Top 155 Hologic Jobs | SimplyHired

Prior Authorization Specialist
Hologic —Massachusetts
- $24 - $25 an hour
- Contract
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
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14d
Senior Electrical Engineer, NPD
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- $97,600 - $152,700 a year
- Full-time
- 5 years
- Assembly
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Product Security Engineer
Hologic —San Diego, CA
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- Full-time
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Senior Product Security Engineer
Hologic —Santa Clara, CA
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- Full-time
- Azure
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Senior Manager, Procurement
Hologic —Marlborough, MA
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- Full-time
- Office
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Manufacturing Data Coordinator
Hologic —Marlborough, MA
- $46,400 - $69,600 a year
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- Oracle
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- 3 years
Diagnostic Sales Specialist - Arkansas
Hologic —Little Rock, AR
- $140,000 - $145,000 a year
- Full-time
- Remote
- Mid-level
- Driver's License
- Driving
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Diagnostic Sales Specialist - New England North
Hologic —Portland, ME
- $140,000 - $145,000 a year
- Full-time
- Remote
- Mid-level
- Driver's License
- Driving
- Paid time off
Manufacturing Technician
Hologic —Newark, DE
- $23.50 - $30.00 an hour
- Contract
- Mid-level
- In-person
Quick Apply
13d
Diagnostic Account Executive
Hologic —Atlanta, GA
- $185,000 - $220,000 a year
- Remote
- Microsoft Outlook
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Clinical Account Manager
Hologic —Honolulu, HI
- $75,000 - $120,000 a year
- Marketing
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- Ob/Gyn
Field Service Engineer
Hologic —Boston, MA
- $64,000 - $100,100 a year
- Overtime
- Computer science
- Computer Science
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Oncology Account Executive
Hologic —New York, NY
- $220,000 - $240,000 a year
- Up to 50% travel
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Hologic Nurse Advocate
Hologic —Louisville, CO
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- 5 years
8d
Radiology Account Executive
Hologic —Detroit, MI
- $325,000 - $350,000 a year
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Supervisor, Client Services
Hologic —San Diego, CA
- $76,700 - $127,800 a year
- Monday to Friday
- Management
- Mid-level
- High school diploma or GED
- On-the-job training
Supervisor, Warehouse
Hologic —Londonderry, NH
- $77,000 - $128,300 a year
- Oracle
- Customer service
- 5 years
Clinical Adoption Manager
Hologic —Indianapolis, IN
- $120,000 - $150,000 a year
- Mid-level
- Ob/Gyn
- Bachelor's degree
Surgical Territory Manager
Hologic —Coeur d'Alene, ID
- $150,000 - $225,000 a year
- Surgery
- Marketing
- Mid-level
Product Support Specialist
Hologic —Marlborough, MA
- $65,600 - $84,000 a year
- Weekends as needed
- Oracle
- Microsoft Outlook
- Mid-level

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Prior Authorization Specialist

Hologic
Massachusetts

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Job Details

Contract
$24 - $25 an hour
14 days ago

Qualifications

Revenue cycle management
Microsoft Outlook
Overseeing health insurance pre-certification
Medicare
Insurance verification
Medical insurance coverage verification
Spreadsheets
HIPAA
Medical coding guidelines
High school diploma or GED
ICD-10
Medical billing
CPT coding
Medicaid
Documentation review

Full Job Description

Job Summary

We are seeking an experienced Prior Authorization Specialist to join our Revenue Cycle team. In this role, you will be responsible for obtaining timely insurance authorizations for Category I Molecular Pathology testing by reviewing clinical documentation, verifying insurance eligibility, and submitting prior authorization requests. The ideal candidate will have prior authorization, medical billing, or revenue cycle experience and possess strong knowledge of CPT and ICD-10 coding.

Key Responsibilities

Process high-volume prior authorization requests (75–100 per day).
Review medical records, physician orders, and laboratory requisitions.
Submit prior authorization requests through payer portals and internal systems.
Verify patient insurance eligibility and benefits.
Ensure accurate linkage of CPT and ICD-10 codes.
Review and submit authorization appeals when necessary.
Monitor authorization status and perform timely follow-up.
Maintain accurate patient demographics and insurance information.
Collaborate with billing and revenue cycle teams to resolve authorization issues.
Ensure compliance with HIPAA regulations and payer guidelines.
Maintain productivity and accuracy standards in a fast-paced environment.

Required Qualifications

2+ years of experience in Prior Authorization, Medical Billing, Revenue Cycle, or Laboratory Billing.
Experience with insurance verification and authorization processing.
Knowledge of CPT and ICD-10 coding.
Understanding of medical necessity guidelines.
Experience working with Commercial, Medicare, and Medicaid insurance plans.
Strong computer skills, including Microsoft Excel, Word, and Outlook.
Excellent communication, organization, and multitasking abilities.
High school diploma required.

Preferred Qualifications

Experience with Molecular Pathology or Laboratory Billing.
Experience using Salesforce, XIFIN, Glidian, or payer portals.
Experience reviewing clinical documentation and medical records.

Pay: $24.00 - $25.00 per hour

Application Question(s):

Please let me know the best time to reach you for a quick discussion about this role.

Work Location: Remote

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