Average salary: $119,085 /yearly
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- ...Performs registration, pre-registration, scheduling and rescheduling procedures. Verifies eligibility and obtains or verifies prior authorization was obtained for service(s). Verifies patient's demographics and accurately inputs the information into the registration and/...SuggestedReliefWork at office
Western Reserve
Cuyahoga Falls, OH2 days ago - ...This is a temporary position without guarantee of conversion to full-time employment. Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies...SuggestedFull timeTemporary workFlexible hoursDay shift
Nationwide Children's Hospital
Columbus, OH2 days ago - A prominent educational institution in Columbus, Ohio, is seeking a Prior Authorization Coordinator to manage complex denials in the oncology department. Responsibilities include providing clinical education to payers, supporting clinicians with evidence-based therapies...SuggestedFull time
- ...leading university healthcare provider is seeking a Clinical Financial Case Manager in Columbus, Ohio. The role involves managing prior authorization submissions and collaborating with clinical teams. Candidates must be certified pharmacy technicians with a strong background...Suggested
- A healthcare facility in Cincinnati seeks an experienced professional to ensure seamless patient care by obtaining prior authorizations from insurance payors for procedures and hospital admissions. The role requires a High School diploma and 1-2 years of experience in...Suggested
$18 - $21 per hour
A healthcare revenue cycle management agency is seeking a Remote Insurance Specialist - Prior Authorization. This role involves resolving insurance processing errors, managing claims, and ensuring timely payments. Ideal candidates should have experience in denials management...SuggestedRemote jobHourly pay- ...is seeking an Insurance & Intake Coordinator, also known as an Infusion Guide. The role involves coordinating referrals and prior authorizations to ensure high-quality patient care. Candidates should have healthcare experience, particularly in infusion and insurance approvals...SuggestedFull time
- ...verification for patients with medical or auto insurance as well as authorizations. Essential Job Functions: Greets, screens,... ...system according to physician and office protocol. Obtain prior authorization for patients and verify all insurance based on patient...SuggestedFull timeWork at office
OrthoCincy
Cincinnati, OH4 days ago $18 - $21 per hour
Insurance Specialist - Prior Authorization (Remote) - Eastern & Central Timezones Pay or shift range: $18 USD to $21 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location,...SuggestedRemote jobHourly payShift work$19.39 - $24.19 per hour
A healthcare organization in Columbus is seeking a candidate to manage Prior Authorization calls and triage case creations. Responsibilities include following scripts, logging results, and performing data entry tasks. A High School Diploma is required, with preference given...SuggestedRemote jobHourly payWork at office- ...on insurance and administrative pharmacy tasks. What You’ll Do Verify insurance coverage for patient prescriptions Process prior authorizations and refill requests Communicate with providers and pharmacies regarding missing details Update patient profiles and prescription...SuggestedRemote job
- ...identified service providers. Stays current on insurance company policies and procedures, and any changes as applicable to prior authorization and/or organizations that are considered in-network and are accepting referrals. Serves as an available point of contact...Suggested
- ...no call Infusion center in Cancer Center on main campus in Gallipolis Access to Holzer specialty pharmacy assists with prior authorizations In-office pharmacist for patient education and prior authorizations Opportunity to work with residents and medical...SuggestedWork at officeRelocation package
Holzer Health System
Gallipolis, OH3 days ago - ...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...Suggested
Careers Integrated Resources Inc
Columbus, OH3 days ago - ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband UVB...SuggestedWork at officeLocal area
PhyNet Dermatology LLC
Mason, OH10 hours ago - ...Lights potential admissions Collaborate with neighborhoods/Communities on determination of Yellow lights Obtain prior authorization for Managed Care or confirm 3 day QHS for MCR. Ensure the Long term Care workflow is being followed Obtain 7000 or...Work at officeImmediate startRemote workFlexible hoursWeekend work
Otterbein Senior Life
Lebanon, OH3 days ago - ...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...Full timeMonday to FridayNight shift
$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...Work at office- ...pharmaceutical/medical sales. Preferred specialty sales experience calling on pediatrics and psychiatrist. Knowledge of working with prior authorizations/steps as well as pharmacy pull-through is also preferred. Must be authorized to be employed in the United States and must...Flexible hours
Alora Pharmaceuticals, LLC
Cleveland, OH10 hours ago $25 per hour
...and work 8am -4:30pm., and may float between centers as needed. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations. The Infusion Guide role is perfect for those wishing to remain at the forefront of...Full timeTemporary workWork at officeLocal areaFlexible hours- ...building a general neurology practice at Marion General Hospital Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Advanced Practice Provider support Position offers a mix...Full time
OhioHealth
Marion, OH4 days ago $53 per hour
...D members and providers in a fast-paced, high-volume, production-driven environment. This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting. As a Clinical Pharmacist Advisor, you will review...Full timeContract workRemote workMonday to FridayFlexible hoursShift workA-Line Staffing Solutions
Columbus, OH3 days ago- ...anticipate at least 50% of volume would come from headache patients. Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Majority outpatient position with some inpatient coverage....
OhioHealth
Pickerington, OH3 days ago - ...building a general neurology practice at Mansfield Hospital Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Advanced Practice Provider support No stroke call is required...Work at office
OhioHealth
Mansfield, OH2 days ago $30.39 - $52.27 per hour
...departmental standing orders. Triage phone calls Medication refills Ensures documentation of care is complete and accurate Completes prior authorizations for medications and procedures Administers injections Assists providers with pump refills and injections Provides health and...Full timeWork experience placementLocal areaShift workCarle Health
Urbana, OH2 days ago$30.39 - $52.27 per hour
...Provide patient education through nurse visits, including annual wellness visits & chronic disease education/follow up. Obtain prior authorizations for patient visits, medications and referrals Assist with team huddles Scheduling appointments as needed Mentoring/...Full timeWork experience placementLocal areaShift workCarle Health
Urbana, OH1 day ago- ...healthcare navigation organization in Dublin, OH is seeking an RN for the Pre-Certification role. Responsibilities include managing prior authorization processes, coordinating patient care services, and working closely with clinical teams. Candidates must hold an active RN...Full time
- ...The ideal candidate will have retail pharmacy technician experience, active licensure in Ohio, and proficiency in processing prior authorizations. Responsibilities include liaising between patients, providers, and pharmacies to facilitate excellent prescription access...Full time
- A prominent medical center in Columbus, Ohio, seeks a Pharmacy Authorization Coordinator to oversee prior authorization submissions and communicate with clinical staff. The candidate must hold an active Ohio Pharmacy Technician certification and ideally possess a degree...
- ...nursing services to clients with severe mental health disabilities. Responsibilities include medical case management, obtaining prior authorizations, and coordinating client care. The ideal candidate has a graduate degree from an accredited nursing school and experience in...
