Top 27 Prior authorization specialist Jobs in Robinson Township, Pa

Benefit Investigation Specialist
ConnectiveRx —Pittsburgh, PA
- $15.26 - $22.00 an hour
- Full-time
- Sales
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
PRE-AUTHORIZATION SPECIALIST - DIAGNOSTIC IMAGING
Tri-State Orthopaedics —Pittsburgh, PA
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
- Free parking
- Profit sharing
Quick Apply
5d
Reimbursement Specialist
JKElevenEleven —Pittsburgh, PA
- $20 - $30 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid training
- Health insurance
Quick Apply
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Pittsburgh, PA
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Pharmacy Clinical Review Specialist, Rx Partners
UPMC —Bridgeville, PA
- $20.20 - $32.01 an hour
- Full-time
- Mid-level
- Microsoft Office
- High school diploma or GED
Pharmacy Prior Authorization Specialist l Onsite - Pittsburgh
Blink Health —Pittsburgh, PA
- 12 hour shift
- Office
- High school diploma or GED
- Analysis skills
- Free parking
- Commuter assistance
Quick Apply
Benefits Customer Service Representative
Beacon Hill Staffing Group —Robinson Township, PA
- $19.00 - $20.90 an hour
- Full-time
- Computer literacy
- Military encouraged
- Fair chance
- Dental insurance
- Vision insurance
Quick Apply
3d
Referral Specialist
METRO COMMUNITY HEALTH CENTER —Pittsburgh, PA
- Full-time
- Writing skills
- Mid-level
- Office
Quick Apply
11d
Prior Authorization Supervisor
House Rx —Pittsburgh, PA
- Supervising experience
- Neurology
- Mentoring
- Dental insurance
- Paid time off
Quick Apply
Charge Processing Specialist- Part-time, McCandless
UPMC —Pittsburgh, PA
- $18.79 - $28.03 an hour
- Part-time
- Medical office experience
- Internal Medicine
- Mid-level
2d
Claims Processing Specialist - Tarentum, PA
Blackburn's Physicians Pharmacy, Inc. —Tarentum, PA
- Full-time
- Computer literacy
- Mid-level
- Office
- Profit sharing
- Paid holidays
Quick Apply
Patient Access Specialist/Front Office (PRN/Casual Night Shift)
AHN Neighborhood Hospital —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Desk (PRN/Casual Night Shift)
AHN Neighborhood Hospital —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Office (PRN/Casual Night Shift)
Emerus —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Desk (PRN/Casual Night Shift)
Emerus —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Senior Specialist, Patient Access
Ensemble RCM LLC —Pittsburgh, PA
- $18.65 - $19.90 an hour
- Full-time
- Management
- Customer service
- Mid-level
- Tuition reimbursement
Dental Patient Access Specialist
METRO COMMUNITY HEALTH CENTER —Pittsburgh, PA
- Extended hours
- CPR Certification
- BLS Certification
- English
- Paid parental leave
- Paid holidays
Quick Apply
Front Office Coordinator, Part-Time - Pittsburgh (Point Breeze), PA
Pivot Physical Therapy —Pittsburgh, PA
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Employee assistance program
- Employee discount

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Benefit Investigation Specialist
ConnectiveRx —Pittsburgh, PA
Connect with Payers and Pharmacy Benefit Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy benefits.
$15.26 - $22.00 an hour
Benefits Customer Service Representative
Beacon Hill Staffing Group —Robinson Township, PA
Make outbound phone calls to verify patient insurance coverage. Beacon Hill offers a robust benefit package including, but not limited to, medical, dental,…
$19.00 - $20.90 an hour
Quick Apply
3d

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Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
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Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
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Benefit Investigation Specialist

ConnectiveRx -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$15.26 - $22.00 an hour

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED

Full Job Description

Overview:

Being on medication is tough enough. We want to make getting it the easy part. Getting prescriptions to patients has become increasingly complex. When things get messy along the prescription journey, pharmaceutical manufacturers rely on us to untangle the process and create a clear path—allowing patients to build trusting relationships with their medication brands.

