Prior Authorization Specialist / Remote
BrightSpring Health ServicesNew Hyde Park, NY, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
- serp_jobs.filters.remote
job_description.job_card.job_descriptionCollaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions. Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols. Knowledgeable to perform all PA functions. High School Diploma or GED or licensed / registered pharmacy technician or previous experience in Pharmacy 1+ years pharmacy experience Pharmacy or healthcare-related knowledge Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand / generic names of medication Basic math and analytical skills Intermediate typing / keyboard skills
Prior Authorization Specialist / Remote
Job Locations
US-NY-NEW HYDE PARK
ID
2025-175519
Line of Business
Amerita
Position Type
Full-Time
Pay Min
USD $26.00 / Yr.
Pay Max
USD $34.00 / Yr.
Our Company
Amerita
Overview
This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.
Schedule : (Remote)
Monday - Friday
8 : 30am - 5 : 00pm
- Competitive Pay
- Health, Dental, Vision & Life Insurance
- Company-Paid Short & Long-Term Disability
- Flexible Schedules & Paid Time Off
- Tuition Reimbursement
- Employee Discount Program & DailyPay
- 401k
- Pet Insurance
Responsibilities
Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
Qualifications
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Additional Job Information
Percentage of Travel : 0-25%
Salary Range
USD $26.00 - $34.00 / Year
serp_jobs.job_alerts.create_a_job
Prior Authorization Specialist • New Hyde Park, NY, United States
Job_description.internal_linking.related_jobs
Medical company has temp opening for Authorization Coordinator.Knowledge of Medicare coverage and Medicaid coverage.Experience setting up or assigning authorizations for revie.Proficient in MS Offi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
A company is looking for a Precertification and Authorization Representative-Remote.Key Responsibilities Resolve referral, precertification, and prior authorization for various payors in hospital...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Resolution Specialist to manage complex claims and provide strategic recommendations.Key Responsibilities Conduct detailed analysis to investigate claims exposur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an AR Follow Up Specialist to manage unresolved insurance claims and ensure timely payments.Key Responsibilities Follow up on unresolved claims and check claim status wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less A company is looking for a Refund Specialist who will focus on reviewing and printing patient and insurance refunds.Key Responsibilities Review and print accounts that are in a credit balance for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Senior Subrogation Specialist.Key Responsibilities Analyze coverage and settle moderately complex claims in specialty areas Conduct thorough analysis and investigation...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Resolution Specialist who will manage borrower complaints and provide support for complaint resolution.
Key Responsibilities Monitor and track borrower complaints across...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Spec Authorization Specialist.Key Responsibilities Verify patient insurance coverage and submit prior authorizations in a timely manner Follow up on pending authorizat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Central Authorization Specialist to facilitate insurance authorizations for procedures and post-operative care.
Key Responsibilities Procure and validate insurance autho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Pre Registration Specialist.Key Responsibilities Confirm relevant patient information prior to service and discuss patient liabilities Ensure accurate registration dat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
ONET Systems, LLC is a leading Revenue Cycle Management organization dedicated to providing exceptional service to our clients.
We are committed to delivering high-quality services and innovative so...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for an Insurance Specialist I - REMOTE.Key Responsibilities Verify insurance eligibility and benefits for scheduled and unscheduled services Calculate and communicate the pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
An employer is looking for a highly skilled remote Prior Authorization Audit Specialist to join one of our largest national healthcare clients for a contract through the end of the year.At this tim...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Patient Access Specialist, Part-time, Days (Remote - Must reside in IL, IN, IA, or WI).Key Responsibilities Provide exceptional customer service and maintain patient co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Eligibility Verification Specialist.The Office of Revenue Management and Development (ORMD) / The Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify system enhanceme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an Arbitration Specialist - Formal No Surprises Act.Key Responsibilities Analyze claim reports to determine claims eligible for arbitration Prepare claims for submission...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Authorization Coordinator
Phaxis - Support ServicesNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Precertification Representative
VirtualVocationsFlushing, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Resolution Specialist
VirtualVocationsFlushing, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Border Patrol Agent
U.S. Customs and Border ProtectionGreenlawn, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
A / R Follow Up Specialist
VirtualVocationsNew York, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Seasonal Tax Expert - Local
IntuitClifton, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Refund Specialist
VirtualVocationsStaten Island, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Subrogation Specialist
VirtualVocationsStaten Island, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Resolution Specialist
VirtualVocationsFlushing, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Authorization Specialist
VirtualVocationsJackson Heights, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Central Authorization Specialist
VirtualVocationsFlushing, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Pre-Registration Specialist
VirtualVocationsFlushing, New York, United Statesserp_jobs.job_card.full_time
Pre-Authorization Specialist
Onet-SystemsNew Hyde Park, NY, USAserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Insurance Specialist I
VirtualVocationsNew York, New York, United Statesserp_jobs.job_card.full_time
Remote Prior Authorization Audit Specialist
MediabistroNew York, NY, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Specialist
VirtualVocationsJamaica, New York, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
ELIGIBILITY VERIFICATION SPECIALIST
City of New YorkNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Arbitration Specialist
VirtualVocationsNew York, New York, United Statesserp_jobs.job_card.full_time