Prior Authorization Specialist - Coverage & Denials Expert
DeCoach Recovery Centre
DeCoach Recovery Centre is hiring a Prior Authorizations Specialist to manage insurance approvals before treatment or medications. The role is based at our Sharonville Headquarters in Cincinnati and involves reviewing clinical documentation, submitting requests, and communicating with providers and payers to ensure coverage requirements are met. Minimum qualifications include a high school diploma (associate or bachelor’s preferred) and at least 2 years in prior authorizations or revenue cycle, #J-18808-Ljbffr DeCoach Recovery Centre
- ...The Utilization Review Specialist is responsible for the authorizations and certifications process... ...status of patients, denials and appeals status to the... ...treatment.Follow up on prior authorization submissions... ...of the patient to secure coverage for needed services.Strong...SuggestedWork at office
- ...an alternative application process. Prior Authorizations Specialist Full Time Cincinnati, OH, US 9 days... ...healthcare providers and payers to ensure coverage requirements are met. The role... ...tracking requests, resolving issues and denials, and mai Minimum Qualifications:...SuggestedFull timeCurrently hiringWork at office
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care.... ...botulinum toxin procedures Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/...SuggestedHourly payFull timeTemporary workWork at officeRemote workMonday to Friday- The Christ Hospital Health Network in Cincinnati is seeking a Radiologic Technologist to operate imaging equipment and produce diagnostic-quality radiographs for radiologist interpretation. You will work independently with minimal supervision in a fast-paced hospital setting...Suggested
- Capgemini Engineering is seeking an experienced Veeva Application Support Engineer to manage and support Veeva platform applications across global manufacturing sites. The role ensures high system availability, regulatory compliance, and a seamless user experience while...Suggested
- A reputable healthcare company in Cincinnati is seeking an Inpatient Coding Specialist to ensure accurate coding and productivity targets. Candidates must have AHIMA or AAPC certification and at least two years of experience in an acute care setting, with expertise in...
- ...NewVista family, is seeking a detail-oriented Accounts Receivable Specialist to join our growing healthcare transportation team in... ...billing, insurance claim follow-up, collections, payment posting, denial management, and reconciliation, collaborating with hospitals and...
- Prior Authorization Specialist (Certified Medical Assistant or Pharmacy Technician) TriHealth Corporate Office... ...Review Prior Authorization denials and communicate reasons for denial to... ...patients Serve as a subject matter expert for drug formularies and the prior authorization...Full timeWork at officeDay shift3 days per week
- Jobtailor is seeking a skilled Customs Brokerage specialist in Kentucky to handle CBP transactions, manage entries, and ensure regulatory compliance. The role requires 2-3 years of brokerage experience, relevant licenses or certifications preferred, and strong documentation...
- A logistics organization is seeking a Domestic Operations Specialist to manage full-cycle freight operations emphasizing FTL and LTL. Candidates must have at least 2 years of brokerage or 3PL operations experience, strong negotiation skills, and a detail-oriented mindset...Full time
$18 per hour
Riverhillsneuro in Cincinnati is seeking a Prior Authorization Specialist to streamline billing processes and ensure compliance with insurance requirements. The role includes coordinating with insurance entities and facilitating peer-to-peer reviews. Ideal candidates have...Hourly pay- Riverhills Neuroscience is seeking a Prior Authorization Specialist to support the Billing department in Norwood. The role requires 1-2 years of medical billing and prior authorization experience, with EMR and insurance guideline knowledge. The schedule is hybrid, with...Work at officeRemote work
- Join to apply for the Specialist Registration-PRN role at St. Elizabeth... ...in the account to minimize denials. For outpatient exams, completes... ...efficient knowledgeable coverage as needed. Relocates to other... ...community knowledge in a new way. Experts add insights directly into...Part timeReliefWork at officeRelocationMonday to FridayDay shiftAfternoon shift
- TriHealth is seeking a Prior Authorization Specialist (Certified Medical Assistant or Pharmacy Technician) to support the PA process across the health system. The role focuses on verifying insurance, managing formulary reviews, and coordinating with patients, prescribers...
