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/... 
    Suggested
    Relief
    Work at office

    Western Reserve

    Cuyahoga Falls, OH
    2 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... 
    Suggested
    Full time
    Temporary work
    Flexible hours
    Day shift

    Nationwide Children's Hospital

    Columbus, OH
    2 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... 
    Suggested
    Full time

    Inside Higher Ed

    Columbus, OH
    1 day ago
  •  ...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

    Inside Higher Ed

    Columbus, OH
    4 days ago
  • 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

    Mayfield Clinic, Inc.

    Cincinnati, OH
    10 hours ago
  • $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... 
    Suggested
    Remote job
    Hourly pay

    Receivemorermp

    Rocky River, OH
    3 days ago
  •  ...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... 
    Suggested
    Full time

    Mylocalinfusion

    Avon, OH
    2 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... 
    Suggested
    Full time
    Work at office

    OrthoCincy

    Cincinnati, OH
    4 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,... 
    Suggested
    Remote job
    Hourly pay
    Shift work

    Receivemorermp

    Rocky River, OH
    3 days ago
  • $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... 
    Suggested
    Remote job
    Hourly pay
    Work at office

    Highmark Health

    Columbus, OH
    2 days ago
  •  ...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... 
    Suggested
    Remote job

    New paradigm staffing

    New Bremen, OH
    2 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

    PrimaryOne Health

    Columbus, OH
    4 days ago
  •  ...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... 
    Suggested
    Work at office
    Relocation package

    Holzer Health System

    Gallipolis, OH
    3 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, OH
    3 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... 
    Suggested
    Work at office
    Local area

    PhyNet Dermatology LLC

    Mason, OH
    10 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 office
    Immediate start
    Remote work
    Flexible hours
    Weekend work

    Otterbein Senior Life

    Lebanon, OH
    3 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 time
    Monday to Friday
    Night shift

    Central Ohio Primary Care

    Westerville, OH
    1 day ago
  • $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

    Priovant Therapeutics

    Cincinnati, OH
    1 day ago
  •  ...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, OH
    10 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 time
    Temporary work
    Work at office
    Local area
    Flexible hours

    Mylocalinfusion

    Avon, OH
    2 days 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... 
    Full time

    OhioHealth

    Marion, OH
    4 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 time
    Contract work
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    A-Line Staffing Solutions

    Columbus, OH
    3 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, OH
    3 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, OH
    2 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 time
    Work experience placement
    Local area
    Shift work

    Carle Health

    Urbana, OH
    2 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 time
    Work experience placement
    Local area
    Shift work

    Carle Health

    Urbana, OH
    1 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

    Quantum Health

    Dublin, OH
    2 days ago
  •  ...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

    World Courier Inc.

    Cincinnati, OH
    2 days ago
  • 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... 

    Wexner Medical Center

    Columbus, OH
    10 hours ago
  •  ...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... 

    Zepf Center

    Toledo, OH
    3 days ago