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
  •  ...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
  •  ...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... 
    Suggested
    Work at office
    Local area

    PhyNet Dermatology LLC

    Westlake, OH
    4 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... 
    Suggested
    Work at office
    Immediate start
    Remote work
    Flexible hours
    Weekend work

    Otterbein Senior Life

    New Albany, 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... 
    Suggested
    Full time
    Monday to Friday
    Night shift

    Central Ohio Primary Care

    Westerville, 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... 
    Suggested
    Flexible hours

    Alora Pharmaceuticals, LLC

    Cleveland, OH
    7 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... 
    Suggested
    Full time

    OhioHealth

    Marion, OH
    4 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, OH
    3 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... 
    Suggested
    Full time
    Contract work
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    A-Line Staffing Solutions

    Columbus, 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... 
    Suggested
    Work at office

    OhioHealth

    Mansfield, 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/... 
    Suggested
    Full time
    Work experience placement
    Local area
    Shift work

    Carle Health

    Urbana, OH
    1 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... 
    Suggested
    Full time
    Work experience placement
    Local area
    Shift work

    Carle Health

    Urbana, OH
    2 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 paid
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    Summa Health System

    Akron, OH
    3 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 contractors
    Work at office
    Local area

    Highmark Health

    Columbus, OH
    4 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 time
    Monday to Friday

    Central Ohio Primary Care

    Reynoldsburg, OH
    7 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 package
    Flexible hours

    OhioHealth

    Mansfield, OH
    7 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, OH
    8 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 work
    Temporary work
    Immediate start
    Remote work

    Actalent

    Columbus, OH
    15 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 pay
    Part time
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours
    2 days per week
    1 day per week

    Greater Good Health

    Cleveland, OH
    15 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 package
    Monday to Friday

    Holzer Health System

    Gallipolis, OH
    2 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 office
    Monday to Friday

    Ohio ENT & Allergy Physicians

    Columbus, OH
    2 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 contractors
    H1b
    Work at office
    Local area
    Remote work

    Public Consulting Group

    Columbus, OH
    7 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 time
    Contract work
    Local area
    Remote work

    Cherokee Federal

    Dayton, OH
    7 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 work
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours

    Memorial Health University Medical Center

    Marysville, OH
    4 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 area
    Shift work

    OhioHealth

    Columbus, OH
    1 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 out
    Local area

    Lower Lights Christian Health Center

    Columbus, OH
    3 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, OH
    1 day ago