Top 27 Prior authorization specialist Jobs in New Hampshire

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
Referral/Prior Authorization Specialist - Monadnock Gastroenterology Associates - Per Diem
Monadnock Community Hospital —Peterborough, NH
- Part-time
- Primary Care
- HIPAA
- Mid-level
- Gym membership
- Opportunities for advancement
Quick Apply
Admissions & Authorization Specialist Patient Access
Speare Memorial Hospital —Plymouth, NH
- Full-time
- Hospital
- HIPAA
- High school diploma or GED
- Health savings account
- Loan repayment program
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
7d
Finance Data Entry Clerk/Administrative Assistant
LIVING INNOVATIONS SUPPORT SERVICES LLC —Dover, NH
- $19 an hour
- Microsoft Outlook
- Basic math
- Office
- Health insurance
- Paid time off
Quick Apply
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
Clinical Secretary - Hanover Psychiatry
Dartmouth-Hitchcock —Lebanon, NH
- $17.83 - $27.64 an hour
- Full-time
- Private practice
- Psychiatry
- Mid-level
- Disability insurance
- Health insurance
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
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 Care Coordinator / Medical Scheduler
New England Cancer Specialists —Portsmouth, NH
- Full-time
- Private practice
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
8d
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
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 Service Representative - Gastroenterology - Full Time
Elliot Health System —Manchester, NH
- Full-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
16h
Medication Refill Specialist - FULL TIME
DMC Primary Care —Derry, NH
- $18 an hour
- Full-time
- Private practice
- HIPAA
- Mid-level
- Health insurance
- Paid time off
Quick Apply
13d
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 - 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
Traveling Oral Surgery Coordinator
42 North Dental —Rochester, NH
- $30 - $40 an hour
- Dental office
- Surgery
- HIPAA
- Dental insurance
6d
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 - Manchester Urology Dover/Portsmouth - Part Time
Elliot Health System —Dover, NH
- Part-time
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Registrar
SPEARE MEMORIAL HOSPITAL —Plymouth, NH
- Per diem
- Hospital
- High school diploma or GED
- Typing

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Authorization Specialist

New England Life Care -
Concord, NH

Quick Apply

Job Details

Full-time
$21 - $22 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
403(b)
Opportunities for advancement
Life insurance

Qualifications

High school diploma or GED
Pre-authorization review for utilization management
Accounting support

Full Job Description

New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region’s only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care.

New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you’re energized by this opportunity, but your experience doesn’t support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for!

New England Life Care currently has a Remote Authorization Specialist position available. The normal schedule is Monday – Friday from 8:30am to 5:00pm.

The ideal candidate for this role will have at least three years of authorization or billing experience.

**Only hiring for this remote role in the following states: Maine, Massachusetts, New Hampshire, Maryland, North Carolina, Connecticut, and Florida**

Job Summary:

The Remote Authorization Specialist is responsible for obtaining and maintaining prior authorization status for NELC patient medications/therapies. The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed documentation to support the billing department in meeting payer requirements for patient accounts.

Career Ladders: NELC’s reimbursement department offers career ladders to Authorization Specialists. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions:

Authorization Specialist– represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to:

Senior Authorization Specialist – Candidates who meet defined goals, objectives, and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to:

Lead Authorization Specialist – Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement.

Benefits:

Remote position
Room for growth and potential for advancement
Health insurance
Dental insurance
Vision insurance
Generous employer-matched 403b savings program
Company paid: Life insurance, Short- and long-term disability insurance
Paid time off
And much more!

Responsibilities:

Achieve performance appraisals with "meets expectations" or better
Maintain a good record of attendance and punctuality
No Performance management deficiencies in the period
Demonstrate independence and competence to follow Authorization Request process for all payers.
Demonstrate independence and competence to follow the Re-Authorization process
Demonstrate independence and competence to follow the Specialty process
Demonstrate independence and competence on all MOA's and therapies
Demonstrate independence and competence and ability to Authorize all services, document and communicate accurately on all changes of service, in CPR+ and to appropriate departments.
Demonstrate independence and competence and ability to work through a TO DO without the need for extended timeframes.
Demonstrates the ability to work within a team and independently with confident communication skills and exceptional customer service skills.
Completes three continuing education programs in the period specifically related to professional development, LEAN and/or leadership development.

Education:

High School Diploma, or equivalent required.
Minimum of 2 years authorization, reimbursement or claims processing experience required.
Practical experience with medical terminology; CPT, ICD-9 and HCPC coding preferred.
Practical experience with Medicare, Medicaid and third-party payor contracts preferred
Knowledge of HIPAA Privacy and Security requirements preferred.

Skills:

Excellent organizational skills required.
Basic accounting transaction/analyst skills required.
Demonstrated ability to identify research and solve problems required.
Ability to work independently as well as part of a team required.
Practical experience with Microsoft computer systems and applications, to include Word & Excel

''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.

An employer who violates this law shall be subject to criminal penalties and civil liability.''

EOE

The normal schedule is Monday – Friday from 8:30am to 5:00pm.

Quick Apply

Refine Your Search

prior authorization specialist jobs in new hampshire

Authorization Specialist

Referral/Prior Authorization Specialist - Monadnock Gastroenterology Associates - Per Diem

Admissions & Authorization Specialist Patient Access

Clinical Secretary - Radiology Lab

Finance Data Entry Clerk/Administrative Assistant

Patient Service Representative - Internal Medicine at Londonderry - Full Time

Clinical Secretary - Hanover Psychiatry

Patient Service Representative - Family Medicine at Londonderry - Full Time

Patient Service Representative - NH Neurospine - Full Time

Patient Care Coordinator / Medical Scheduler

Patient Service Representative - Float Pool - Per Diem

Patient Service Representative - Family Medicine at Bedford - Full Time

Patient Service Representative - Gastroenterology - Full Time

Medication Refill Specialist - FULL TIME

Patient Service Representative - Manchester Urology - Full Time

Patient Service Representative - Family Medicine Hooksett - Full Time

Traveling Oral Surgery Coordinator

Patient Service Representative- Internal Pediatrics at Allenstown- Full Time

Patient Service Representative - Manchester Urology Dover/Portsmouth - Part Time

Registrar

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