Average salary: $71,069 /yearly
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- NorthStar Behavioral Health is seeking a Patient Access and Authorization Specialist to join our team in Cincinnati. You will verify insurance eligibility, determine patient financial responsibility, and obtain necessary authorizations to ensure timely care and minimize...Suggested
$18 - $21 per hour
Meduit is seeking an Insurance Specialist - Prior Authorization to support hospitals and physicians remotely in the United States. The role focuses on resolving insurance processing errors and denials, ensuring accurate and timely payments, and communicating with patients...SuggestedRemote jobHourly pay$60k
...treatment providers and insurance payors, this position secures authorization to maximize reimbursement while ensuring clients receive... ...for from you? Develop and implement process for obtaining prior authorizations for client care. Develop and implement utilization...SuggestedWork at officeColeman Professional Services, Inc.
Kent, OH4 days ago- ...Verifies and documents benefit information. Requests initial authorization and meets provider’s referral requirements to ensure that optimum... ...hospital and providers will be satisfied. Obtains insurance prior authorization as needed and documents the verification of...SuggestedRemote workTrial periodFlexible hoursDay shift
$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work- ...Prior Authorization Specialist DeCoach Recovery is a leading addiction treatment center dedicated to providing compassionate care and effective solutions for individuals battling addiction. We take the time with every client to understand their needs and where they...SuggestedRemote jobCurrently hiringWork at office
$243.5k - $335k
...access to facilities with labs, radiology, physical therapy which are all useful to our patientssupport staff helping with prior authorizations for various drugs which is needed in Rheumatologywork hours are Monday to Friday, in office onlyno inpatient consultssee a variety...SuggestedFull timeWork at officeMonday to Friday- DeCoach Recovery Centre in Cincinnati, OH is seeking a Prior Authorization Specialist to obtain approvals from insurance providers before treatment or medications begin. You will review clinical documentation, submit requests, and communicate with payers to ensure coverage...SuggestedRemote job
$50k - $60k
...as a high-touch resource for members and their dependents Assist with questions regarding benefits, claims, network access, prior authorizations, prescriptions, and other healthcare concerns Build strong relationships with members, client leadership, providers, and...SuggestedFull timeWork at office- ...inpatient admissions and outpatient services requiring precertification. Ensures all scheduled outpatient services requiring prior authorization/precertification have the correct and appropriate authorizations prior to services being rendered. RESPONSIBLE TO: The...SuggestedWork at officeMonday to Friday
Wooster Community Hospital
Wooster, OH3 days ago - ...(DODD) is hiring for a Rehabilitation Program Specialist 2 to support the Medicaid Unit in Columbus, OH. This role handles prior authorizations, hearing processes, and waiver management to ensure compliant service delivery. Responsibilities include reviewing assessments...SuggestedLocal area
- ...and behavioral health services. In this role, you will verify insurance eligibility, process enrollments and renewals, secure prior authorizations, and resolve coverage issues that impact care. You will collaborate closely with clinical, billing, and front-desk teams,...Suggested
Care Alliance Health Center
Cleveland, OH4 days ago - Jewish Family Service Association of Cleveland is seeking a Benefits & Prior Authorization Specialist to join our office-based team in Ohio. The role supports hourly or full-time work schedules and focuses on managing prior authorizations, eligibility verification, and...SuggestedHourly payFull timeWork at office
- ...activities. Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and government payers. •... ...for working all outstanding held revenue related to prior authorizations for insurances assigned. • Handles all claim...SuggestedFull timeTemporary workWork at officeRemote work
Medical Services Company
Toledo, OH3 days ago - ...Prior Authorization Representative Complex Authorizations The Prior Authorization Representative will manage authorization requests for specialty medications and help ensure cases move efficiently through the insurance approval process. The ideal candidate will have...SuggestedContract workWork at officeLocal areaRemote work
$18.13 - $21.78 per hour
...Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian...Hourly payWork at officeFlexible hoursWeekend workAfternoon shiftEquitas Health
Columbus, OH3 days ago- TriHealth is seeking a Prior Authorization and Medical Records Specialist for outpatient behavioral health. This role coordinates insurance authorizations, reviews documentation, submits requests, tracks approvals, and manages denials and appeals to ensure timely patient...
