Prior Authorization Specialist Jobs in USA

DescriptionDental Authorization Specialist (MAS3/CQCT)The salary advertised reflects the statewide 2% GWI for employees as of 7/1/2026.This recruitment will be used to fill multiple positions.This Medical Assistance Specialist 3 reviews complex dental and orthodontic prior authorization requests as...

Position Summary:Responsibilities include completing proper forms paperwork and submitting back up documentation to obtain Pre authorizations and referrals. Employees will provide a variety of services to maintain the day-to-day operations of the department. RequirementsEducation:High School Diploma...

Insurance Verification & Authorization SpecialistJob SummaryThe Insurance Verification Specialist is responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders. This role ensures accurate insurance information timely approvals while reducing denials...

OverviewLPN or CMA - Medication Prior Authorization SpecialistFull-time postion with benefits (40 hours per week)Daytime hoursThe Medication Prior Authorization Specialist (Clinical) is responsible for obtaining timely prior authorizations for medications to ensure uninterrupted patient care. This r...

SummaryResponsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely complete and accurate processing of authorization requests by interfacing with internal and external customers and the Pharmacy Benefit Manage...

Employment Type:Full timeShift:Description:Home Health Authorization Specialist Monday-Friday 8:30 a.m.-5:00 pm EST rotating weekends & holidaysBuild a Career. Make a Difference. Love Where You Work.As a Home Health Authorization Specialist you will be responsible and accountable for the processing...

Employment Type:Full timeShift:Description:Home Health Authorization Specialist Monday-Friday 8:30 a.m.-5:00 pm EST rotating weekends & holidaysBuild a Career. Make a Difference. Love Where You Work.As a Home Health Authorization Specialist you will be responsible and accountable for the processing...

Overview:Looking for a senior Epic analyst with strong experience in referrals and prior authorization workflows with supporting knowledge of Cadence scheduling and patient access operations.Key Requirements:5 years of Epic experience with referrals and prior authorization workflowsStrong understand...

We have a great opportunity for an on-site Pharmacy Prior Authorization Specialist in Pittsburgh PA Company Overview: We are the worlds first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...

McKesson is an impact-driven Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights products and services that make quality care more accessible and affordable. Here we focus on the health happiness and well-being of you and those we serve we care...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

Position Highlights:Position: Prior AuthorizationLocation:Hospital AdmissionsResponsibilities:Gather Patient Information: Collect and review patient medical records diagnosis codes and procedure details to support the pre-authorization request.Verify Insurance Coverage: Confirm patient information a...

Position Highlights:Position: Prior AuthorizationLocation:Hospital AdmissionsResponsibilities:Gather Patient Information: Collect and review patient medical records diagnosis codes and procedure details to support the pre-authorization request.Verify Insurance Coverage: Confirm patient information a...

JOB SUMMARY:At all levels Pharmacy Technicianswork collaboratively as an active team member of the interdisciplinary team to provide patient centered care across the this rolethe goals include providinganexcellentpatient experiencehigh qualityoutcomes and improved productivity for the team.This pos...

DescriptionJOB DESCRIPTIONJob TitleInsurance Authorization SpecialistFLSANon-ExemptReports toManager RCMGradeELocationRemoteBand1BSummary/ObjectiveUnder limited supervision the Insurance Authorization Specialist reviews and manages the benefits and authorizations for hospitals and physicians. This t...

OverviewSymbria is looking to hire a Documentation and Authorization Specialist to our Team!The primary responsibility of the Documentation and Authorization Specialist is to obtain signatures from licensed practitioners and patients on required therapy documentationin accordance withestablished pro...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:Sentara Health Plans is looking to hire Pharmacy Prior Authorization Coordinator 1:This is a remote position: Remote opportunities available in the following states: Virginia North Carolina Alabama Delaware Florida Georgia Idaho Indiana Kansa...