60 prior authorization specialist jobs at 37 companies in Ossining, NY
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Prior Authorization Specialist
New York City, New York, United States
OnsiteFull Time
Claim Health: Private AI revenue platform automating revenue operations for post-acute care 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 Center: Nonprofit FQHC providing medical, dental, behavioral, and supportive care to Hudson Valley patients regardless of income.
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: Privately owned U.S. pharmacy provider serving long-term, post-acute, correctional, PACE, and specialty-care patients and 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: Agadia is a privately held healthcare software providing utilization-management automation to health plans, PBMs, and TPAs.
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 oncology pharmacy focused on cancer and rare diseases.
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.
Hartford HealthCare Medical Group: Nonprofit Connecticut multispecialty medical group serving patients with primary, urgent, specialty, surgical, in-person, and virtual care.
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.
Licensed Behavior Analyst Professional Services (LBAPS): Private ABA provider serving children with autism and developmental challenges at home, school, and in the community.
Experience with insurance authorization and verification preferred; strong communication, organization, multitasking, attention to detail, and ability to manage multiple cases.
Hartford HealthCare Medical Group: Nonprofit Connecticut multispecialty medical group serving patients with primary, urgent, specialty, surgical, in-person, and virtual care.
High school diploma preferred; prior insurance authorization experience preferred. Requires insurance knowledge, strong communication, telephone, computer, organization, customer service, and independent teamwork skills.
Stony Brook Medicine: Academic medical center and health system in New York.
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.
U.S. Physical Therapy, Inc.NYSE: USPH: National operator of outpatient physical and occupational therapy clinics.
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
Advanced Radiology Consultants: Independent physician-owned outpatient radiology practice serving Southern Connecticut patients and referring physicians.
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.
Thrivewell Infusion: Private outpatient infusion provider serving patients with rare and chronic diseases across the United States.
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.
The US Oncology Network: A national network supporting independent community-based oncology practices.
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 Group: Physician-led ophthalmology administrative-services organization supporting affiliated eye-care practices and their patients with comprehensive medical and surgical care.
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.
Pixel Care: Transforming Fertility Care Through Connected Technology
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
LUX Infusion: U.S.-based clinician-led infusion services providing home and ambulatory care for patients with complex and chronic conditions.
Coordinate refills, manage prior authorizations, maintain patient records, communicate with patients/providers, and comply with pharmacy and HIPAA regulations.
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
East Coast Bone & Joints: Orthopedic practice serving New York and New Jersey patients with joint replacement, sports medicine, and trauma care.
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.