Top 34 Patient access specialist Jobs in Monmouth County Nj

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
Quick Apply
Patient Access Analyst, Oncology
Hackensack Meridian Health —Neptune City, NJ
- From $29.38 an hour
- Full-time
- Hospital
- Medical office experience
- Mid-level
- Health insurance
- Dental insurance
Surgical Scheduler, Full Time, Days, 9am-5pm, AMG Breast Surgery, Freehold, NJ
Atlantic Health System —Freehold, NJ
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
- 403(b) matching
- AD&D insurance
3d
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
NJ Market Medical Receptionist
United Vein & Vascular Centers —Holmdel, NJ
- HIPAA
- High school diploma or GED
- Clinic
- Paid holidays
- Dental insurance
Quick Apply
6d
Medical Receptionist
United Vein & Vascular Centers —Freehold, NJ
- $23 an hour
- Spanish
- HIPAA
- English
- Paid holidays
- Dental insurance
Quick Apply
Medical Receptionist - Central NJ Locations
Consensus Health LLC —Marlboro, NJ
- $15.49 - $23.00 an hour
- Full-time
- Computer literacy
- Basic math
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
Reimbursement Specialist II
Hackensack Meridian Health —Iselin, NJ
- From $83,782.40 a year
- Full-time
- Microsoft Word
- Research
- Mid-level
- Health insurance
- Dental insurance
Clinical Reimbursement Specialist
VNA Health Group —Tinton Falls, NJ
- $16 - $24 an hour
- Full-time
- Computer literacy
- Office
- High school diploma or GED
Quick Apply
Medical Office Associate I - Full Time, Days - AMG Primary Care - Metuchen
Atlantic Health System —Metuchen, NJ
- Full-time
- Customer service
- Primary Care
- HIPAA
- 403(b) matching
- AD&D insurance
Manager, Patient Access Center (PAC) Performance Improvement
Hackensack Meridian Health —Iselin, NJ
- From $133,120 a year
- Full-time
- Hybrid work
- 3 years
- Master's degree
- Analysis skills
- Health insurance
- Dental insurance
Scheduler
Barnabas Health Medical Group —Lakewood, NJ
- $17.93 - $25.32 an hour
- Full-time
- Surgery
- Medical office experience
- High school diploma or GED
- Disability insurance
- Health insurance
Program Manager (Cancer Surveillance Data Systems and Informatics)
Rutgers University —New Brunswick, NJ
- $100,723 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Dental insurance
Senior Medical Staff Credentialing - Full Time - Day
Hackensack Meridian Health —Holmdel, NJ
- From $29.38 an hour
- Full-time
- Medical office experience
- Research
- 3 years
- Health insurance
- Dental insurance
Medical Scribe
CityMD —Toms River, NJ
- $18.75 an hour
- Weekends as needed
- Computer literacy
- Writing skills
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
4d
Medical Receptionist- Southern NJ
Consensus Health LLC —Freehold, NJ
- $15.49 - $23.00 an hour
- Full-time
- Computer literacy
- Basic math
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
Referral Coordinator
Central Jersey Medical Center —Perth Amboy, NJ
- Full-time
- Spanish
- Internal Medicine
- HIPAA
Clinical Scheduler (Home Care)
Personal Touch Home Aides of New York —Brooklyn, NY
- $25 - $28 an hour
- Full-time
- Computer literacy
- Mid-level
- Home Health
- Disability insurance
- Health insurance
Quick Apply
Secretary I - Intake/Scheduler (FGP) - Staten Island, Radiology, Evenings
NYU Langone Health —Staten Island, NY
- $35,846.53 - $51,509.64 a year
- Online Application
- Word processing
- Writing skills
- HIPAA
- Wellness program
3d
Informatics Nurse Specialist
CentraState Healthcare System —Freehold, NJ
- $101,400 - $172,380 a year
- Full-time
- Nursing
- RN License
- Mid-level
- 403(b) matching
- AD&D insurance

I want to receive the latest job alert for patient access specialist in monmouth county nj

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient access specialist jobs near monmouth county nj

Program Manager jobs in New Brunswick, NJ

Medical Receptionist jobs in Holmdel, NJ

Clinical Informatics Specialist jobs in Freehold, NJ

Primary Care Physician jobs in Metuchen, NJ

Scheduler jobs in Brooklyn, NY

Medical Scribe jobs in Toms River, NJ

Scheduler jobs in Staten Island, NY

Medical Receptionist jobs in Freehold, NJ

Reimbursement Specialist jobs in Bristol, CT

Reimbursement Specialist jobs in Seattle, WA

Reimbursement Specialist jobs in Los Angeles, CA

Tuition Reimbursement jobs in Las Vegas, NV

Peer Support Specialist jobs in Orange County, CA

Reimbursement Specialist jobs in Glenview, IL

Document Specialist jobs in Fort Lauderdale, FL

Medical Prior Authorization Remote jobs in Atlanta, GA

Prior Authorization Specialist jobs in Baltimore, MD

Prior Authorization Specialist jobs in Paterson, NJ

Document Specialist jobs in San Antonio, TX

Badging Specialist jobs in Washington, DC

Medical Authorization Specialist

CH Revenue Management Solutions (CHRMS)
Tinton Falls, NJ

Quick Apply

Job Details

Full-time
$23 - $27 an hour

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Health insurance authorizations
Microsoft Outlook
Health insurance information
High school diploma or GED
ICD-10
Attention to detail
Health insurance pre-authorization requirements
CPT coding
Organizational skills

