Average salary: $84,907 /yearly
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$37k - $52k
...works across multiple payer portals and EHR systems, confirms authorizations, and calculates patient financial responsibility so every account... ...across commercial, Medicare, Medicaid, and managed care plans prior to service Document benefit details, including copays,...SuggestedHourly payFull timeMonday to FridayTalentLNX
Columbus, OH3 days ago- ...Job Description Job Description Intake & Prior Authorization Coordinator – Home Health Fraternal Health Care LLC is seeking a motivated, organized, and dependable Intake & Prior Authorization Coordinator to join our growing Home Health team. If you are a healthcare...SuggestedWork at officeFlexible hours
Fraternal health care llc
Cleveland, OH28 days ago - ...eligibility and benefits information to support accurate intake, authorization, and billing processes. This role focuses on analyzing... ...information against source systems to ensure accuracy and completeness prior to authorization, service delivery, or billing. Issue...SuggestedFull timeTemporary workWork at officeRemote work
Medical Services Company
Cleveland, OH2 days ago - ...specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred • Previous prior authorization and appeals experience highly desired # of Positions: 2 Location: Lewisville, TX 2730 S Edmonds Ln...SuggestedFull timeContract workRemote work
Mindlance
Dublin, OH5 hours agonew $19 - $22 per hour
...in Ohio will be considered. Key Responsibilities: Review case and insurance coverage information to customize the prior authorization request to the insurance company or physician's office. Navigate through payer portals to initiate/obtain prior authorization...SuggestedHourly payWork at officeRemote workQuadax
Cleveland, OH3 days ago- ...Precertification Specialist Columbus Oncology and Hematology Associates is currently searching for a talented individual to join our prior authorization team located in Dublin. This position will be onsite at our Dublin business location, with the option for a hybrid schedule...SuggestedWork at office
Columbus Oncology & Hematology
Dublin, OH3 days ago - ...activities. Responsibilities and Duties Initiates renewal authorization requests with insurance companies and government payers.... ...Responsible for working all outstanding held revenue related to prior authorizations for insurances assigned. Handles all claim denials...SuggestedFull timeTemporary workWork at officeRemote work
Medical Services Company
Toledo, OH3 days ago - ...Summary:When ProMedica patients prepare for orthopaedic surgeries and injections, the Pre-Certification Specialist performs prior authorization and certification for the services with payers. You will have a general understanding of coding for surgeries and injections...SuggestedFull timeWork at officeFlexible hours
ProMedica
Toledo, OH3 days ago $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$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 FridayCleveland Clinic
Akron, OH2 days ago- ...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, OH4 days ago - ...working in a medical office. Job duties include rooming patients, taking vitals, giving IM injections, urine dips, EKG's, prior authorizations, documenting into the EMR system as well as helping answering phones. Must have good customer service, be a team player...SuggestedWork at officeMonday to Friday
Diley Medical Group LLC
Canal Winchester, OH4 days ago - ...Job Description Job Description We are looking for an Insurance Referral Coordinator to support prior authorization activities for prescription therapies and related healthcare services in Blue Ash, Ohio. This Long-term Contract opportunity is ideal for someone who...SuggestedLong term contract
Robert Half
Cincinnati, OH4 days ago - ...Navigates electronic health record systems, schedules and follows up on appointments, and assists with medication requests, prior authorizations, and scheduling tests, procedures, and consults. Communicates respectfully with pharmacies, insurance companies, patients, and...SuggestedPart timeReliefInternship
King's Daughters Medical Center
Jackson, OH4 days ago - ...within the oncology practice. You will review insurance coverage, estimate patient financial responsibility, and coordinate prior authorizations to ensure access to cancer treatment. The role involves assisting patients with forms, payment plans, and assistance programs...Suggested
- ...1 to verify benefits and secure precertifications for outpatient and inpatient services. This role supports coordination of prior authorizations, referrals, and predeterminations across the health system. Responsibilities include communicating with patients and families...Remote job
$60k
...treatment providers and insurance payors, this position secures authorization to maximize reimbursement while ensuring clients receive... ...looking for from you? Develop and implement process for obtaining prior authorizations for client care. Develop and implement utilization...Work at officeFlexible hours- ...Nursing)Your Role:Obtains pertinent vital signs and interim history prior to appointments.Assist with obtaining all lab orders for... ...prescriber.Orders medical supplies as necessary.Complete prior authorizations.Generates, submits and reviews all relevant documentation in a...Interim roleWork at officeLocal area
NewPath Child & Family Solutions
Cincinnati, OH1 day 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, OH22 days ago $22 per hour
...Description Fully Remote Certified Pharmacy Technician As a Certified Pharmacy Technician, you will evaluate and authorize approval of commercial prior authorization pharmacy requests from prescribers using clinical criteria in a call center environment. Responsibilities...Remote jobContract workTemporary workWork at officeShift workActalent
Westerville, OH2 days ago$25 per hour
..., with a schedule of Monday to Friday, 8:00 a.m. - 4:30 p.m. 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 healthcare...Full timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursLocal Infusion
Ohio2 days ago$17 per hour
...billing issues with insurance carriers and resubmit claims as needed. Investigate and help resolve denied claims and forward for prior authorizations as required. Assist in resolving past due bills or making payment arrangements for patients. Proactively assists...Hourly payFull timeClear Lakes Dental
Eastlake, OH20 hours ago- ...general neurology practice at Pickerington Methodist Hospital 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....Full time
OhioHealth
Pickerington, OH1 day ago - ...Authorization Specialist McGregor PACE (Program of All-inclusive Care for the Elderly) is a community-based service program that provides... ...delays and/or denial of payments. Prepare and complete prior authorization request forms and apply appropriate guidelines to...Work at officeWeekend work
- ...or ensure completion and submission of any required client documentation and billing information, including progress notes, prior authorization forms, attendance rosters, and other data as requested in accordance with DMH, Medicaid, and Communicare policies. # Organize...Work at office
Communicare
Oxford, OH18 days ago - ...a multi-disciplinary setting. Responsibilities include liaising with Cardiology physicians and care teams, educating patients and families, supervising care delivery via the Epic system, and handling prior authorizations and #J-18808-Ljbffr Mount Carmel Health System
- ...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...
Kroger
Cincinnati, OH4 days ago - ...contact us at ****@*****.*** . Sponsorship & Work Authorization Nexus Engineering Group does not provide employment visa... ...Acquisition team for specific searches. Any resumes submitted without prior authorization or a current agreement will not be eligible for...For contractorsFor subcontractorWork at officeLocal area
Nexus Engineering Group
Akron, OH28 days ago - ...patients and care teams! The Outpatient Scheduling Coordinator coordinates outpatient diagnostic testing by obtaining required prior authorizations, providing orders and authorization information to diagnostic facilities, and communicating scheduling information and...
Mayfield Brain and Spine
Cincinnati, OH20 days ago - ...contact us at ****@*****.*** . Sponsorship & Work Authorization Nexus Engineering Group does not provide employment visa... ...Acquisition team for specific searches. Any resumes submitted without prior authorization or a current agreement will not be eligible for...Summer workInternshipWork at officeLocal area
Nexus Engineering Group
Cleveland, OH20 days ago
