Top 108 Authorization specialist Jobs in Edison, Nj

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
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Medicaid Authorization & Documentation Specialist
Volunteers of America - Greater New York, Inc. —Rahway, NJ
- $60,000 a year
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid holidays
- Health insurance
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Prior Authorization Specialist
CentraState Healthcare System —Freehold, NJ
- $25 - $40 an hour
- Per diem
- Acute care
- Microsoft Excel
- Microsoft Outlook
- 403(b) matching
- AD&D insurance
16h
Authorizations Specialist
Alliance Orthopedics —Matawan, NJ
- $50,000 - $55,000 a year
- Full-time
- Background check
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
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Billing and Collections Representative
Always Home Care —Brooklyn, NY
- $50,000 - $80,000 a year
- Full-time
- Management
- Research
- Mid-level
- Health insurance
- Dental insurance
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Director of Revenue Cycle
Confidental Company —Monmouth County, NJ
- $100,000 - $150,000 a year
- Full-time
- Background check
- Data analysis skills
- HIPAA
- Health insurance
- Dental insurance
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Medical Authorization Specialist
CH Revenue Management Solutions (CHRMS) —Tinton Falls, NJ
- $23 - $27 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
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Surgical Coordinator
Redefine Management, LLC —Edison, NJ
- $20 - $22 an hour
- Full-time
- Surgery
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
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Weekend Admissions Intake Specialist
Surfpoint Recovery LLC —Brooklyn, NY
- $20 - $22 an hour
- Part-time
- Computer literacy
- High school diploma or GED
- Rehabilitation center
Medical Receptionist - Referral Specialist
Family Care PA —Green Brook Township, NJ
- $18 - $19 an hour
- Part-time
- Background check
- Medical office experience
- HIPAA
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Prior Authorization Specialist
The Plastic Surgery Center —Red Bank, NJ
- $22 - $25 an hour
- Full-time
- Surgery
- HIPAA
- Mid-level
- Profit sharing
- Mileage reimbursement
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Prior Authorization Specialist
The Plastic Surgery Center —Red Bank, NJ
- $22 - $25 an hour
- Full-time
- Surgery
- HIPAA
- Mid-level
- Profit sharing
- Mileage reimbursement
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20h
Sales Support Specialist
Optimum —Piscataway, NJ
- $47,770 - $78,478 a year
- Weekends as needed
- Background check
- Residential
- Databases
Quick Apply
4d
HEALTHCARE AUTHORIZATION / PRE-CERTIFICATION SPECIALIST
Advanced Obstetrics & Gynecology —Flemington, NJ
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Patient Access Specialist
Trinitas Regional Medical Center —Elizabeth, NJ
- $21.23 - $26.60 an hour
- Full-time
- Acute care
- Bilingual
- Mid-level
- Paid parental leave
- Paid holidays
Authorization Specialist
Access medicine nj —Newark, NJ
- $23 an hour
- 8 hour shift
- Mid-level
- High school diploma or GED
- In-person
Quick Apply
14d
Patient Access Specialist
PROMPTCARE COMPANIES INC —New Providence, NJ
- $21 - $25 an hour
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
Contact Center Representative
Affinity Federal Credit Union —Basking Ridge, NJ
- $48,000 - $50,000 a year
- Online Application
- Remote
- Spanish
- Mid-level
- US work authorization
- Profit sharing
- Health insurance
Quick Apply
1d
Medical Insurance Eligibility Specialist
The Cardiovascular Care Group —Springfield, NJ
- $25 - $28 an hour
- Full-time
- Bilingual
- Customer service
- Medical office experience
- Paid jury duty
- Paid holidays
Quick Apply
4d
Medical Receptionist - Central NJ Locations
Consensus Health LLC —Piscataway, NJ
- $15.49 - $23.00 an hour
- Full-time
- Computer literacy
- Basic math
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply

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PAHub & Prior Authorization Specialist

Agadia Systems Inc -
Parsippany-Troy Hills, NJ

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Job Details

Full-time
$90,000 - $120,000 a year

Qualifications

Customer communication
HIPAA compliance
HIPAA
Managing clients in a customer support role
IT experience within healthcare
Clinical confidentiality policies
Healthcare software applications

Full Job Description

Reports To: Vice President, Customer Experience

Location: Remote/Hybrid with 10% travel nationwide

Position Summary

The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption of PAHub. This role bridges the gap between product functionality, customer operations, implementation, account management, training, and support.

The ideal candidate possesses deep knowledge of prior authorization workflows and PAHub capabilities and can effectively communicate with both operational users and executive stakeholders. The Specialist will participate in customer meetings, support internal teams, provide product demonstrations, identify optimization opportunities, and assist in the development of customer-facing documentation and training materials.

This role plays a critical part in ensuring customers achieve their desired business outcomes while helping internal teams deliver consistent, high-quality customer experience.

