Top 59 Prior authorization specialist Jobs in Lowell, Ma

Prescription Fulfillment Specialist
Covenant Health —Andover, MA
- $21.55 - $29.68 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
11d
Insurance Specialist
RAYUS Radiology —Chelmsford, MA
- Temporary
- Bilingual
- Computer literacy
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Patient Service Representative
Lowell Community Health Center —Lowell, MA
- $21.63 an hour
- Full-time
- Bilingual
- HIPAA
- High school diploma or GED
Referrals Specialist
Greater Lawrence Family Health Center —Methuen, MA
- 8 hour shift
- Hybrid work
- Spanish
- Internal Medicine
- English
- Tuition reimbursement
Quick Apply
Authorization Specialist
New England Life Care —Woburn, MA
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Scheduling Specialist
RAYUS Radiology —Chelmsford, MA
- Temporary
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Call Center Representative
Lowell Community Health Center —Lowell, MA
- $21.63 an hour
- Full-time
- Bilingual
- High school diploma or GED
- 1 year
Vision Patient Service Representative
Lowell Community Health Center —Lowell, MA
- $21.63 an hour
- Full-time
- Bilingual
- HIPAA
- High school diploma or GED
- Health insurance
- Vision insurance
Referrals Specialist - (16.5-hours)
Greater Lawrence Family Health Center —Methuen, MA
- 8 hour shift
- Hybrid work
- Spanish
- Internal Medicine
- English
- Tuition reimbursement
Quick Apply
Sr Prior Authorization Specialist – Winchester Hospital
Beth Israel Lahey Health —Winchester, MA
- $21.53 - $28.98 an hour
- Full-time
- Hybrid work
- Hospital
- English
- Research
Specialty Medication Access Coordinator
Beth Israel Lahey Health —Burlington, MA
- $33.60 - $45.22 an hour
- Full-time
- 5 years
- English
- High school diploma or GED
5d
Financial Clearance Specialist
Merrimack Health —Lawrence, MA
- $19.31 - $28.97 an hour
- Spanish
- Hospital
- English
- Free parking
- Paid time off
Intake Engagement & Billing Specialist
Vinfen —Lawrence, MA
- $51,250 a year
- Full-time
- Background check
- Clean driving record
- Customer service
Quick Apply
Front Desk/Call Center Representative
Andover Eye Associates Inc —Andover, MA
- $21 - $27 an hour
- Anatomy knowledge
- Basic math
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Senior Financial Clearance Specialist
Beth Israel Lahey Health —Burlington, MA
- $21.53 - $28.98 an hour
- Full-time
- English
- Research
- Mid-level
Physical Therapy Insurance/Authorization specialist- 20 hours per week
FYZICAL Dizziness and Fall Prevention Center —North Andover, MA
- $18 an hour
- Part-time
- Office
- Entry level
- Paid time off
Quick Apply
ACO Medicaid Claims Review Specialist
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $17.71 - $25.28 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Health insurance
- Opportunities for advancement
Quick Apply
Referral Specialist, Neurology
Beth Israel Lahey Health —Boston, MA
- $23.15 - $34.40 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
Pharmacy Benefit Specialist
Dana-Farber Cancer Institute —Boston, MA
- $66,331.20 - $76,440.00 a year
- Full-time
- Hospital
- HIPAA
- Mid-level
Pharmacy Technician Specialist, Medication History
The General Hospital Corporation —Boston, MA
- $25.13 - $40.70 an hour
- Full-time
- Hospital
- Computer literacy
- Mid-level
- Opportunities for advancement
Quick Apply
5d

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Prescription Fulfillment Specialist

Covenant Health -
Andover, MA

Apply Now

Job Details

Full-time
$21.55 - $29.68 an hour
11 days ago

Qualifications

Customer communication
Electronic health records (EHR) management
Safety protocol adherence
Customer service
Medical records
Medical assisting

Full Job Description

Job Summary:

Summary

The Prescription Refill Specialist is clinically responsible for processing prescription refills and prior authorizations “centrally” across the Covenant Health Ambulatory Practices. Additionally, the job role involves the careful review of patient charts by following established standards, protocols, workflows, thus improving efficiency by reducing the workload on our Providers.

Essential Duties and Responsibilities

Supports and promotes the mission and values of Covenant Health Ministry.
Processes prescription refills and prior authorizations for all Ambulatory Practices via the centralized systems and EMR work queues.
Follows all workflows, established prescription refill procedures related and prior authorizations protocols.
Rectifies outstanding prescription protocol requirements.
Thoroughly and concisely, documents prescription processing with accuracy.
Communicates directly with patients on a “case-by-case” basis regarding their prescription refill status.
Demonstrates flexibility in assisting with the support and coverage within the Covenant Health Ambulatory Practices network.
Other duties assigned or consistent with this job role.

Job Requirements

Job Knowledge and Skills

Exceptional organizational and problem-solving skills.
The ability to work in an independent, fast-paced and detail-oriented environment.
Provides excellent customer service through engaging interpersonal skillsets and excellent written communication.
Proficient in the reading and understanding of electronic health records.
Must be within commutable distance to one of the Covenant locations if physical onsite work is needed in lieu of remote.
Adheres to organizational policies, procedures, worksite protocols, safety and infection control policies.
Demonstrates an ongoing commitment to maintaining clinical competencies or activities that contribute to healthcare professional development, thus required by the MAS department and Covenant Health’s policies.

Education and Experience

High School diploma or GED.
Certified Medical Assistant (Required).
2+ years’ experience as a Medical Assistant preferred.
Certification and registration through the National Commission for Certifying Agencies (NCCA) ~American Association of Medical Assistants (AAMA), American Medical Technologists (AMT), National Center for Competency Testing (NCCT) or the National Health Career Association (NHA) is required.

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

Working Conditions/Physical Demands

Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Some stress related to high level of responsibility for quality care.

Americans with Disabilities Statement

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

Standard of Business Conduct

Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct.

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values:

Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).

Comp Range:

$21.55 - $29.68

Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.

Apply Now

Refine Your Search

prior authorization specialist jobs in lowell, ma

Prescription Fulfillment Specialist

Insurance Specialist

Patient Service Representative

Referrals Specialist

Authorization Specialist

Scheduling Specialist

Call Center Representative

Vision Patient Service Representative

Referrals Specialist - (16.5-hours)

Sr Prior Authorization Specialist – Winchester Hospital

Specialty Medication Access Coordinator

Financial Clearance Specialist

Intake Engagement & Billing Specialist

Front Desk/Call Center Representative

Senior Financial Clearance Specialist

Physical Therapy Insurance/Authorization specialist- 20 hours per week

ACO Medicaid Claims Review Specialist

Referral Specialist, Neurology

Pharmacy Benefit Specialist

Pharmacy Technician Specialist, Medication History

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