Current jobs related to Prior Authorization Specialist - New York - Rendr
-
Prior Authorization Representative
1 month ago
New York, United States Medix Full timePrior Authorization Specialist - TEMP CONTRACT (indefinite) Contact insurance companies to verify patient benefits and coverage details Manage submission of prior authorization requests for prescription medications via ePA, fax, and phone Review clinical information and ensure all required documentation is included with submissions Document and escalate...
-
Prior Authorization Specialist
1 month ago
New York, New York, United States Medix Full timePrior Authorization RepresentativeMedix is seeking a skilled Prior Authorization Representative to join our team in Soho, NYC. As a key member of our healthcare operations team, you will be responsible for verifying patient benefits and coverage details, managing prior authorization requests, and serving as a liaison between patients, healthcare providers,...
-
New York, New York, United States Capital Rx Full timeJob SummaryWe are seeking a highly skilled Pharmacist to join our team as a Prior Authorization and Appeals Specialist. In this role, you will be responsible for reviewing clinical coverage determinations and appeals for various lines of business, including Commercial and Medicare. You will work closely with internal and external Medical Directors to provide...
-
Pharmacy Technician
2 weeks ago
New York, New York, United States MetroPlusHealth Full timeEmpowering New Yorkers through Healthcare ExcellenceMetroPlusHealth is dedicated to delivering exceptional healthcare services to the residents of New York City. Our mission is to provide high-quality care that empowers individuals and communities to thrive. If you share our passion for healthcare and are committed to making a difference, we invite you to...
-
Pharmacist - Prior Authorization Specialist
2 weeks ago
New York, New York, United States Capital Rx Full timeJob Title: Prior Authorization PharmacistCapital Rx is seeking a highly skilled and experienced Prior Authorization Pharmacist to join our team. As a Prior Authorization Pharmacist, you will play a critical role in ensuring that our clients receive the best possible care while also ensuring that our clients' medication needs are met.Key...
-
Prior Authorization Pharmacy Technician
4 weeks ago
New York, United States NYC Health Hospitals Full timeMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...
-
Pharmacist Prior Authorization Specialist
1 month ago
New York, New York, United States Capital Rx Full timeJob SummaryA Prior Authorization Pharmacist at Capital Rx performs day-to-day clinical pharmacy functions, including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education calls, while following medical necessity and contract criteria.Key ResponsibilitiesPerform day-to-day clinical pharmacy...
-
Prior Authorization Pharmacy Technician
3 weeks ago
New York, United States MetroPlusHealth Full timeEmpower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest...
-
New York, New York, United States US Tech Solutions Full timeJob Summary:As a Pharmacy Technician I Prior Authorization Specialist, you will play a crucial role in the prior authorization process, providing exceptional phone assistance to providers, pharmacies, and members. Your primary responsibility will be to take in-bound calls, utilizing your professional and courteous demeanor to navigate the criteria-based...
-
Pharmacy Technician
2 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Prior Authorization Pharmacy TechnicianJob Summary:MetroPlus Health is seeking a highly skilled Prior Authorization Pharmacy Technician to join our team. As a Prior Authorization Pharmacy Technician, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits, ensuring accurate and timely processing of...
-
Prior Authorization Review Pharmacy Technician
1 month ago
New York, United States NYC Health Hospitals Full timeMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned...
-
New York, New York, United States NYC Health Hospitals Full timeMetroPlusHealth is a leading healthcare provider in New York City, committed to delivering high-quality services to its members. As a Pharmacy Technician for Prior Authorization Review, you will play a critical role in ensuring that our members receive the necessary medications and treatments. **Job Summary**This position is responsible for reviewing and...
-
Prior Authorization Review Pharmacy Technician
3 weeks ago
New York, United States MetroPlusHealth Full timeEmpower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest...
-
Pharmacy Technician
2 weeks ago
New York, New York, United States MetroPlusHealth Full timeEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...
-
New York, New York, United States US Tech Solutions Full timeJob Summary:The Pharmacy Technician I Prior Authorization Specialist takes in-bound calls from providers, pharmacies, and members, providing professional and courteous phone assistance through the prior authorization process. This role involves maintaining accurate documentation of reviews, transferring clinical questions and escalations to the pharmacist...
-
Pharmacy Technician for Prior Authorizations
2 weeks ago
New York, New York, United States HealthCare Support Full timeJob Title: Pharmacy Technician for Prior AuthorizationsHealthCare Support is seeking a skilled Pharmacy Technician to join our team in a remote prior authorizations role. As a Pharmacy Technician, you will play a critical role in ensuring patients receive the medications they need by processing prior authorization requests.Responsibilities:Process prior...
-
Pharmacy Technician
2 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Prior Authorization Review Pharmacy TechnicianAs a Prior Authorization Review Pharmacy Technician at NYC Health + Hospitals, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.Key Responsibilities:Input and review prior authorization requests for medical and...
-
Pharmacy Technician
3 weeks ago
New York, New York, United States MetroPlus Health Plan Full timeJob SummaryMetroPlusHealth is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician - Prior Authorization Review, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.Key ResponsibilitiesInput and...
-
New York, New York, United States MetroPlus Health Plan Full timeMetroPlus Health Plan is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. The ideal candidate will have a strong background in pharmacy operations and be proficient in processing prior authorization requests.Responsibilities:* Input and review prior authorization requests for medical and pharmacy benefits*...
-
Pharmacy Technician
1 month ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Prior Authorization Review Pharmacy TechnicianMetroPlusHealth, a subsidiary of NYC Health + Hospitals, is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments while...
Prior Authorization Specialist
3 months ago
Discover Better Health Careers with Rendr
Who We Are
Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.
Why Join Rendr?
- Opportunities for professional growth and development.
- Competitive salary and benefits package. (Salary is based on previous experience and years of service.)
- Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities.
Benefits We Offer:
- Medical, Dental, and Vision Insurance
- 401k with Company Match
- Paid Time Off
- Paid Holidays/ Floating Holiday(s)
- Commuter Benefits
- Health Savings Account/ Flexible Spending Account/ Dependent Care Account
- Annual Performance Bonus
Location: 762 59th ST, 4FL, Brooklyn, NY 11220
Essential Functions:
- Assists patients who need treatment requiring insurance carrier pre-authorization.
- Appeal insurance companies after prior authorization refusals
- Get prior authorization approval from insurance firms and nurse managers.
Qualifications:
- Billing experience preferred
- Highly detail-oriented and well-organized.
- Prior experience in refunds and credit analysis in a physician setting
- Self-motivated and quick learner
- Bilingual in English and Chinese preferred.
Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
We look forward to reviewing your application and exploring the possibility of you joining our team
