Top 41 Prior authorization Jobs in Concord, Nh

Referral & Authorization Care Coordinator
Oshi Health —New Boston, NH
- $47,000 - $52,000 a year
- Email
- Remote
- Nursing
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Authorization Specialist
New England Life Care —Concord, NH
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Patient Service Representative- Internal Pediatrics at Allenstown- Full Time
Elliot Health System —Allenstown, NH
- Full-time
- High school diploma or GED
- Pediatrics
- Entry level
- Disability insurance
- Health insurance
Patient Service Representative - Family Medicine Hooksett - Full Time
Elliot Health System —Hooksett, NH
- Full-time
- Microsoft Office
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Patient Service Representative - NH Neurospine - Full Time
Elliot Health System —Bedford, NH
- Full-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Patient Service Representative - Gastroenterology - Full Time
Elliot Health System —Manchester, NH
- Full-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
1d
Clinical Secretary - Radiology Lab
Dartmouth-Hitchcock —Bedford, NH
- $17.83 - $27.64 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Computer skills
- Disability insurance
- Health insurance
8d
Patient Service Representative - Manchester Urology - Full Time
Elliot Health System —Manchester, NH
- Full-time
- Hospital
- Microsoft Office
- High school diploma or GED
- Disability insurance
- Health insurance
Patient Service Representative - Float Pool - Per Diem
Elliot Health System —Manchester, NH
- Part-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Pre Services Representative - Concord Hospital Laconia | Full Time | Days
Concord Hospital —Laconia, NH
- Full-time
- Hospital
- Mid-level
- Windows
Patient Service Representative - Family Medicine at Bedford - Full Time
Elliot Health System —Bedford, NH
- Full-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Patient Care Coordinator
Specialty1 Partners —Concord, NH
- $22 - $26 an hour
- Dental office
- OSHA
- Administrative experience
- Health savings account
- Disability insurance
Quick Apply
7d
Patient Service Representative - Internal Medicine at Londonderry - Full Time
Elliot Health System —Londonderry, NH
- Full-time
- Internal Medicine
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Medical Assistant Specialty Practice/GI no nights, no weekends
Concord Hospital —Concord, NH
- Full-time
- CPR Certification
- Vital signs
- Ability to walk for extended periods
Certified Medical Assistant / Prior Authorization Specialist (CMA/PAS)
New Hampshire Catholic Charities Inc —Manchester, NH
- Patient monitoring
- Computer literacy
- BLS Certification
Quick Apply
Patient Service Representative - Family Medicine at Londonderry - Full Time
Elliot Health System —Londonderry, NH
- Full-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Medical Assistant - Concord, NH
Northeast Dermatology Associates —Concord, NH
- Surgery
- Ability to walk for extended periods
- Ability to climb stairs
Quick Apply
Patient Access Representative III - Manchester
Conifer Revenue Cycle Solutions —Manchester, NH
- Full-time
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
Medical Assistant
Granite State Gastroenterology —Londonderry, NH
- Full-time
- Private practice
- CPR Certification
- Vital signs
- On-the-job training
Quick Apply
Patient Access Representative II - Rotating Shift
Conifer Revenue Cycle Solutions —Manchester, NH
- Full-time
- Customer service
- Medical office experience
- Mid-level

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Referral & Authorization Care Coordinator

Oshi Health -
New Boston, NH

Quick Apply

Job Details

Full-time
$47,000 - $52,000 a year

Benefits

Paid holidays
Health insurance
Unlimited paid time off
Dental insurance
Vision insurance

Qualifications

Electronic health records (EHR) management
Bachelor's degree
Video conferencing software
Collaborative technology platforms
Medical terminology

Full Job Description

Referral and Authorization Coordinator

Reports To: Manager, Care Operations
Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Louisiana, Missouri, New Hampshire, North Carolina, South Carolina, Tennessee, Texas, Vermont, Virginia ONLY. Must currently reside and plan on residing in the entire employment.
Schedule: Monday- Friday 12-8pm EST and Monday- Friday 9-5pm EST
Employment Type: Full-Time

Role Overview

As our Care Coordinator specializing in Prior Authorizations & Referrals, you will manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team. You will use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met.

What You'll Do: Key Responsibilities

Collaborate with a multidisciplinary team of care providers (including NPs, RDs, Behavioral Health Providers) to provide a whole-person approach to member care.
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to promote team awareness and patient safety.
Provide complete and accurate registration of referrals and authorizations, including patient demographics, insurance information, and clinical documentation to external providers and specialty pharmacies.
Offer proficient knowledge of referrals, insurance requirements, and the prior authorization process to internal and external resources, eliminating barriers to care and following up on progress toward key goals.
Apply knowledge of CPT and ICD-10 codes to obtain authorizations in a timely manner while demonstrating understanding of payer medical policy guidelines.
Initiate appeals for denied authorizations and maintain close follow-up to ensure positive member outcomes.
Engage in external coordination of pharmacy support services to ensure members receive all necessary support throughout the prior authorization process.
Assist members in accessing services, providing personalized customer service while maintaining close communication with the care coordination team.
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.

What We're Looking For: Qualifications & Requirements

Required

Bachelor's Degree in Healthcare administration or equivalent course work
Minimum of 2-3 years experience in healthcare coordination, care, or case management within a remote digital healthcare space
Completed degree in a health and science related field (biology, psychology, health science, nutrition, nursing, etc.).
Fluent in healthcare terminology with a working understanding of clinical concepts.
Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers.
Comfortable and competent with common administrative technologies (Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems

Preferred

Experience working in telehealth or a digital health environment.
Strong critical thinking skills with ability to triage accurately and escalate appropriately.
Experience in a high-growth startup or mission-driven healthcare organization.

Compensation & Benefits

Salary Range: $47,000 – $52,000 (commensurate with experience)
Health Benefits: Employer-sponsored medical, dental, and vision coverage
Time Off: Unlimited PTO + 11 paid company holidays
Retirement: Eligibility to contribute to 401(k)
Work Style: Remote-first — work from home anywhere within our approved states
Growth: Tailored professional development opportunities as we scale
Life Concierge: Access to Overalls, because we know life happens

About Oshi Health

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team and a mission that's changing what great healthcare looks like. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

Genuine passion for improving patient lives and transforming GI care
Strong communication skills and emotional intelligence
Comfort in a fast-paced, remote-first, mission-driven environment

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.

Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com

Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to [email protected], and we'll confirm whether you're engaging with one of our Oshi teammates!

Quick Apply

Refine Your Search

prior authorization jobs in concord, nh

Referral & Authorization Care Coordinator

Authorization Specialist

Patient Service Representative- Internal Pediatrics at Allenstown- Full Time

Patient Service Representative - Family Medicine Hooksett - Full Time

Patient Service Representative - NH Neurospine - Full Time

Patient Service Representative - Gastroenterology - Full Time

Clinical Secretary - Radiology Lab

Patient Service Representative - Manchester Urology - Full Time

Patient Service Representative - Float Pool - Per Diem

Pre Services Representative - Concord Hospital Laconia | Full Time | Days

Patient Service Representative - Family Medicine at Bedford - Full Time

Patient Care Coordinator

Patient Service Representative - Internal Medicine at Londonderry - Full Time

Medical Assistant Specialty Practice/GI no nights, no weekends

Certified Medical Assistant / Prior Authorization Specialist (CMA/PAS)

Patient Service Representative - Family Medicine at Londonderry - Full Time

Medical Assistant - Concord, NH

Patient Access Representative III - Manchester

Medical Assistant

Patient Access Representative II - Rotating Shift

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