We’re not only committed to taking the pain out of the prescription process, but we’re also devoted to bringing the brightest minds together under one roof. We bring together diverse voices—engineers, pharmacists, customer service veterans, developers, program strategists and more—all with one vision. Each perspective and experience makes ConnectiveRx better than the sum of its parts.

Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage options for retail and specialty medications.

Responsibilities:

Connect with Payers and Pharmacy Benefit Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy benefits.
Communicate case details to relevant internal or external parties, fostering effective collaboration.
Identify potential mechanisms for quick access to therapy by recognizing any payer coverage restrictions.
Showcase your ability to contribute effectively, whether working independently or in small workgroups.
Meet production and time completion goals with a focus on maintaining high-quality customer service standards in accordance with federal and state regulations.
Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail.
Participate in special projects and embrace additional duties as required, contributing to a dynamic work environment.
Maintain a comprehensive repository of payer or brand-specific coverage information.
Engage in training and process improvement initiatives to enhance your professional growth.

Qualifications:

A high school diploma or equivalent is required; a Bachelor's degree is preferred.
Minimum of 2 years of experience in customer service, insurance, benefits, marketing, sales, or a related area is required, or a Bachelor's degree with one year of relevant experience.
Preferred experience in a healthcare environment focusing on third-party benefits verification.
Understanding of commercial insurance concepts, including coverage policies, major medical benefits, and knowledge of government and patient assistance programs.
Highly proficient in computer skills, including Microsoft tools, working from dual monitors, etc.
Strong email correspondence and personal documentation skills.
Fundamental analytic and problem-solving skills with excellent time management.
Demonstrated professional customer service experience with high attention to detail.
Be a critical thinker who is adaptable and results-driven.

Compensation & Benefits: Compensation for this role varies based on factors such as location, relevant skills, experience, and capabilities.

Employees at ConnectiveRx can enroll in comprehensive benefit plans, including medical, dental, vision, life, and disability insurance. The company retains the right to update or modify health, welfare, and other fringe benefit policies. Employees may also participate in the company's 401(k) plan.

Time-Off & Holidays: ConnectiveRx provides paid time off (PTO) to non-exempt employees for vacations and personal leave. For sick leave, eligible non-exempt employees receive Sick Time Off (STO) in accordance with company policy. PTO and STO are prorated during the first year of service. Employees also receive eight standard company holidays and three floating holidays annually, with floating holidays prorated in the first year.

The company is committed to maintaining competitive benefits and reserves the right to adjust employee offerings, including PTO, STO, and holiday policies, in compliance with applicable laws and regulations.

Posted Salary Range: USD $15.26 - USD $22.00 /Hr.

Apply Now

Refine Your Search

prior authorization specialist jobs in robinson township, pa

Benefit Investigation Specialist

PRE-AUTHORIZATION SPECIALIST - DIAGNOSTIC IMAGING

Reimbursement Specialist

Prior Authorization Certified Pharmacy Technician

Pharmacy Clinical Review Specialist, Rx Partners

Pharmacy Prior Authorization Specialist l Onsite - Pittsburgh

Benefits Customer Service Representative

Referral Specialist

Prior Authorization Supervisor

Charge Processing Specialist- Part-time, McCandless

Claims Processing Specialist - Tarentum, PA

Patient Access Specialist/Front Office (PRN/Casual Night Shift)

Patient Access Specialist/Front Desk (PRN/Casual Night Shift)

Patient Access Specialist/Front Office (PRN/Casual Night Shift)

Patient Access Specialist/Front Desk (PRN/Casual Night Shift)

Senior Specialist, Patient Access

Dental Patient Access Specialist

Front Office Coordinator, Part-Time - Pittsburgh (Point Breeze), PA

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