Talent.com

Prior authorization Jobs in New York, NY

Last updated: 13 hours ago
  • Promoted
Prior Authorization Representative

Prior Authorization Representative

MedixNew York, NY, US
$21.00–$25.00 hourly
Full-time
Medix's NYC-based client is looking for Prior Authorization Representative! Apply if qualified and interested!.One week of ONSITE traning in Manhattan, remote afterwards!.Only candidates within the...Show moreLast updated: 27 days ago
Prior Authorization Specialist

Prior Authorization Specialist

US Tech SolutionsNew York, NY, United States
Temporary
The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior auth...Show moreLast updated: 7 days ago
Prior Authorization Specialist

Prior Authorization Specialist

MediabistroNew York, NY, United States
Temporary
The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior auth...Show moreLast updated: 8 days ago
Prior Authorization Coordinator

Prior Authorization Coordinator

US Tech Solutions, Inc.New York, NY, United States
Full-time
Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior au...Show moreLast updated: 7 days ago
  • Promoted
Authorization Specialist

Authorization Specialist

New York Cancer & Blood SpecialistsNew York, NY, United States
$26.00 hourly
Full-time
New York Cancer & Blood Specialists (NYCBS).Our team of expert oncologists, hematologists, and compassionate staff work across numerous locations with one shared mission : conquering cancer close to...Show moreLast updated: 9 days ago
  • Promoted
Pre-Authorization LPN

Pre-Authorization LPN

Metropolitan Jewish Health SystemNew York, NY, United States
The challenges of affordable healthcare continue to create new opportunities.Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are exp...Show moreLast updated: 30+ days ago
  • Promoted
Sr. Manager, UM Authorization Strategy

Sr. Manager, UM Authorization Strategy

Oscar HealthNew York, NY, US
$118,080.00–$154,980.00 yearly
Full-time
Manager, UM Authorization Strategy to join our team.Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members.We started Oscar in ...Show moreLast updated: 4 days ago
  • Promoted
Software Engineer - Authorization & Access Management

Software Engineer - Authorization & Access Management

DatadogNew York, NY, United States
$130,000.00–$300,000.00 yearly
At Datadog, we're on a mission to build the best monitoring platform in the world.We operate at high scale-trillions of data points per day-and high availability, providing always-on alerting, visu...Show moreLast updated: 26 days ago
  • Promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocationsBronx, New York, United States
Full-time
A company is looking for a RCM Prior Authorization Specialist to navigate the complexities of prior authorization and insurance verification. Key ResponsibilitiesMaintain knowledge of insurance poli...Show moreLast updated: 19 days ago
  • Promoted
Pre-Authorization LPN

Pre-Authorization LPN

MJHSNew York, NY, United States
$60,673.04–$75,841.30 yearly
The challenges of affordable healthcare continue to create new opportunities.Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are exp...Show moreLast updated: 30+ days ago
Pre-Authorization Representative

Pre-Authorization Representative

WCM-QNew York, NY, US
$22.11–$26.04 hourly
Full-time
Under direction, is responsible for the management of insurance verifications, eligibility and prior authorizations for activities requiring referrals, which may include surgical procedures, visits...Show moreLast updated: 1 day ago
  • Promoted
Authorization-Referrals Specialist I #Full Time

Authorization-Referrals Specialist I #Full Time

61st Street Service CorpNew York, NY, United States
$21.63–$26.44 hourly
Full-time
Top Healthcare Provider Network.The 61st Street Service Corporation, provides administrative and clinical support staff for. This position will support ColumbiaDoctors, one of the largest multi-spec...Show moreLast updated: 2 days ago
  • Promoted
Substitute Teacher – Prior Experience Not Required!

Substitute Teacher – Prior Experience Not Required!