- Home Modification Specialist Company: CareStar, Inc. Location: Ohio Job Type: Full Time Industry: Healthcare / Social... ...as needed regarding the request. Completes denials for requests not meeting criteria for coverage. Initiates bid process for requests meeting criteria...Full timeWork at officeLocal areaRemote workWork from home
- Gravity Diagnostics is seeking an RCM Specialist I to own the process of gathering and reviewing claim information to guarantee accurate and timely submissions. You’ll work closely with billing and clinical teams to resolve discrepancies and ensure reimbursement is maximized...
- ...care in a convenient setting. Role Summary The Registration Specialist supports a seamless perioperative experience by... ...Register patients accurately, verifying demographics, insurance, prior authorizations and required documentation Collect copayments and input patient...Full timeMonday to Friday
- ...including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid... ...StatementsApplicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a...Full timeLive inWork at officeLocal area
- ...and determines which payer to enter in the account to minimize denials. For outpatient exams, completes an estimate of charges to determine... ...to other Registration areas to ensure efficient knowledgeable coverage as needed. Relocates to other locations as needed per patient...Work at officeRelocation
- ...visit . Job Title: RCM Medical Coding Specialist SUMMARY The Medical Coding Specialist... ...Perform edit checks on data entered prior to transmittal and corrects errors as indicated... ...Collaborate with RI Specialists and the Denials team on reviewing state and federal...Full timeWork at office
- ...including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid... ...StatementsApplicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a...Full timeLive inWork at officeLocal area
$126k - $150k
...Liability Division is looking for a Senior Production Underwriting Specialist to join their team. Great American’s culture is built on... ...business goals.Maintains a high level of customer service.Analyzes coverage and limit requests and decides what terms to offer.Prices...Full timePart timeSeasonal workWork at officeRemote workNight shift$68.91k - $150.35k
...cars to life-saving robots, our digital and software technology experts think outside the box as they provide unique R&D and... ...holidays, Personal Days, Sick Leave Medical, dental, and vision coverage (or provincial healthcare coordination in Canada) Retirement savings...Full timeLocal area- ...eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future... ...-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and...Full timePart timeSeasonal workWork at officeRemote work
$17 - $18.15 per hour
...The Opportunity: We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting... ...Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound...Full timeWork at officeWeekend work$15 - $17.5 per hour
...customer experience by providing expert photo services, digital... ...and services to ensure adequate coverage and operational continuity during times when the Photo Specialist is not scheduled. Follows company... ...environment. Prefer to have prior work experience with Walgreens...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift- ...cultures. Senior Environmental Health & Safety Specialist: Blue Ash, OH Allegion’s Steelcraft... ...(MS Outlook, Word, Excel, and Access). Prior EHS experience within Manufacturing or... ...Us Health, dental and vision insurance coverage, helping you “be safe, be healthy”. A commitment...For contractorsWork experience placementLocal areaShift work
- ...SpecialistNecco has an opportunity for a career as an Initial Licensing Specialist. This position will add value to the company by leading,... ...in the human services field100/300/100 Auto Insurance Coverage and Valid Driver's licenseExperience with TrainingExcellent Computer...Local areaWeekend work
- ...Necco has an opportunity for a career as an Initial Licensing Specialist. This position will add value to the company by lead, manage and... ...in the human services field 100/300/100 Auto Insurance Coverage and Valid Driver’s license Experience with Training Excellent...Local areaWeekend work
$18.65 - $19.9 per hour
...OH.The Senior Patient Access Specialist is responsible for... ...registration of patient accounts prior to patient visits. This may... ...admission, billing, payments and denials. Comprehensive knowledge of... ...insurance process for obtaining authorizations and benefits verification....Work at officeLocal areaRemote work
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