15 prior authorization specialist jobs at 10 companies in Upper Saint Clair, PA
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Pharmacy Prior Authorization Specialist
Pittsburgh or St. Louis or Boise
OnsiteFull Time
Blink Health Pharmacy: Private U.S. healthcare technology providing discounted prescription medicines, pharmacy pickup, and home delivery to American patients.
High school diploma/GED required (bachelor's preferred). Customer service or inbound call center experience required. Strong verbal/written communication, attention to detail, and ability to work 8am-8pm shifts.
Onco360: Specialty oncology pharmacy focused on cancer and rare diseases.
1+ YOEHigh school/GED, 1+ years pharmacy/prior-auth experience, pharmacy technician license/registration as required, strong communication and insurance/claims knowledge including CoverMyMeds and NCPDP.
Tri-State Orthopaedics & Sports Medicine: Independent Pittsburgh-area orthopaedic practice providing surgery, therapy, sports medicine, and urgent care to Western Pennsylvania families.
Strong customer service, telephone communication, computer and typing skills, organization, multitasking, confidentiality, and ability to work independently and across departments. Insurance and prior authorization knowledge preferred; new graduates welcome.
Tri-State Orthopaedics & Sports Medicine: Independent Pittsburgh-area orthopaedic practice providing surgery, therapy, sports medicine, and urgent care to Western Pennsylvania families.
1+ YOEHigh school diploma or equivalent, 1–2 years in medical billing, insurance verification, or prior authorizations, medical terminology, CPT and ICD-10 coding, EHR experience, and strong computer and telephone skills.
NVR Mortgage Finance, Inc.: Private mortgage lender financing new-home purchases exclusively for Ryan Homes, NVHomes, and Heartland Homes customers.
0+ YOENo prior mortgage experience required; training provided. Must be detail-oriented, organized, strong communicator, able to meet deadlines. Drug test and credit check required; legal authorization to work in the US required.
3+ YOEMust be an RN or LPN with at least 3 years third-party reimbursement/prior authorization experience; strong communication, Excel experience preferred.
Sherwin-WilliamsNYSE: SHW: Global leader in the manufacture, distribution, and sale of paints and coatings.
Must be 18+, legally authorized to work without sponsorship, hold a valid unrestricted driver's license, lift up to 70 pounds, and work evenings and weekends. Retail or customer service experience preferred.
WVU Medicine Wheeling Hospital: Catholic nonprofit acute-care hospital serving Wheeling and the Ohio Valley with inpatient, outpatient, emergency, and specialty services.
High school diploma or equivalent required. Requires communication, medical terminology, ICD-10 and CPT coding, payer, collection, typing, reading, and customer service knowledge; insurance authorization experience preferred.
Sherwin-WilliamsNYSE: SHW: Global leader in the manufacture, distribution, and sale of paints and coatings.
Must be 18+, valid driver's license, legally authorized to work without sponsorship, able to lift 50–70 lbs, willing to work evenings/weekends; high school/GED and 1 year retail/delivery/customer service preferred.
Siemens Smart Infrastructure: Connecting energy systems, buildings and industries.
Electro-mechanical experience, PC and Microsoft Office skills, valid driver's license, ability to lift 75 pounds and work in varied construction environments, overtime and travel availability, and permanent U.S. work authorization.
Microsoft Building Automation Systems (BAS), HVAC, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook, email, smartphone, tablet, laptop, Apogee, Desigo, Modbus, Tridium, Niagara, Alerton, LonWorks, BACnet, Direct Digital Control (DDC), Building Management System (BMS)
Channel Partners: Retail execution and consumer activation services platform.
High school diploma/GED or equivalent, reliable transportation, personal GPS-enabled mobile device, basic toolkit, U.S. work authorization, and availability for at least 20 hours weekly. Must lift 40+ pounds and travel within 60 miles.
GPS, Android, Apple, Smartphone, Tablet, Big Joe, Little Joey, forklifts, FedEx
NovaCare Rehabilitation: Outpatient physical rehabilitation provider serving patients with physical, occupational, hand, sports-medicine, and workplace-injury therapy.
0+ YOEGreet and register patients, schedule appointments, handle payments, verify authorizations and insurance, and communicate with attorneys/insurers; high school diploma/GED required; 0+ years experience (1 year preferred).
Medical Front Office - Patient Service Specialist - Float
Seven Fields, Pennsylvania, United States
$15-$19/hrFieldPart Time
NovaCare Rehabilitation: Outpatient physical rehabilitation provider serving patients with physical, occupational, hand, sports-medicine, and workplace-injury therapy.
High school diploma or GED required; healthcare experience required and one year of outpatient experience preferred. Duties include patient registration, scheduling, communications, collections, and insurance authorization.
J.W. Ruby Memorial Hospital: Nonprofit academic medical center providing tertiary and specialty care to West Virginia and bordering-state patients.
High school diploma or equivalent and current pharmacy technician licensure or trainee authorization required in the applicable state; six months of pharmacy technician experience preferred.
UPSNYSE: UPS: Global package delivery and supply chain management provider.
Requires Microsoft Office proficiency, strong communication, research, organization, confidentiality, customer service, and U.S. work authorization; travel to recruiting events and operations initiatives required.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Workday, Fountain