Full Job Description

CH Revenue Management Solutions (CHRMS) is seeking a Medical Authorization Specialist to join its growing team. CHRMS represents out-of-network surgeons throughout the United States in the medical claim reimbursement cycle, from medical billing through appeals, including claims through the arbitration process under Federal and State laws. Our team is comprised of more than 60 professional medical billers, coders, insurance professionals, and industry experts. This opportunity is for the right individual to be part of an entrepreneurial work environment with a good work/life balance.

The Medical Authorization Specialist is responsible for obtaining and managing insurance authorizations and pre-certifications for out-of-network medical services to ensure timely reimbursement and compliance with payer requirements. This role serves as a key liaison between providers, patients, and insurance companies, helping to minimize denials and delays in care.

THIS IS A FULL-TIME IN OFFICE POSITION.

Key Responsibilities:

Obtain prior authorizations and pre-certifications for scheduled and urgent medical services by out-of-network providers.
Seek GAP authorizations when required.
Verify insurance benefits, coverage limitations, and authorization requirements.
Submit complete and accurate authorization requests through payer portals, phone, or fax.
Track authorization status and follow up with payers to ensure timely approvals.
Request, negotiate and complete single case agreements and letter agreements.
Communicate authorization determinations, requirements, and delays to providers, scheduling teams, and patients.
Review clinical documentation to ensure it meets payer medical necessity criteria.
Identify and escalate authorization denials or delays for appeal or peer-to-peer review.
Maintain accurate records of authorization activity in company IT systems.
Track authorization-related denial trends and escalate recurring payer issues.
Stay current on payer policies, authorization rules, state and federal regulations, and out-of-network reimbursement rules.
Support denial prevention initiatives and revenue cycle performance improvement efforts.
Work with billing and appeals teams to support denial prevention and appeal strategies.

Skills & Competencies:

Proficiency in Microsoft Office programs, especially Outlook, Word, and Excel.
Strong knowledge of insurance plans (commercial, Medicare, Medicaid) and authorization processes.
Familiarity with CPT, ICD-10, and medical terminology.
Experience working with payer portal systems.
Strong attention to detail and organizational skills.
Excellent verbal and written communication skills.
Ability to manage high volumes and meet time-sensitive deadlines.
Ability to work in a fast-paced healthcare environment with frequent client, payer and patient interaction.

Education & Experience:

High school diploma or equivalent required; associate or bachelor’s degree preferred
2+ years of experience in medical authorizations, patient access, or revenue cycle operations, with experience in out-of-network authorization
Experience with surgical procedures
Experience with specialty services (e.g., plastic, orthopedic, etc.)
Prior experience with appeals and peer-to-peer coordination
Knowledge of out-of-network authorization processes and medical necessity requirements
Knowledge of state-specific surprise billing and balance billing regulations, A PLUS

Salary & Benefits:

Salary range-$23.00-$27.00 based upon experience.

EOE/DFWP

Job Type: Full-time

Pay: $23.00 - $27.00 per hour

Expected hours: 40 per week

Benefits:

401(k) matching
Dental insurance
Disability insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Application Question(s):

Do you have any experience with state specific surprise billing and balance billing regulations?

Experience:

medical authorizations: 2 years (Required)
out-of-network authorization: 2 years (Required)

Ability to Commute:

Tinton Falls, NJ 07724 (Required)

Work Location: In person

Quick Apply

Refine Your Search

patient access specialist jobs in monmouth county nj

Medical Authorization Specialist

Patient Access Analyst, Oncology

Surgical Scheduler, Full Time, Days, 9am-5pm, AMG Breast Surgery, Freehold, NJ

Prior Authorization Specialist

NJ Market Medical Receptionist

Medical Receptionist

Medical Receptionist - Central NJ Locations

Reimbursement Specialist II

Clinical Reimbursement Specialist

Medical Office Associate I - Full Time, Days - AMG Primary Care - Metuchen

Manager, Patient Access Center (PAC) Performance Improvement

Scheduler

Program Manager (Cancer Surveillance Data Systems and Informatics)

Senior Medical Staff Credentialing - Full Time - Day

Medical Scribe

Medical Receptionist- Southern NJ

Referral Coordinator

Clinical Scheduler (Home Care)

Secretary I - Intake/Scheduler (FGP) - Staten Island, Radiology, Evenings

Informatics Nurse Specialist

I want to receive the latest job alert for patient access specialist in monmouth county nj

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected