Top 111 Prior authorization specialist Jobs in Clifton, Nj

Medical Billing Specialist ( on-site)
Asembia LLC —Livingston, NJ
- $18 - $23 an hour
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Medical Scribe
Oak Street Health —Newark, NJ
- $17.00 - $34.15 an hour
- Full-time
- Computer literacy
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
FULL-TIME Orthopedic Billing Specialist, Paramus, NJ. $23.50 - $27.00
LALL Orthopedics + —Paramus, NJ
- $23.50 - $27.00 an hour
- Full-time
- Customer service
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
PAHub & Prior Authorization Specialist
Agadia Systems Inc —Parsippany-Troy Hills, NJ
- $90,000 - $120,000 a year
- Full-time
- Remote
- 5 years
- HIPAA
- Analysis skills
Quick Apply
Medical Insurance Eligibility Specialist
The Cardiovascular Care Group —Clifton, NJ
- $25 - $28 an hour
- Full-time
- Bilingual
- Customer service
- Medical office experience
- Paid jury duty
- Paid holidays
Quick Apply
Insurance Verification Specialist or Eligibility Coordinator For Optometry
Eyexam Group —Paramus, NJ
- $25.90 - $31.20 an hour
- Part-time
- Mid-level
- In-person
- Communication skills
- Vision insurance
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2d
Authorization-Referrals Specialist III #Full Time
61st Street Service Corp —Fort Lee, NJ
- $28.72 - $36.92 an hour
- Full-time
- Mid-level
- 2 years
- Health insurance
- Paid time off
Quick Apply
Pharmacy Specialist I
Horizon Blue Cross Blue Shield of New Jersey —Newark, NJ
- $44,600 - $59,745 a year
- Full-time
- High school diploma or GED
- Organizational skills
- Computer skills
- Health insurance
- Dental insurance
12d
Authorization Specialist
Summit Health —Berkeley Heights, NJ
- Full-time
- Customer service
- Mid-level
- Windows
- Health insurance
- Dental insurance
Quick Apply
1d
Integrated Case Management Specialist
Hackensack Meridian Health —Hackensack, NJ
- From $21.73 an hour
- Full-time
- Hospital
- Word processing
- Mid-level
- Health insurance
- Dental insurance
Prior Authorization Review Pharmacy Technician
MetroPlus Health Plan —New York, NY
- $58,500 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- 5 years
9d
Authorization & Referrals Specialist II #Full Time
61st Street Service Corp —New York, NY
- $24.76 - $33.17 an hour
- Full-time
- Mid-level
- 1 year
- Health insurance
- Paid time off
Quick Apply
Patient Access Specialist - PT Days
Holy Name Medical Center —Teaneck, NJ
- $20 - $23 an hour
- Part-time
- Acute care
- Hospital
- High school diploma or GED
- Free parking
- Health insurance
Release of Information Specialist - Mon–Fri 8:00 AM – 4:30 PM
Vital Holdings LLC —Orange, NJ
- $21 - $25 an hour
- Monday to Friday
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
8d
Patient Access Specialist - FT Days
Holy Name Medical Center —Teaneck, NJ
- $20 - $23 an hour
- Full-time
- Acute care
- Hospital
- High school diploma or GED
- Free parking
- Health insurance
Patient Support Specialist
LUX Infusion —Clifton, NJ
- $25 - $27 an hour
- Monday to Friday
- HIPAA
- Mid-level
- Ability to climb stairs
Quick Apply
6d
Scheduling Specialist
Hudson Regional Hospital —Secaucus, NJ
- $18 - $25 an hour
- Hospital
- Mid-level
- High school diploma or GED
Quick Apply
Prior Authorization Specialist
Polaris Pharmacy Services —Rockaway, NJ
- $23 - $25 an hour
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Prior Authorization Specialist
healthy heights pharmacy inc. —New York, NY
- $25.85 - $31.13 an hour
- Part-time
- Customer service
- Medical office experience
- HIPAA
Quick Apply
Insurance Specialist
Regional Cancer Care Associates —Hackensack, NJ
- $18.99 - $29.22 an hour
- Part-time
- HIPAA
- Mid-level
- High school diploma or GED

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prior authorization specialist jobs near clifton, nj

Medical Billing Specialist ( on-site)

Asembia LLC -
Livingston, NJ

Quick Apply

Job Details

Full-time
$18 - $23 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Word
Customer communication
Microsoft Excel
Microsoft Outlook
Insurance prior authorization
Overseeing health insurance pre-certification
Medical coding
Writing skills
Content editing
Word embeddings
HIPAA
Microsoft Office
Medical billing
Health information regulatory compliance
Clinical confidentiality policies
Medical terminology

Full Job Description

Asembia is seeking a_ Medical Billing Specialist_ for our organization. Our teams are comprised of passionate and motivated professionals; and through collaborative programs, contracting initiatives, patient support hub services and innovative technology platforms, Asembia is committed to positively impacting the patient journey. We offer our employees the latitude required for professional growth and career advancement.

The incumbent is responsible for executing program requirements, managing daily workflow, providing accurate and complete data input, managing per-certifications and providing high levels of customer service.

Work shifts may vary: The pharmacies operating hours are Monday through Friday from 8:00 a.m. – 11:00 p.m. (EST), and Saturday and Sunday from 8:00 a.m. – 8:00 p.m. (EST)

Job Scope and Major Responsibilities:

Educating clients and their healthcare team on the components of their insurance coverage, including Medical and Prescription benefits.
Research billing issues and contact insurance carriers to resolve claim issues
Advocating for patients/clients in the prior authorization process, including denials and appeals.
Manage time sensitive task completion on referral and prior authorization submissions
Ability to interact professionally with not only internal matrix partners, but external contacts such as providers, insurance carriers, patients, and other stakeholders
Assist in monitoring trends and escalate trends to supervisor to determine actions necessary to improve service outcomes
Must have regular and predictable attendance and timely arrival at work Schedule
Compliance with the provisions of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations, as amended (“HIPAA”)

Required Qualifications:

Bachelor’s degree, in lieu of degree, 5 years of experience in Member Services or Provider Services, or Claims
Prior experience in Member/Provider Prior Authorization/Appeal Services preferred
Knowledge of medical terminology
Knowledge of 3rd party payors, healthcare insurance and the prior authorizations process.
Prioritize appropriately, and manage multiple tasks and job responsibilities
Exceptional writing, editing and proofreading skills
Strong verbal and written communication skills
Strong organizational, analytical and problem-solving skills
High motivation and the ability to work independently
Working knowledge of MS Word, Excel, and Outlook
Ability to preserve confidentiality of protected health information (PHI)
Possess and maintain professional demeanor and courteous attitude

Join our team! If you feel you are the right fit for this role, please apply. We look forward to speaking with you further about working with Asembia.

About Us:

For more than a decade, Asembia has been working with specialty pharmacies, manufacturers, prescribers, and other industry stakeholders to develop solutions for the high-touch specialty pharmaceutical service model.

Asembia focuses on the specialty pharmacy segment and offers comprehensive hub services, pharmacy network management, group purchasing (GPO) services, innovative technology platforms and more.

As a leading industry voice and advocate, Asembia is committed to bringing strategic channel management solutions, leading-edge products and high-touch services to the specialty pharmacy industry that help our customers optimize patient care and outcomes.

Asembia is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, gender identity and expression, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State/Federal laws.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Application Question(s):

What are your hourly rate expectations?
What is your email address?
Our pharmacy operating hours are from 8am EST- 8pm EST and you will be given an 8-hour shift during this time. Are you available and open for the shift?
Do you have a pharmacy technician license?
Do you have a PBM (Pharmacy Benefits Management) experience?
This is an onsite role at Livingston, NJ. Are you able to reliably commute daily to the Livingston location?

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in clifton, nj

Medical Billing Specialist ( on-site)

Medical Scribe

FULL-TIME Orthopedic Billing Specialist, Paramus, NJ. $23.50 - $27.00

PAHub & Prior Authorization Specialist

Medical Insurance Eligibility Specialist

Insurance Verification Specialist or Eligibility Coordinator For Optometry

Authorization-Referrals Specialist III #Full Time

Pharmacy Specialist I

Authorization Specialist

Integrated Case Management Specialist

Prior Authorization Review Pharmacy Technician

Authorization & Referrals Specialist II #Full Time

Patient Access Specialist - PT Days

Release of Information Specialist - Mon–Fri 8:00 AM – 4:30 PM

Patient Access Specialist - FT Days

Patient Support Specialist

Scheduling Specialist

Prior Authorization Specialist

Prior Authorization Specialist

Insurance Specialist

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