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Remote Insurance Prior Authorization Jobs in New York

US Fertility

Financial Educator Remote

Manhattan, NY · On-site +1

$23 - $28/hr

Perform aspects of benefit verification and prior authorization * Provide ongoing financial ... Maintain patient accounts by obtaining, recording, and updating personal financial and insurance ...

Shields Health Solutions

Clinical Pharmacist

New York, NY · On-site +1

$129K - $154K/yr

... for prior authorization approvals and development of care plan recommendations. * Develop and ... Identifying and resolving insurance related issues, recognizing situations where financial ...

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Remote Insurance Prior Authorization information

What is the difference between Remote Insurance Prior Authorization vs Remote Insurance Claims Processor?

AspectRemote Insurance Prior AuthorizationRemote Insurance Claims Processor
Required CredentialsInsurance knowledge, certification preferredClaims processing experience, basic insurance knowledge
Work EnvironmentOffice or remote, healthcare or insurance companiesRemote, insurance companies or third-party administrators
Employer & Industry UsageHealth insurance, healthcare providersInsurance carriers, third-party payers
Common Search & ComparisonYesNo

Remote Insurance Prior Authorization involves obtaining approval from insurance companies before services are provided, ensuring coverage. Remote Insurance Claims Processors handle the submission and management of claims after services are rendered. While both roles require insurance knowledge and often work remotely within the insurance industry, they focus on different stages of the insurance process, making them distinct but related positions.

What are the most commonly searched types of Insurance Prior Authorization jobs in New York?

The most popular types of Insurance Prior Authorization jobs in New York are:

Remote Insurance Prior Authorization jobs near you

Remote Billing Representative_Third Party

SpecialtyRx, Inc.

Ridgefield Park, NJ • Remote

$19 - $25/hr

Full-time

Posted 23 days ago

SpecialtyRx rating

6.4

Company rating: 6.4 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

69th of 113 rated pharmacies

Job description

SpecialtyRx is a full-service pharmacy. We need Remote Billing Representative with Third Party Rejections experience in our Ridgefield Park, NJ location.

Must have experience with LTC Pharmacy Third Party Billing Rejections


Hours we are Flexible:

8am - 4pm

9am - 5pm

11am - 7pm

12pm - 8pm

3pm - 11pm

4pm - 12am

Must be able to train for 3 weeks onsite
Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch
Billing Representative Responsibilities:
  • Perform duties assigned by the Billing Supervisor.
  • Research and establish patient eligibility coverage with insurance providers (state and private)
  • Determine and process insurance rejections by the daily report.
  • Maintain and update patient billing and insurance information in the system.
  • Submit prior authorizations for State insurance.
  • Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
  • Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
  • Follow up and resolved pending billing issues.

Billing Pharmacy Representative Requirements:
  • H.S. diploma or equivalent.
  • Courteous and polite phone skills.
  • Computer literate.
  • Ability to work nights and weekends.
  • Previous experience in Retail pharmacy is a must.
  • Previous experience in Third Party Rejections Billing is a must.
  • Experience in Long Term Care Pharmacy. (Preferred)
  • Must be able to work independently and as a team.
  • The ability to multitask and work in a fast-paced environment is a must.
  • Experience in New York Pharmacy billing claims. (Preferred)
  • Frameworks/ECM knowledge is a plus.
  • Must be detail-oriented.
EEO Statement:
Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.
EO/Minorities/Females/Disabled/Veterans

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