- Insurance Verification and Prior Auth Specialist Ensures information obtained is complete and accurate, applying acquired knowledge... ...carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up...Work at officeLocal area
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and...Hourly payFull timeTemporary workWork at officeRemote workMonday to FridayRiverhills Neuroscience
Norwood, OH4 days ago- ...to insurance companies and government agencies, payment posting, statements and collection management, insurance denials and prior authorizations. Must be able to work independently and efficiently. The Medical Biller will work closely with the Chief Fiscal Officer to...Work at office
Service Core inc.
Youngstown, OH4 days ago $18 - $21 per hour
...effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. Title: Insurance Specialist - Prior Authorization Schedule: 8am to 4:30pm Eastern Time Zone, Monday - Friday Location: Remote Paid Training: 3 weeks Compensation: $18 - $2...Remote jobHourly payMonday to Friday$45.7k - $68.6k
...Dr. Location Shift: 1st Workstyle: 100% Onsite Career Level: 2 Job Grade: Non-Exempt-4 (NE4) Job Purpose Within authorized authority, HFCU policy, state and federal law, this position provides expertise in underwriting, structuring, documenting,...Full timeTemporary workWork experience placementWork at officeRelocation packageShift workHonda Federal Credit Union
Marysville, OHmore than 2 months ago- ...Enter and maintain patient profile information in the pharmacy system Process prescription insurance claims and assist with prior authorizations as needed Prepare home delivery packages to ensure accurate and timely delivery Notify customers when prescriptions...Full timeWork at officeWeekend workAfternoon shift
Central Ohio Compounding Pharmacy
Columbus, OH7 days ago - ...min 1 year working in a chiropractic office or medical setting Must have strong understanding of insurance verification and prior authorization processes Education: High School Diploma ***AT THIS TIME our office DOES NOT provide traditional health care coverage...Full timePart timeWork at officeLocal areaRemote workShift workAfternoon shift
MAXIMUM POTENTIAL CHIROPRACTIC
Medina, OH7 days ago - ...patients as directed via phone and EMR.Assist with applicable forms and patient paperwork (not limited to processing of referrals, prior authorizations.).All other duties as assigned.QUALIFICATIONS:To perform this job successfully, an individual must be able to perform each...Full time
Central Ohio Primary Care
Columbus, OH3 days ago - ...obtain approvals, resolve problems and maintain knowledge pertaining to new developments, requirements, and policies- Perform prior authorization/appeal functions, including execution and criteria development- Act as a preceptor for Advanced Pharmacy Practice Experiences...
- ...Patient Access and Authorization Specialist Job Description NorthStar Behavioral Health is seeking an organized and professional... ...responsibility is to verify insurance eligibility and secure prior authorizations to ensure patients receive timely care while...Hourly paySummer workMonday to Friday
The Crossroads Center
South Lebanon, OH1 day ago $97.1k - $161.9k
.... Operating as a senior individual contributor, the role earns authority through expertise and trust rather than positional reporting lines... ...market trends, payer and formulary movement, and shifts in prior-authorization volume into clear operational implications the front...Full timeRemote workShift work- ...at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all...
Careers Integrated Resources Inc
Columbus, OH3 days ago $44.09 - $78.7 per hour
...compliance, and the ability to thrive in a fast-paced environment. What You Will Do Review requests for prescription prior authorizations. Oversee the activities of pharmacy technicians, pharmacy clerks, and customer service advocates. Perform all duties...Hourly payMinimum wageFull timePart timeWork experience placementLocal areaShift workOptum
Marietta, OH5 days ago