Key Responsibilities

Customer Engagement & Advisory

Serve as a PAHub subject matter expert for customers throughout implementation, optimization, training, and ongoing support activities.
Participate in customer calls, workshops, business reviews, and operational meetings.
Develop trusted relationships with customer stakeholders by understanding their workflows, goals, challenges, and business requirements.
Advise customers on industry best practices and optimal use of PAHub functionality.
Identify opportunities to improve customer efficiency, automation, turnaround times, and overall satisfaction.
Proactively monitor customer adoption and recommend process improvements and workflow enhancements.

Product Demonstrations & Training

Conduct PAHub demonstrations for prospective and existing customers.
Showcase new features, product enhancements, and best practices.
Deliver customer training sessions tailored to different user roles and operational functions.
Assist customers in understanding how PAHub functionality supports their business and regulatory requirements.
Support onboarding activities for new customers and new customer team members.

Internal Team Support

Act as a resource for Account Management, Customer Success, Support, Implementation, Product, Training, and Operations teams.
Participate in internal customer strategy discussions and planning meetings.
Provide guidance on customer workflows, business requirements, and PAHub capabilities.
Help internal teams evaluate customer enhancement requests and identify potential solutions.
Share customer feedback, trends, and opportunities with Product Management and leadership teams.

Product Adoption & Optimization

Assess customer utilization of PAHub and identify opportunities for improvement.
Recommend workflow changes, configuration updates, and training opportunities to increase efficiency.
Help customers leverage existing functionality before pursuing custom development.
Support feature adoption initiatives and change management efforts.
Track customer challenges and coordinate with internal teams to ensure timely resolution.

Documentation & Knowledge Management

Partner with the Documentation and Training teams to create, review, and improve customer-facing materials.
Validate user guides, training materials, release communications, knowledge articles, and implementation documentation for accuracy and usability.
Assist in developing best practice guides, workflow examples, and process documentation.
Review customer communications to ensure clear and consistent messaging.

Voice of the Customer

Gather customer feedback and communicate key themes to Product, Engineering, and Leadership teams.
Advocate for customer needs while balancing product strategy and operational considerations.
Assist in prioritizing customer requests by providing business and workflow context.
Identify recurring customer questions and contribute to continuous improvements in training and documentation.

Required Qualifications

5+ years of experience in healthcare operations, prior authorization, utilization management, PBM, health plan operations, specialty pharmacy, or healthcare technology.
Hands-on experience with PAHub or a similar prior authorization platform.
Strong understanding of prior authorization workflows, operations, and regulatory requirements.
Experience working directly with customers in a consultative or client-facing capacity.
Excellent presentation, facilitation, and communication skills.
Ability to explain complex technical concepts to both technical and non-technical audiences.
Strong analytical and problem-solving abilities.
Ability to manage multiple priorities in a fast-paced, demanding environment with minimal supervision.
Maintain the strictest confidentiality in compliance with HIPAA guidelines.
Highly self-motivated, professional, take-charge attitude with humility and integrity.

Preferred Qualifications

Experience supporting SaaS healthcare applications.
Experience in training, customer success, account management, implementation, and/or consulting.
Knowledge of CMS, Medicaid, Medicare, and commercial utilization management processes.
Pharmacy Technician certification, pharmacist, or related healthcare credentials.
Experience creating documentation, training content, or knowledge management materials.

Success Measures

The PAHub & PA Specialist will be successful when:

Customers are effectively utilizing PAHub functionality and adopting new features.
Customer satisfaction and engagement levels improve.
Internal teams have access to timely, accurate product expertise.
Product demonstrations and training sessions are highly effective and well-received.
Documentation and customer-facing materials are accurate, useful, and easy to understand.
Customer feedback is translated into actionable improvements that enhance the overall customer experience.

This position offers a unique opportunity to influence customer success, product adoption, and the overall customer experience strategy while serving as a recognized PAHub expert across the organization.

Pay Range: Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions.

Agadia Health Systems, Inc. is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability

Agadia is an Equal Opportunity Employer

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Refine Your Search

authorization specialist jobs in edison, nj

PAHub & Prior Authorization Specialist

Medicaid Authorization & Documentation Specialist

Prior Authorization Specialist

Authorizations Specialist

Billing and Collections Representative

Director of Revenue Cycle

Medical Authorization Specialist

Surgical Coordinator

Weekend Admissions Intake Specialist

Medical Receptionist - Referral Specialist

Prior Authorization Specialist

Prior Authorization Specialist

Sales Support Specialist

HEALTHCARE AUTHORIZATION / PRE-CERTIFICATION SPECIALIST

Patient Access Specialist

Authorization Specialist

Patient Access Specialist

Contact Center Representative

Medical Insurance Eligibility Specialist

Medical Receptionist - Central NJ Locations

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