Copilot CareersNewark, NJ, United States
Full-time +1
Our recruiters are staffing positions in 100s of New Jersey School Districts, we will help you find the locations and schedule best for you!. Make an impact - Develop career skills - Flexible schedu...Show moreLast updated: 19 days ago
  • Promoted
Prior Authorization Coordinator

Prior Authorization Coordinator

RendrNew York, NY, United States
Full-time
Discover Better Health Careers with Rendr!.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 wo...Show moreLast updated: 1 day ago
  • Promoted
PRIOR AUTHORIZATION MEDICAL ASSISTANT

PRIOR AUTHORIZATION MEDICAL ASSISTANT

SBH Health SystemBronx, NY, United States
Full-time
Verify / review the referral information received,.Communicate with the patient's provider / pharmacy if additional information is needed,. Facilitate the clinical review process.Evaluates insurance inf...Show moreLast updated: 3 days ago
  • New!
Manager, Clinical Quality Assurance - Medicare Prior Authorization

Manager, Clinical Quality Assurance - Medicare Prior Authorization

Capital RxNew York, NY, United States
$145,000.00–$155,000.00 yearly
Full-time
Position Summary : Acts as subject matter expert on prior authorization and appeals operations that are compliant to federal, state, and other regulatory standards for multiple lines of business incl...Show moreLast updated: 13 hours ago
  • Promoted
Pre-Authorization LPN

Pre-Authorization LPN

MJHS Health SystemNew York, NY, United States
$60,673.04–$75,841.30 yearly
Req # : 2346Job ID : 13865Job Location : New York, NYZip Code : 10041Category : Managed Care NursingAgency : ElderplanStatus : Regular Full-TimeOffice : HybridSalary : $60,673. The challenges of affordable h...Show moreLast updated: 30+ days ago
Authorization Coordinator

Authorization Coordinator

Visiting Nurse Service of New YorkManhattan, NY
$20.98–$26.23 hourly
Manhattan, New York Customer / Consumer Service.We invite you to come be a part of a growing, cutting-edge health plans department and leading home care organization with over 130 years in the busine...Show moreLast updated: 30+ days ago
Faculty Group Practice Medical Assistant • •Prior Authorization Experience Preferred • •

Faculty Group Practice Medical Assistant • •Prior Authorization Experience Preferred • •

NYU Langone HealthManhattan, NY, US
We have an exciting opportunity to join our team as a Faculty Group Practice Medical Assistant.In this role, the successful candidate The Medical Assistant is responsible for assisting physicians a...Show moreLast updated: 30+ days ago
Prior Authorization Representative

Prior Authorization Representative

MedixNew York, NY, US
27 days ago
Salary
$21.00–$25.00 hourly
Job type
  • Full-time
Job description

Medix's NYC-based client is looking for Prior Authorization Representative! Apply if qualified and interested!

  • One week of ONSITE traning in Manhattan, remote afterwards!
  • Only candidates within the NYC-metropolitan area will be considered

Title : Prior Authorization Representative

Duration : Contract to hire - 800 hrs (5-6 months) before converting to full time employee status

Location : REMOTE

Pay : $21 - 25

Schedule : Hours may range from 9 AM to 8 PM EST (Although the team does not normally work unitl 8 PM); 40 hours guaranteed

  • Candidates must be flexible
  • Overview

  • 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 any issues related to prior authorization requests (e.g., need for additional information or documentation from providers)
  • Serve as a liaison between patients, healthcare providers, and insurance companies
  • Skills & Qualifications

  • 1+ years of experience working in healthcare operations, particularly in benefits verification, prior authorization, medical billing or coding
  • Understanding of medical terminology and insurance process
  • Attention to detail and strong organizational skills
  • Excellent communication skills and adept at using web-based tools / systems
  • Ability to work in person in Soho, NYC
  • Metrics

  • 60 authorizations per day
  • Selling Points

  • Growing company
  • Remote work AFTER onsite training
  • Looking for people who will be a good long-term fit for their culture.
  • Dress Code

  • Business Casual
  • How do you apply? Click "Apply" OR or email your resume!

    For California Applicants :

    We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

    This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.