47 prior authorization specialist jobs at 34 companies in Peekskill, 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.
Cornerstone Family Healthcare: Provides primary and preventative healthcare to underserved communities.
1+ YOEMinimum 1 year clerical health-related experience, bilingual English/Spanish, knowledge of data entry and medical terminology, pleasant telephone manner, ability to manage multiple authorization requests.
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.
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
Advanced Radiology Consultants: Diagnostic imaging and interventional radiology services in Connecticut.
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.
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.
East Hanover Township School District: Operates public PK-8 schools for the East Hanover community.
Valid New Jersey Reading Specialist endorsement, Code 3310, required; prior teaching experience preferred; required pre-employment clearances and U.S. work authorization.
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.
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.