Medical Authorization Specialist

Job Title: Authorization SpecialistAt RWJBarnabas Health, we are seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary prior authorizations for their procedures, surgeries, and office visits.Key Responsibilities:Obtain necessary prior...

Job DescriptionMedical Authorization Coordinator Role at Phaxis - Support ServicesAs a Medical Authorization Coordinator, you will play a crucial role in ensuring seamless authorization processes for our clients. Your expertise in Medicare and Medicaid coverage, as well as your experience in setting up and assigning authorizations, will be invaluable to our...

Job 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...

Prior 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,...

Job Title: Prior Authorization Pharmacy TechnicianMetroPlusHealth is a leading healthcare provider in New York City, dedicated to delivering high-quality services to residents of the five boroughs. As a Prior Authorization Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments.Job...

Empowering 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...

Job Summary:The Pre-Authorization Nurse will play a crucial role in ensuring the timely and compliant provision of services to our health plan members. This position requires a detail-oriented and organized individual with excellent communication skills to work collaboratively with various disciplines to ensure regulatory standards are met.Key...

Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team as a Prior Authorization Review Technician. In this role, you will be responsible for reviewing and processing prior authorization requests, ensuring accurate and timely decision-making. Your exceptional organizational and communication skills will enable you to...

Job OverviewWe are seeking an experienced Insurance Law Specialist to join our team and help drive the success of our Law360 Insurance Authority product. This role will work closely with our sales team to provide expertise on Insurance law, conduct pre-sales product demonstrations, and assist in the securing of sales.Key Responsibilities:Assist the Law360...

Job Title: Pre-Authorization Medical Billing SupervisorWe are seeking a highly skilled and experienced Pre-Authorization Medical Billing Supervisor to join our team at Onet-Systems. As a key member of our medical billing team, you will be responsible for overseeing the pre-authorization process for medical services, ensuring compliance with insurance...

Job 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...

Job 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...

Job Title: Pre-Authorization NurseWe are seeking a skilled Pre-Authorization Nurse to join our team at MJHS. As a Pre-Authorization Nurse, you will play a critical role in ensuring that our patients receive the necessary medical services and treatments in a timely and efficient manner.Responsibilities:Perform case reviews and process requests for elective...

Job 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...

Authorization ExpertOso is seeking an experienced Authorization Expert to join our team. As an Authorization Expert, you will be responsible for educating the world on authorization and helping developers discover Oso. This is a new topic for many engineers, and we need someone who can guide them on the best approaches to take and the challenges to...

Job 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...

Job SummaryMetroPlusHealth is seeking a skilled Pharmacy Authorization Reviewer to join our team. As a Pharmacy Authorization Reviewer, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits. This role requires strong analytical and communication skills, as well as the ability to work independently and as part...

Empower. 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...

MetroPlusHealth 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...

Job SummaryWe are seeking a skilled Pre-Authorization Nurse to join our team at MJHS. As a key member of our healthcare team, you will play a critical role in ensuring the timely and efficient delivery of healthcare services to our patients and members.ResponsibilitiesPerform case reviews and process requests for elective services and durable medical...