14,779 prior authorizations jobs at 3,189 companies in United States
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Prior Authorizations Specialist
United States
RemoteFull Time
Infinx: Provides AI-powered revenue cycle management solutions for healthcare providers.
5+ YOEHigh school diploma/GED; 5+ years prior authorization processing; 2+ years calling insurance companies; familiarity with medical terminology; EMR experience; strong communication and teamwork; ability to work remotely.
Kestra Medical TechnologiesNASDAQ: KMTS: Develops wearable cardiac monitoring and defibrillation medical devices.
3+ YOE3+ MgmtBachelor's degree and 3+ years leadership in revenue cycle/prior authorization management; proven metrics-driven results; vendor management and team leadership experience; ability to analyze clinical review outcomes and drive process improvements.
The Specialty Alliance: Provides operational and administrative support to specialty medical practices.
1+ YOE1+ year prior authorization experience, knowledge of payer medical policy, proficiency with CPT and ICD-10 codes, attention to detail, ability to manage high-volume time-sensitive workload.
Hartford HealthCare: Integrated healthcare network providing comprehensive medical and behavioral services.
Performs insurance prior authorizations with EPIC documentation; requires knowledge of insurances and prior authorizations, strong communication, computer and customer service skills; high school diploma preferred.
Hartford HealthCare: Hartford HealthCare provides medical services through hospitals and clinics.
Experience with insurance prior authorizations, EPIC documentation, strong telephone and computer skills, ability to communicate with providers and insurers, and work independently or in a team.
Artesia General Hospital: Provides community-based inpatient, surgical, and emergency medical services.
Initiate and process prior authorization requests, verify insurance coverage, maintain authorization records, communicate with providers/patients, and prepare appeals. High school diploma/GED required; prior authorization or medical billing experience preferred.
United Medical Doctors: Provides multi-specialty medical, surgical, and diagnostic healthcare services.
1+ YOEHigh school diploma required; Medical Assistant certification preferred; 1–3 years of prior authorization/medical assistant or sleep medicine experience preferred; knowledge of insurance verification, CPT/ICD-10 coding, and payer portals; familiarity with sleep medicine or related fields; CPR/BLS preferred.
Insurance verification software, Payer portals, CPAP/BiPAP equipment knowledge, DME systems
SUPERVISOR, PRIOR AUTHORIZATIONS-MLS, WDL; FULL TIME - 1ST SHIFT
Milwaukee, Wisconsin, United States
OnsiteFull Time
Froedtert Health: Provides academic healthcare, medical research, and education in Wisconsin.
4+ YOEMinimum 4 years healthcare customer service experience, bachelor\u0002s degree (Medical Laboratory Science or Healthcare Administration), MLS/MT certification required if degree is MLS, knowledge of payer authorization requirements, supervisory experience, familiarity with LIS/EMR preferred.
Prior Authorizations and Referral Management Representative
Bend, Oregon, United States
$22-$30/hrHybridPart Time
St. Charles Health System: Nonprofit healthcare system providing hospital and outpatient clinical services.
1+ YOEHigh school diploma/GED, 1+ year hospital/clinic or medical billing/pre-authorization experience, proficiency with EMR and Microsoft Office/Teams/Excel, strong communication and organizational skills.
Electronic Medical Records (EMR), Microsoft Office, Microsoft Teams, Microsoft Excel
Interventional Cardiology Medical Group: Provides comprehensive cardiovascular care and interventional heart disease treatments.
Coordinate prior authorizations and referrals, process pre-authorizations, verify insurance/eligibility, manage denials and billing, perform patient collections, and communicate with patients and insurers.
Rhode Island Medical Imaging: Provides outpatient medical diagnostic imaging and interventional radiology services.
High school diploma, knowledge of third-party billing and prior authorizations, HIPAA compliance, excellent telephone and interpersonal skills; 1 year prior authorization experience preferred; bilingual a plus.
Specialty Pharmacy Prior Authorization Specialist Medical Authorizations
Memphis, Tennessee, United States
HybridFull Time
Methodist Le Bonheur Healthcare: Provides comprehensive hospital and clinical healthcare services in the Mid-South.
3+ YOE3-5 years pharmacy experience required, high school diploma, Tennessee pharmacy technician license, PTCB certification; EMR and Microsoft Word experience; strong communication and clinical documentation skills.
Salina Regional Health Center: Regional health system providing hospital and emergency medical services.
Obtain prior authorizations for procedures, medications, imaging; coordinate with insurers, providers and clinical staff; high school diploma/GED required; 1 year healthcare/pharmacy/authorization experience preferred but not required.
United Medical Doctors: Multi-specialty medical group providing comprehensive surgical and specialty care.
1+ YOEPerform prior authorization and insurance coordination for sleep services, room patients, obtain vitals/med history, assist providers, and manage documentation; high school diploma and 1+ years experience preferred; MA certification and BLS/CPR preferred.
Bartlett Regional Hospital: Operates a regional medical center providing acute and specialty care.
1+ YOEHigh school diploma,1 year prior authorization experience in a hospital,ability to manage authorizations,verify insurance,resolve denials,negative drug screen required prior to hire.
South Coast Community Services: Providing community-based mental health and behavioral support services.
Manage full prior authorization lifecycle across commercial, managed care, and Medi‑Cal payers; proficiency with payer portals and EHR; HIPAA knowledge; strong written/verbal skills; California driver and occasional travel required.
Availity, Navinet, MyEvolve, EHR, Microsoft Office