• Referral & Prior

    Saratoga Hospital (Saratoga Springs, NY)
    Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga ... people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
    Saratoga Hospital (11/06/25)
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  • Medical Referral Coordinator and Insurance…

    University of Connecticut (UConn) (Storrs, CT)
    …Student Health and Wellness on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and ... provide assistance in carrying out the accurate and timely pre- authorization / authorization of insurance coverage and benefits for students requiring diagnostic… more
    University of Connecticut (UConn) (10/04/25)
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  • Prior Authorization

    Select Medical (West Orange, NJ)
    …Institute for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations Specialist ( RN ... **Job ID** _339844_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
    Select Medical (08/23/25)
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  • Prior Authorization

    Polaris Pharmacy Services, LLC (Covina, CA)
    Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccines + Employee referral bonus… more
    Polaris Pharmacy Services, LLC (11/19/25)
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  • Referrals and Prior Authorization

    LaSante Health Center (Brooklyn, NY)
    LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless ... to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding... requests for insurance and guiding patients through the referral process. This position offers the opportunity to be… more
    LaSante Health Center (11/19/25)
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  • Pre- Authorization Specialist 1

    Rush University Medical Center (Chicago, IL)
    Authorization Specialist I is responsible for obtaining and resolving referral , precertification, and/or prior authorization to support insurance ... outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may...that is required for the payer to issue a referral or an authorization . Per referral more
    Rush University Medical Center (10/22/25)
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  • Authorization Specialist

    UPMC (Pittsburgh, PA)
    Join Our Team as an Authorization Specialist - Make a Real Impact Every Day! Are you passionate about ensuring that patients receive the care they need? Do you ... you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center!...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
    UPMC (11/05/25)
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  • Authorization Specialist , Digestive…

    UPMC (Pittsburgh, PA)
    UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
    UPMC (11/12/25)
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  • Authorization Specialist

    UPMC (Steubenville, OH)
    …to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist , you will play a vital...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
    UPMC (11/13/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
    UPMC (10/23/25)
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  • Referral Specialist Womens Health…

    Banner Health (Phoenix, AZ)
    …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... prenatal care, delivery, gynecological care, and more. As a ** Referral Specialis** t at this clinic, you will be...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior more
    Banner Health (11/19/25)
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  • Prior Authorization Technician…

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …FL Remote Type Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris ... we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccine + Employee referral bonus… more
    Polaris Pharmacy Services, LLC (11/05/25)
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  • Referral Specialist

    Catholic Health Initiatives (Omaha, NE)
    **Job Summary and Responsibilities** The Referral Specialist is responsible for scheduling and monitoring internal and external referrals from PE department(s) ... documentation is routed back to the referring clinician. The Referral Specialist works across various care teams...with clinic staff and revenue cycle staff to validate pre- authorization for referred services prior to the… more
    Catholic Health Initiatives (11/19/25)
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  • Referral Specialist

    ConnextCare (Pulaski, NY)
    Referral Specialist , Pulaski Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description + Secure required insurance ... authorization prior to the patients scheduled appointment... referrals and provide notification to patient + Provide specialist with appropriate documentation to support the referral more
    ConnextCare (11/13/25)
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  • Contact Center Referral Specialist

    Intermountain Health (Denver, CO)
    …related to upcoming visit with Intermountain providers or scheduled procedures prior authorization requirements. Coordinates provider peer to peer interactions ... **Job Description:** The Referral Representative processes insurance pre- authorization for...company representatives or their contracted review organizations to ensure prior approval requirements are met. Presents necessary medical information… more
    Intermountain Health (11/14/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative, with oversight ... of data and compliance to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (10/16/25)
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  • Referral Specialist Oncology…

    McLaren Health Care (Lansing, MI)
    …practices per provider request. Ensures that patients receive information regarding their referral prior to their scheduled appointment with the external ... provider. Ensures that all new patient records are received prior to the initial scheduled visit to the clinic. Processes proper insurance authorizations prior more
    McLaren Health Care (11/04/25)
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  • Assessment and Referral Coord

    UnityPoint Health (Moline, IL)
    … and Prior Auth Mgmt + Shift: Monday-Friday + Job ID: 174269 Overview Referral Specialist Monday-Friday 8:00AM-5:00PM Full Time Benefits As a Referral ... within our healthcare ecosystem. You will be entrusted with overseeing the entire referral process, ensuring a smooth transition from the initial receipt of the … more
    UnityPoint Health (11/15/25)
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  • Home Modification Specialist

    AmeriHealth Caritas (Philadelphia, PA)
    …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information… more
    AmeriHealth Caritas (10/29/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Schenectady, NY)
    …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Description POSITION DESCRIPTION: This position will serve as a Program Operations Specialist 1 (POS1) for the division of Service Access, Program Implementation,… more
    New York State Civil Service (11/14/25)
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