62 prior authorization specialist jobs at 37 companies in Summit, NJ
1mo
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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
3w
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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
1mo
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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
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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
2w
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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
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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.
3mo
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Authorization Specialist
Brooklyn, New York, United States
OnsiteFull Time
No specific qualifications listed.
1mo
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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
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Insurance Verification & Authorization Specialist
Langhorne, Pennsylvania, United States
OnsiteFull Time
Experience with insurance verification, prior authorizations, medical billing/reimbursement, knowledge of Medicare/Medicaid/Managed Care, HCPCS and ICD-10 coding, strong organization and communication, proficiency with medical billing software and Microsoft Office.
HCPCS, ICD-10, Microsoft Office
4d
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Insurance Authorization Specialist: Infusion Therapy/Biologics
Greenwich or Fairfield
$52k-$59k/yr OnsiteFull Time
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.
EMR, Microsoft Office
1mo
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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.
1mo
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Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrenceville, New Jersey, United States
$36-$47/hr OnsiteFull Time
3+ YOEHigh school diploma required; 3+ years hospital revenue cycle/prior authorization experience; proficiency with payer portals, EHR, and Microsoft Excel; strong knowledge of payer authorization rules and CPT/HCPCS.
EHR, Microsoft Excel
3w
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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
3w
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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
4d
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Insurance Specialist
Cedar Knolls, New Jersey, United States
OnsiteFull Time
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
1mo
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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
2w
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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
2w
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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
2mo
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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
1w
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Propane Specialist
Florida, New York, United States
$22-$33/hr FieldFull Time
1+ YOEHigh school diploma, CDL Class A or B, clean driving record, current DOT medical certification, and legal US work authorization required. Propane experience and tanker/Hazmat endorsements preferred.
LYRA
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