Top 102 Prior authorization Jobs in Coraopolis, Pa

Benefit Investigation Specialist
ConnectiveRx —Pittsburgh, PA
- $15.26 - $22.00 an hour
- Full-time
- Sales
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Call Center Representative
Beacon Hill Staffing Group —Robinson Township, PA
- $18 - $21 an hour
- Contract
- Computer literacy
- Military encouraged
- Fair chance
- Dental insurance
- Vision insurance
Quick Apply
4d
PRE-AUTHORIZATION SPECIALIST - DIAGNOSTIC IMAGING
Tri-State Orthopaedics —Pittsburgh, PA
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
- Free parking
- Profit sharing
Quick Apply
13d
Reimbursement Case Manager
Vanscoy Rare Pharmacy —Coraopolis, PA
- Full-time
- Microsoft Outlook
- Ability to walk for extended periods
- Research
Quick Apply
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Pittsburgh, PA
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
ORTHOPAEDIC INJECTION AUTHORIZATION SPECIALIST
Tri-State Orthopaedics —Pittsburgh, PA
- Full-time
- Private practice
- Office
- Typing
- Free parking
- Profit sharing
Quick Apply
17h
Reimbursement Case Manager
RareMed Solutions —Coraopolis, PA
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Health insurance
- Prescription drug insurance
Quick Apply
Customer Service Representative- Health Care Concierge - Must be located in Pittsburgh, or Surrounding Area
UPMC —Pittsburgh, PA
- $19.67 - $30.40 an hour
- Overtime
- Hybrid work
- Computer literacy
- Writing skills
- High school diploma or GED
- Paid training
- Health insurance
Temporary Customer Service Representative (Onsite)
UPMC —Pittsburgh, PA
- $19.67 - $30.40 an hour
- 8 hour shift
- Writing skills
- High school diploma or GED
- Analysis skills
- Health insurance
- On-the-job training
Lab & Diagnostics Services Liaison (704001)
Pantherx Specialty LLC —Coraopolis, PA
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- 1 year
- Paid holidays
- Disability insurance
Quick Apply
Specialty Provider Liaison (112582)
Pantherx Specialty LLC —Coraopolis, PA
- Full-time
- Hybrid work
- Ability to walk for extended periods
- Mid-level
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Clinical Support Specialist
UPMC —Pittsburgh, PA
- $19.60 - $30.25 an hour
- Weekends as needed
- Hospital
- High school diploma or GED
- Ob/Gyn
10d
Pharmacy Clinical Review Specialist, Rx Partners
UPMC —Bridgeville, PA
- $20.20 - $32.01 an hour
- Full-time
- Mid-level
- Microsoft Office
- High school diploma or GED
Patient Access Specialist
Walgreens —Pittsburgh, PA
- $18.25 - $24.35 an hour
- Computer literacy
- HIPAA
- Mid-level
Reimbursement Specialist
JKElevenEleven —Pittsburgh, PA
- $20 - $30 an hour
- 8 hour shift
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid training
- Health insurance
Quick Apply
5d
Part-Time Front Office Receptionist - Sewickley, PA
QualDerm Partners —Sewickley, PA
- Part-time
- High school diploma or GED
- Clinic
- US work authorization
- Paid holidays
- 401(k)
Quick Apply
Front End- Patient Care Coordinator – Specialty Pharmacy Perigon Pharmacy 360
Perigon Pharmacy 360 —Coraopolis, PA
- $20 - $21 an hour
- Full-time
- In-person
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
5d
Pharmacy Technician
ConnectiveRx —Pittsburgh, PA
- $36,600 - $52,700 a year
- Weekends as needed
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Certified Medical Assistant (CMA)
Eva Toth, M.D. —Cranberry Township, PA
- From $19 an hour
- Full-time
- Hybrid work
- Vital signs
- HIPAA
- High school diploma or GED
- Retirement plan
Quick Apply
Referral Specialist
Metro Community Health Center —Pittsburgh, PA
- Full-time
- Writing skills
- Mid-level
- Office
3d

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Benefit Investigation Specialist

ConnectiveRx -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$15.26 - $22.00 an hour

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED

Full Job Description

Overview:

Being on medication is tough enough. We want to make getting it the easy part. Getting prescriptions to patients has become increasingly complex. When things get messy along the prescription journey, pharmaceutical manufacturers rely on us to untangle the process and create a clear path—allowing patients to build trusting relationships with their medication brands.

