57 prior authorization specialist jobs at 37 companies in Queens, NY
1mo
Save
Mark Applied
Hide
Prior Authorization Specialist
New York City, New York, United States
OnsiteFull Time
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.
HomeCare HomeBase (HCHB), Axxess, WellSky, KanTime, Careport, Forcura, Ensocare
2w
Save
Mark Applied
Hide
Prior Authorization Specialist
Spring Valley, New York, United States
$24-$30/hr OnsiteFull Time
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.
EMR
2w
Save
Mark Applied
Hide
Prior Authorization Specialist
Freehold, New Jersey, United States
$25-$40/hr OnsitePart Time
3+ YOE3+ years medical insurance verification and authorization experience, oncology therapy experience, knowledge of payor adjudication, strong communication and customer-service orientation, EMR and Microsoft Office proficiency.
EPIC, Mosaiq, Microsoft Word, Microsoft Excel, Microsoft Outlook
4w
Save
Mark Applied
Hide
Prior Authorization Specialist
Rockaway Township, New Jersey, United States
$23-$25/hr OnsiteFull Time
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
1mo
Save
Mark Applied
Hide
PAHub & Prior Authorization Specialist
Parsippany, New Jersey, United States
$80k-$100k/yr HybridFull Time
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.
PAHub
1w
Save
Mark Applied
Hide
Pharmacy Prior Authorization Specialist
New Hyde Park, New York, United States
$25/hr HybridFull Time
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.
CoverMyMeds, NCPDP
2mo
Save
Mark Applied
Hide
Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
Experience with insurance authorization and verification preferred; strong communication, organization, multitasking, attention to detail, and ability to manage multiple cases.
2mo
Save
Mark Applied
Hide
Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
No specific qualifications listed.
1mo
Save
Mark Applied
Hide
Verification/Authorization Specialist
Garden City, New York, United States
$23-$26/hr OnsiteFull Time
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
1mo
Save
Mark Applied
Hide
Authorization Specialist - Fertility (NY, Commack)
Commack, New York, United States
OnsiteFull Time
Obtaining prior authorizations, processing referrals, performing eligibility checks, entering authorizations into EMR/practice systems, maintaining HIPAA confidentiality, and strong phone/email customer service skills.
EMR
1mo
Save
Mark Applied
Hide
Accounts Receivable Insurance Authorization Specialist
Lakewood, New Jersey, United States
OnsiteFull Time
Manage accounts receivable and insurance authorizations including eligibility verification, prior authorizations, claims submission, EOB review, and documentation for hospice services.
1w
Save
Mark Applied
Hide
Rev Cycle Specialist (Prior Authorizations)
New Providence, New Jersey, United States
$21-$44/hr OnsiteFull Time
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.
Athenahealth, CPT, ICD-10, HIPAA, HMO, PPO, Medicare, Medicaid
2w
Save
Mark Applied
Hide
Rev Cycle Specialist (Prior Authorizations)
New Providence, New Jersey, United States
$21-$44/hr OnsiteFull Time
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.
Athenahealth, CPT, ICD-10, HIPAA, HMO, PPO, Medicare, Medicaid
1w
Save
Mark Applied
Hide
Reading Specialist - Leave Replacement
East Hanover, New Jersey, United States
$67k-$110k/yr OnsiteFull Time, Temporary
Valid New Jersey Reading Specialist endorsement, Code 3310, required; prior teaching experience preferred; required pre-employment clearances and U.S. work authorization.
1mo
Save
Mark Applied
Hide
Patient Support Specialist
Totowa, New Jersey, United States
$25-$27/hr OnsiteFull Time
Coordinate refills, manage prior authorizations, maintain patient records, communicate with patients/providers, and comply with pharmacy and HIPAA regulations.
Microsoft Office
1w
Save
Mark Applied
Hide
Detail Specialist
Neptune City, New Jersey, United States
$15-$25/hr OnsiteFull Time
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.
estimating platform
1w
Save
Mark Applied
Hide
Logistics Specialist
Wantagh, New York, United States
$68k-$100k/yr OnsiteFull Time
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
1mo
Save
Mark Applied
Hide
Billing Specialist
Elmhurst, New York, United States
$18-$25/hr OnsiteFull Time
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.
medical billing software, Microsoft Office Suite
6d
Save
Mark Applied
Hide
Clinical Operations Specialist
Montvale, New Jersey, United States
$51k-$64k/yr OnsiteFull Time
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
2w
Save
Mark Applied
Hide
Peer Specialist-CS531501
New York City, New York, United States
$20/hr OnsiteFull Time
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.
electronic case records
Explore Jobs
Expand Your Job Search
Top Cities Near Queens for Prior Authorization Specialist
- Prior Authorization Specialist jobs in New York, NY
- Prior Authorization Specialist jobs in Brooklyn, NY
- Prior Authorization Specialist jobs in Manhattan, NY
- Prior Authorization Specialist jobs in The Bronx, NY
- Prior Authorization Specialist jobs in Staten Island, NY
- Prior Authorization Specialist jobs in Newark, NJ
- Prior Authorization Specialist jobs in Jersey City, NJ
- Prior Authorization Specialist jobs in Yonkers, NY
- Prior Authorization Specialist jobs in Paterson, NJ
- Prior Authorization Specialist jobs in Bridgeport, CT
- Prior Authorization Specialist jobs in Elizabeth, NJ
- Prior Authorization Specialist jobs in Stamford, CT
- Prior Authorization Specialist jobs in Edison, NJ
- Prior Authorization Specialist jobs in Norwalk, CT
- Prior Authorization Specialist jobs in Greenburgh, NY
- Prior Authorization Specialist jobs in Clifton, NJ
- Prior Authorization Specialist jobs in New Rochelle, NY
- Prior Authorization Specialist jobs in Passaic, NJ
- Prior Authorization Specialist jobs in Union City, NJ
- Prior Authorization Specialist jobs in Mount Vernon, NY