus 5 years of similar work, or high school diploma plus 8 years. Valid driver's license and U.S. work authorization required.
Sherwin-WilliamsNYSE: SHW: Global leader in the manufacture, distribution, and sale of paints and coatings.
Requires age 18+, valid unrestricted driver's license, work authorization without sponsorship, ability to lift 50 lbs frequently and 70 lbs occasionally, and flexible evening/weekend availability. Retail or customer service experience preferred.
Select Medical: Provider of specialized healthcare services and rehabilitation.
High school diploma or GED required; front desk or healthcare experience preferred. Responsibilities require patient registration, scheduling, insurance verification, authorization, and payment collection.
Valet Living: Provider of doorstep waste, recycling, and amenity services.
Must have an open-bed pickup or trailer, valid driver’s license and auto insurance, smartphone, be 18+, authorized to work in the U.S., lift up to 50 lbs, walk properties and climb stairs, and work weekend evenings.
PrimeCare Health: Nonprofit federally qualified health center providing affordable medical, behavioral, oral, prenatal, and substance-use care to underserved Chicagoans.
Use EMR workqueue to obtain prior authorizations, prepare/transmit referral information, communicate with patients/providers, identify in-network specialists, and assist scheduling. Strong written/verbal communication and computer skills required.
Electronic Medical Records (EMR), Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, Microsoft Excel
United States or Manhattan or Seattle or Redmond or Menlo Park or New York City or San Francisco or Austin or Los Angeles or Chicago or Washington, D.C. or Boston or Fremont
$34-$38/hrOnsiteFull Time
Welocalize: Global AI-powered language and data services provider.
Native or fluent Portuguese speaker with strong language instincts and attention to detail; must be authorized to work in the US. No technology experience required.