Top 104 Reauthorization specialist Jobs

Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Communications Specialist
Planned Systems International, Inc. —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Disability insurance
Lead Therapist II for Social Skills Group - $4,000 Hiring Bonus
Wesley Family Services —Wexford, PA
- $21 - $23 an hour
- Weekends as needed
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- LPC
- Continuing education credits
- Paid parental leave
Quick Apply
Lead Therapist II for Social Skills Group - $4,000 Hiring Bonus
Wesley Family Services —Bridgeville, PA
- $21 - $23 an hour
- Weekends as needed
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- LPC
- Continuing education credits
- Paid parental leave
Quick Apply
4d
Requalification/Claims Specialist
BLACKBURN'S PHYSICIANS PHARMACY —Tarentum, PA
- $18 - $20 an hour
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
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Rehabilitation Specialist
Utopia Health Center —Lanham, MD
- $45,546 - $74,401 a year
- Part-time
- Licensed Clinical Social Worker
- Mid-level
- Master's degree
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Environmental Specialist
Constellation Energy —Oswego, NY
- $89,100 - $126,000 a year
- OSHA
- Presentation skills
- Contracts
- Employee stock purchase plan
- Paid holidays
13d
Mental Health Professional - New Hire Bonus $5,000
Lifeline Connections —Vancouver, WA
- $33.04 - $36.23 an hour
- Weekends as needed
- CPR Certification
- BLS Certification
- Adults
- Paid holidays
- Disability insurance
Quick Apply
Digital Accessibility Specialist
George Mason University —Fairfax, VA
- $28 - $36 an hour
- Part-time
- Computer Science
- Experience working with individuals with disabilities
- Bachelor of Science
Case Manager, Reimbursement
United Biosource Corporation —Remote
- Full-time
- Remote
- 6 years
- Mid-level
- Bachelor's degree
- Wellness program
- Health savings account
USAC - IT ASSET MANAGEMENT SPECIALIST
Donan Consulting —Washington, DC
- Computer science
- Computer Science
- 5 years
Quick Apply
Reimbursement Specialist
PROMPTCARE HOME INFUSION LLC —New Providence, NJ
- $24 - $26 an hour
- Full-time
- Hybrid work
- Ability to walk for extended periods
- Mid-level
- Office
- Health savings account
- AD&D insurance
Quick Apply
ABA Authorization Specialist
Behavioral Health Works —Englewood, NJ
- $24 - $25 an hour
- Full-time
- Applied behavior analysis
- HIPAA
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
5d
LEARNING AND DEVELOPMENT SPECIALIST
City of New York —Brooklyn, NY
- $70,653 - $74,955 a year
- Extended hours
- Hybrid work
- Public speaking
- Mid-level
- Office
Quick Apply
Utilization Rate Specialist
Beacon Specialized Living —Kansas City, MO
- $55,000 - $65,000 a year
- Full-time
- Pass drug screening
- English
- Mid-level
Quick Apply
Intake and Supportive Measures Specialist
George Mason University —Fairfax, VA
- $28 - $36 an hour
- Part-time
- School experience
- Mid-level
- University
Administrative Support
Planned Systems International, Inc. —Remote
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- AD&D insurance
- Disability insurance
Reauthorization Specialist
Viemed —Lafayette, LA
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
6d
Recovery Support Specialist (Case Manager)
Spero Health, INC. —London, KY
- Full-time
- Master's degree
- Clinic
- Leadership
- Health savings account
- Paid holidays
Quick Apply
LEARNING AND DEVELOPMENT SPECIALIST
OFFICE OF EMERGENCY MANAGEMENT —Brooklyn, NY
- $70,653 - $74,955 a year
- Extended hours
- Hybrid work
- Public speaking
- Office
- High school diploma or GED
- Loan forgiveness

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Authorization Specialist - Revenue Cycle Management

Vital Care Infusion Services -
Remote

Quick Apply

Job Details

Full-time
$18.92 - $23.46 an hour

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Referral program

Qualifications

Insurance third-party billing
Customer communication
Pharmacy Information Systems (PIS)
Overseeing health insurance pre-certification
Medical software
Intake
Writing skills
Client file management
English
Document quality checks
Patient interaction
Productivity software
Claims documentation management
Documentation review
Office record organization

Full Job Description

Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.

Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.

What we offer:

Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.

Job Summary:

Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Minimize turnaround time and errors to improve collection rates while working within the limits of standard or accepted practice, credentialing/re-credentialing, and Contract applications.

Duties/Responsibilities:

Review patient files for completeness and accuracy, ensure all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement.
Communicate effectively with franchise partners, payers, and other VCI departments regarding the status of authorizations.
Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions taken to resolve outstanding authorization issues. Schedule follow-ups in required intervals.
Investigate and verify benefits for pharmacy and medical third-party claims.
Obtain reauthorizations; initiate requests, follow up to provide the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
Track, report, and escalate service issues arising from requests for authorizations or other issues that delay service to ensure patient access and to avoid delays that may interrupt therapy.
Communicate financial obligation information with patients so that they clearly understand all therapy costs before starting service.
Perform other related duties as assigned.

Required Skills/Abilities:

Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques to ensure successful billing and collection efforts collaborating with all payer types.
Proven ability to identify gaps and problems from a documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action.
Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
Proven knowledge and skill in utilizing the MS Office suite of software and pharmacy applications.

Education and Experience:

Two years’ experience in intake/authorizations and home infusion therapy is required.
High school diploma or equivalent.

Physical Requirements:

Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.

Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.

Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other basis protected by applicable federal, state, or local law.

Vital Care Infusion Services participates in E-Verify.

This position is full-time and remote. The salary range for this position is $18.92 - $23.46

Quick Apply

Refine Your Search

reauthorization specialist jobs

Authorization Specialist - Revenue Cycle Management

Communications Specialist

Lead Therapist II for Social Skills Group - $4,000 Hiring Bonus

Lead Therapist II for Social Skills Group - $4,000 Hiring Bonus

Requalification/Claims Specialist

Rehabilitation Specialist

Environmental Specialist

Mental Health Professional - New Hire Bonus $5,000

Digital Accessibility Specialist

Case Manager, Reimbursement

USAC - IT ASSET MANAGEMENT SPECIALIST

Reimbursement Specialist

ABA Authorization Specialist

LEARNING AND DEVELOPMENT SPECIALIST

Utilization Rate Specialist

Intake and Supportive Measures Specialist

Administrative Support

Reauthorization Specialist

Recovery Support Specialist (Case Manager)

LEARNING AND DEVELOPMENT SPECIALIST

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