We’re not only committed to taking the pain out of the prescription process, but we’re also devoted to bringing the brightest minds together under one roof. We bring together diverse voices—engineers, pharmacists, customer service veterans, developers, program strategists and more—all with one vision. Each perspective and experience makes ConnectiveRx better than the sum of its parts.

Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage options for retail and specialty medications.

Responsibilities:

Connect with Payers and Pharmacy Benefit Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy benefits.
Communicate case details to relevant internal or external parties, fostering effective collaboration.
Identify potential mechanisms for quick access to therapy by recognizing any payer coverage restrictions.
Showcase your ability to contribute effectively, whether working independently or in small workgroups.
Meet production and time completion goals with a focus on maintaining high-quality customer service standards in accordance with federal and state regulations.
Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail.
Participate in special projects and embrace additional duties as required, contributing to a dynamic work environment.
Maintain a comprehensive repository of payer or brand-specific coverage information.
Engage in training and process improvement initiatives to enhance your professional growth.

Qualifications:

A high school diploma or equivalent is required; a Bachelor's degree is preferred.
Minimum of 2 years of experience in customer service, insurance, benefits, marketing, sales, or a related area is required, or a Bachelor's degree with one year of relevant experience.
Preferred experience in a healthcare environment focusing on third-party benefits verification.
Understanding of commercial insurance concepts, including coverage policies, major medical benefits, and knowledge of government and patient assistance programs.
Highly proficient in computer skills, including Microsoft tools, working from dual monitors, etc.
Strong email correspondence and personal documentation skills.
Fundamental analytic and problem-solving skills with excellent time management.
Demonstrated professional customer service experience with high attention to detail.
Be a critical thinker who is adaptable and results-driven.

Compensation & Benefits: Compensation for this role varies based on factors such as location, relevant skills, experience, and capabilities.

Employees at ConnectiveRx can enroll in comprehensive benefit plans, including medical, dental, vision, life, and disability insurance. The company retains the right to update or modify health, welfare, and other fringe benefit policies. Employees may also participate in the company's 401(k) plan.

Time-Off & Holidays: ConnectiveRx provides paid time off (PTO) to non-exempt employees for vacations and personal leave. For sick leave, eligible non-exempt employees receive Sick Time Off (STO) in accordance with company policy. PTO and STO are prorated during the first year of service. Employees also receive eight standard company holidays and three floating holidays annually, with floating holidays prorated in the first year.

The company is committed to maintaining competitive benefits and reserves the right to adjust employee offerings, including PTO, STO, and holiday policies, in compliance with applicable laws and regulations.

Posted Salary Range: USD $15.26 - USD $22.00 /Hr.

Apply Now

Refine Your Search

prior authorization jobs in coraopolis, pa

Benefit Investigation Specialist

Call Center Representative

PRE-AUTHORIZATION SPECIALIST - DIAGNOSTIC IMAGING

Reimbursement Case Manager

Prior Authorization Certified Pharmacy Technician

ORTHOPAEDIC INJECTION AUTHORIZATION SPECIALIST

Reimbursement Case Manager

Customer Service Representative- Health Care Concierge - Must be located in Pittsburgh, or Surrounding Area

Temporary Customer Service Representative (Onsite)

Lab & Diagnostics Services Liaison (704001)

Specialty Provider Liaison (112582)

Clinical Support Specialist

Pharmacy Clinical Review Specialist, Rx Partners

Patient Access Specialist

Reimbursement Specialist

Part-Time Front Office Receptionist - Sewickley, PA

Front End- Patient Care Coordinator – Specialty Pharmacy Perigon Pharmacy 360

Pharmacy Technician

Certified Medical Assistant (CMA)

Referral Specialist

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