Top 11 Authorization specialist Jobs in Puerto Rico

Authorization Coordinator
Premium Health Care —Puerto Rico
- $10 - $15 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- 2 years
- Paid time off
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1d
Field Reimbursement Specialist
Cencora —Carolina, PR
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health insurance
Case Review Specialist - PR
OncoHealth —Guaynabo, PR
- Weekends as needed
- Hybrid work
- Spanish
- English
- Mid-level
- Health insurance
Quick Apply
Clinical Documentation Specialist
TPIS —Guaynabo Municipio, PR
- $13.25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
Medical Billing Specialist - Guaynabo, Puerto Rico
Alivia Health —Guaynabo, PR
- Full-time
- Mid-level
- High school diploma or GED
- 2 years
Quick Apply
Mental Health Medical Biller & Credentialing
Harmony Psych Billing —United States
- $15 - $17 an hour
- Part-time
- Remote
- HIPAA
- Organizational skills
- Communication skills
- Flexible schedule
Quick Apply

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Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
Quick Apply
12d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

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authorization specialist jobs near puerto rico

Authorization Coordinator

Premium Health Care -
Puerto Rico

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Job Details

Full-time | Contract
$10 - $15 an hour
1 day ago

Benefits

Paid time off

Qualifications

Medical documentation
Medicare
HIPAA
Healthcare referral management
Pre-authorization review for utilization management
Attention to detail
Time management

Full Job Description

Premium Healthcare is a rapidly expanding multi-specialty medical organization serving patients throughout South Florida. We are seeking experienced Authorization & Referral Coordinators to join our remote team in Puerto Rico.

This position is responsible for obtaining insurance authorizations, processing specialist referrals, and securing medication prior authorizations to ensure patients receive timely, uninterrupted care. The ideal candidate is highly organized, detail-oriented, and experienced working with multiple insurance carriers and electronic medical record systems.

Responsibilities

Process medical insurance prior authorizations for diagnostic testing, procedures, surgeries, specialty visits, and treatments.
Submit and manage medication prior authorizations through insurance portals and electronic platforms.
Coordinate referrals with primary care providers, specialists, imaging centers, hospitals, and ancillary services.
Verify insurance eligibility, benefits, and authorization requirements.
Follow up on pending authorizations and appeals to ensure timely approvals.
Communicate authorization status with providers, clinical staff, and patients.
Maintain accurate documentation within the electronic medical record (EMR).
Monitor authorization turnaround times and meet department productivity goals.
Work denied authorizations by obtaining additional clinical documentation and submitting reconsiderations or appeals.
Ensure compliance with payer guidelines, HIPAA regulations, and company policies.
Collaborate with providers, medical assistants, nurses, and referral specialists to minimize delays in patient care.

Qualifications

Minimum of 2 years of experience in medical insurance authorizations and referrals.
Experience with medication prior authorizations required.
Knowledge of commercial insurance plans, Medicare, Medicare Advantage, Medicaid, and managed care organizations.
Experience using insurance portals and electronic authorization systems.
Experience with CoverMyMeds strongly preferred.
Experience with AdvancedMD or similar EMR systems preferred.
Excellent organizational, multitasking, and time-management skills.
Strong written and verbal communication skills.
Ability to work independently in a fully remote environment.
High-speed internet and a dedicated home workspace required.

Preferred Experience

Multi-specialty medical practice
Diagnostic imaging authorizations (MRI, CT, PET/CT, Ultrasound)
Surgical and procedural authorizations
Specialty referrals
Infusion therapy authorizations
Medication prior authorizations
Appeals and peer-to-peer coordination

Pay: $10.00 - $15.00 per hour

Benefits:

Paid time off

Work Location: Remote

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Refine Your Search

authorization specialist jobs in puerto rico

Authorization Coordinator

Field Reimbursement Specialist

Case Review Specialist - PR

Clinical Documentation Specialist

Medical Billing Specialist - Guaynabo, Puerto Rico

Mental Health Medical Biller & Credentialing

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