Pre-Authorization Specialist

4 weeks ago


Glen Rock, United States SportsMed Physical Therapy Full time
SportsMed Physical Therapy is seeking a Pre-Authorization Specialist. This position will start on-site in Glen Rock NJ and will transition to a hybrid-remote role with 1 day in-office per week after 2-3 months of on-site training.

We are one of New Jersey's leading providers of physical rehabilitation services. With multiple locations throughout the state, we can offer you a fast paced and challenging career opportunity. If you are passionate about healthcare, motivated and want to make a difference, SportsMed is the place for you.

The Pre-Authorization Specialist is responsible for identifying prior authorization requirements by insurance/payer and processes and completes the authorizations for scheduled visits. Ensures patient demographic, insurance information and verification has been established and documented. Documents all pending, approved and denied pre-authorizations within an EMR (WebPT) system. Communicates effectively with billers and front desk staff if services are approved or denied to reduce denials and facilities peer to peer review when needed.

Requirements
    • Minimum 1 year experience in pre-authorization and insurance verification
    • Experience with PIP and Workers compensation preferred
    • Strong verbal and written communication skills
    • Adept to learning and using multiple software programs
    • Demonstrated ability to organize and prioritize work
    • Strong attention to detail and follow up with minimal direction and supervision
    • Ability to work and collaborate with front desk and billing personnel
    • Ability to handle large volume of pre-auths and multi-task concurrently
    • Ability to navigate multiple payer websites
    • Able to work independently and apply critical thinking skills for various payers
    • Knowledge of Excel Spreadsheets

Benefits
    • Excellent career growth opportunity
    • Competitive pay based on experience
    • Medical benefits, life and disability insurance, 401k, PTO, sick time, paid holidays
    • Pay Rate: $17.00 - $21.00 per hour

$17 - $21 an hourLearn More

  • Little Rock, Arkansas, United States Baptist Health Full time

    Job Title: Prior Authorization SpecialistSummary:A highly skilled and detail-oriented individual is needed to ensure that payers are prepared to reimburse Baptist Health for scheduled services. The ideal candidate will have excellent communication and customer service skills, as well as knowledge of medical terminology and healthcare insurance processes.Key...


  • Glen Rock, New Jersey, United States Veterinary Wellness Center Full time

    Job Title:Veterinary Technician SpecialistCompany OverviewThe Veterinary Wellness Center, a state-of-the-art practice established for 8 years and growing, is seeking an experienced Veterinary Technician Specialist to join our team.Estimated Salary$65,000 - $80,000 per year based on experience.Job DescriptionWe are looking for a skilled Veterinary Technician...


  • Glen Rock, Pennsylvania, United States First Student Full time

    Job Title: Transportation SpecialistWe are seeking a reliable and skilled Transportation Specialist to join our team in Glen Rock, PA. As a leading provider of school transportation services, we offer a safe and reliable environment for our drivers.The Position$17 per hour starting wageAbout the JobYou will be responsible for transporting students to and...


  • Glen Rock, New Jersey, United States Oasis Medical and Surgical Wellness Group, LLC Full time

    About the JobOasis Medical and Surgical Wellness Group, LLC is looking for a reliable Healthcare Support Specialist to support their medical staff. The ideal candidate will have excellent organizational skills and be able to multitask efficiently.Key ResponsibilitiesProcess detailed patient intakesManage daily faxes for PT evaluation, medication refills, and...


  • Glen Rock, New Jersey, United States Oasis Medical and Surgical Wellness Group, LLC Full time

    Job OverviewOasis Medical and Surgical Wellness Group, LLC is seeking a dedicated Medical Support Specialist to join their team.ResponsibilitiesDetailed patient intake and management of medical records.Checking daily faxes for PT evaluations, medication refills, and disability paperwork.Completing PT evaluations, medication refills, and processing disability...


  • Hanging Rock, Ohio, United States Little Ones Academy Full time

    Job Summary: We are hiring a highly motivated and qualified Pre-Kindergarten Teacher Lead to join our team at Little Ones Academy. Estimated Salary: $50,000 - $65,000 per year.About the Position: As a VPK Education Specialist, you will be responsible for creating and implementing curriculum aligned with the VPK State Standards. This role requires strong...


  • Glen Allen, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering an employment opportunity for an Accounts Payable Specialist I in Glen Allen, Virginia, United States. The primary job function involves managing all invoices and reimbursements for our organization and subsidiaries. Responsibilities• Accurately process all invoices for the organization and its subsidiaries,...


