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 - ...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 - ...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...SuggestedWork at officeLocal area
PhyNet Dermatology LLC
Westlake, OH4 days 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...SuggestedWork at officeImmediate startRemote workFlexible hoursWeekend work
Otterbein Senior Life
New Albany, 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...SuggestedFull timeMonday to FridayNight shift
- ...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...SuggestedFlexible hours
Alora Pharmaceuticals, LLC
Cleveland, OH7 hours ago - ...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...SuggestedFull time
OhioHealth
Marion, OH4 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....Suggested
OhioHealth
Pickerington, OH3 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...SuggestedFull timeContract workRemote workMonday to FridayFlexible hoursShift workA-Line Staffing Solutions
Columbus, 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...SuggestedWork at office
OhioHealth
Mansfield, 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/...SuggestedFull timeWork experience placementLocal areaShift workCarle Health
Urbana, OH1 day 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...SuggestedFull timeWork experience placementLocal areaShift workCarle Health
Urbana, OH2 days ago$34 - $50.99 per hour
...benefits. Summary: Responsible for clinical review and authorization of post acute care services including Skilled Nursing... ...experience. b. Experience performing Utilization Management, Prior Authorization, or Concurrent Review c. Proficiency using clinical...Daily paidFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursSumma Health System
Akron, OH3 days ago$20.72 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...For contractorsWork at officeLocal areaHighmark Health
Columbus, OH4 days ago- ...periodicals, flyers, and handouts. Assist with applicable forms and patient paperwork (not limited to processing of referrals, prior authorizations or pre-certifications, etc.). Respond to patient phone calls, as appropriate. Maintain a clean and well-organized work...Full timeMonday to Friday
Central Ohio Primary Care
Reynoldsburg, OH7 hours ago - ...inpatient service. Enjoy a flexible outpatient clinic schedule Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. No stroke call required; tele neurology responds to all acute...Relocation packageFlexible hours
OhioHealth
Mansfield, OH7 hours 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, OH8 days ago $40 - $45 per hour
...admissions. Follow established procedures and processes to complete authorizations. Collaborate with a team of nurses to assist each other and... ...: ~3+ years of utilization management, concurrent review, prior authorization, utilization review, case management, and...Contract workTemporary workImmediate startRemote workActalent
Columbus, OH15 hours ago$60 - $65 per hour
...workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out Performs prior authorizations and peer-to-peer reviews as needed Administering various tests and screenings Maintaining strict confidentiality in...Hourly payPart timeWork at officeRelocation packageMonday to FridayFlexible hours2 days per week1 day per weekGreater Good Health
Cleveland, OH15 hours ago- ...0 pm Two designated medical staff and secretary Access to Holzer's specialty pharmacy, which provides assistance with prior authorizations Teaching opportunities with residents and medical students Recruitment Package Guaranteed two-year salary floor + production...Relocation packageMonday to Friday
Holzer Health System
Gallipolis, OH2 days ago - ...Assisting with clinic schedule changes by contacting all patients on schedule and rescheduling for future appointments. Obtain prior authorizations for voice evaluation and voice therapy. Answer SLP portal messages/patients calls regarding testing or general voice...Work at officeMonday to Friday
Ohio ENT & Allergy Physicians
Columbus, OH2 days ago $76k - $85k
...for future health care costs associated with birth-related neurological injuries. Duties and Responsibilities Performs prior authorization, concurrent and retrospective reviews Use clinical documentation and clinical review criteria to make determinations regarding...For contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Columbus, OH7 hours ago$66.93k
...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,...Full timeContract workLocal areaRemote workCherokee Federal
Dayton, OH7 hours ago- ...patient messages, contact patients regarding test results and enter patient recalls Manage medication refills and medication prior authorization Assist with completion of Short Term Disability and/or FMLA forms Educate patients about medication, special diets and...Temporary workWork at officeRelocation packageMonday to FridayFlexible hours
Memorial Health University Medical Center
Marysville, OH4 days ago - ...to ensure efficient patient flow and continuity of care. Responsibilities include fielding patient inquiries, assisting with prior authorizations and disability paperwork, supporting follow-up scheduling, and maintaining timely communication with patients. This position...Local areaShift work
OhioHealth
Columbus, OH1 day ago - ...in EHR system. Supports Program Coordinator with program issues and process adherence/risk management. Assist with prior authorizations for treatment. Performs program prescreen on patients. Calls to check on patients after initiation of treatment...Live outLocal area
Lower Lights Christian Health Center
Columbus, OH3 days ago - ...funding source for health care costs related to birth-related neurological injuries. Key Responsibilities: Conduct prior authorization, concurrent, and retrospective reviews. Utilize clinical documentation and review criteria to assess qualifying health...Remote work
Public Consulting Group
Columbus, OH1 day ago