  • Glen Allen, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering a short term contract employment opportunity for an Accounts Payable Specialist I in Glen Allen, Virginia. As an Accounts Payable Specialist I, your main role is to ensure the accurate and timely payment of invoices and reimbursements for our corporation and subsidiaries. You will also be involved in maintaining...


  • Rock Hill, South Carolina, United States Dental Dreams Full time

    Job DetailsWe are seeking a Multilingual Scheduling Specialist to join our team at Family Dental LLC in Rock Hill, SC. This role will involve scheduling appointments, assisting with operational goals, and providing excellent customer service.About the CompanyFamily Dental LLC is a dynamic and growing company dedicated to providing high-quality dental...


  • Glen Rock, New Jersey, United States Oasis Medical and Surgical Wellness Group, LLC Full time

    Job OverviewOasis Medical and Surgical Wellness Group, LLC is seeking a skilled Medical Professional to join their team. This role requires strong communication skills and the ability to work independently.ResponsibilitiesDetailed patient intake processingManage daily faxes for PT evaluation, medication refills, and disability paperworkComplete PT...


  • Castle Rock, Colorado, United States Foundation Automotive Corp Full time

    RequirementsCertifications and Qualifications: Valid driver's license and an acceptable driving record.Tools and Equipment: Provide your own tools.Training and Development: Successful completion of pre-employment screening and authorization to work in the USA.


  • Glen Rock, New Jersey, United States Veterinary Wellness Center Full time

    Job Title:Experienced Surgical Veterinary TechnicianAbout the Role:We are seeking a skilled and confident surgical veterinary technician to join our team at the Veterinary Wellness Center, where we strive for excellence in small animal general practice. As an integral member of our dedicated team, you will play a crucial role in delivering exceptional...


  • Round Rock, United States Pain Specialist of America LLC Full time

    Description:Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15+ locations. We are seeking talented professionals who can support the business and help it achieve its strategic objectives.The Certified Medical Assistant facilitates patient care in a team-based environment. Excellent...


  • Glen Cove, New York, United States Mavis Tire Supply Full time

    Vehicular Repair Specialist WantedWe are seeking a skilled Vehicular Repair Specialist to join our team at Mavis Tire Supply. As a Vehicular Repair Specialist, you will be responsible for inspecting, diagnosing, and repairing vehicles to ensure they are safe and running efficiently.About the PositionThis is a full-time opportunity that requires 2 years of...


  • Round Rock, United States Pain Specialist of America LLC Full time

    Description:Increase your chances of reaching the interview stage by reading the complete job description and applying promptly.Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15+ locations. We are seeking talented professionals who can support the business and help it achieve its...


  • Castle Rock, Colorado, United States Foundation Automotive Corp Full time

    Job DescriptionAre you a highly skilled technician looking for a new challenge? Do you have a passion for automotive maintenance and a commitment to customer satisfaction? Look no further than Foundation Automotive Corp! As a Ford Certified Maintenance Specialist, you will play a key role in maintaining the quality and reliability of customer...


  • Glen Burnie, Maryland, United States Venture Talent Consulting Full time

    Job OverviewThe Venture Talent Consulting team is seeking an experienced Cabling Solutions Specialist to join our Engineering department. As a key contributor, you will participate in pre-sales activities, providing sales support for account managers and generating business opportunities.This role requires the preparation of material takeoffs and labor...

  • Business Specialist

    4 weeks ago


    Little Rock, United States BI Pharmaceuticals, Inc. Full time

    The Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes products that aligns with direction from BIPI commercial leadership and with BIPI guidelines, policies, and directives. The Specialist will conduct their business with key targeted healthcare providers and community...

  • Business Specialist

    4 weeks ago


    Little Rock, United States BI Pharmaceuticals, Inc. Full time

    The Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes products that aligns with direction from BIPI commercial leadership and with BIPI guidelines, policies, and directives. The Specialist will conduct their business with key targeted healthcare providers and community...


  • Glen Burnie, United States i.g. Burton Full time

    Join the Award-Winning Team at i.g. Burton Auto Group. If you're looking for a great opportunity with appreciation and involvement in your career, your search is complete. For years we have provided career opportunities with excellent compensation packages for eager individuals that want to grow. i.g. Burton Auto Group is expanding our offices and are...