Average salary: $86,231 /yearly

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  •  ...documents automobile insurance benefits and claim information prior to patient services. The position works with insurance carriers...  ..., attorneys, and internal teams to confirm coverage, identify authorization requirements, obtain supporting documentation, and maintain... 
    Suggested
    Hourly pay
    Work at office

    Progressive Spine and Orthopaedics LLC

    Englewood, OH
    9 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... 
    Suggested
    Work at office
    Monday to Friday

    Diley Medical Group LLC

    Canal Winchester, OH
    2 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... 
    Suggested
    Full time
    Contract work
    Remote work

    Mindlance

    Dublin, OH
    1 day ago
  • $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... 
    Suggested
    Work at office

    Coleman Professional Services

    Kent, OH
    2 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... 
    Suggested
    Hourly pay
    Temporary work
    Remote work

    Argonaut Management Services, Inc

    Wyoming, OH
    1 day ago
  •  ...activities. Responsibilities and Duties • Initiates renewal authorization requests with insurance companies and government payers. •...  ...for working all outstanding held revenue related to prior authorizations for insurances assigned. • Handles all claim... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work

    Medical Services Company

    Toledo, OH
    4 days ago
  • $18 per hour

     ...and provider(s) in the coordination of appointment scheduling. Provide support to providers by completing OARRS reports, Prior Authorizations, and responding to fax and emails requests for information. Follows system and office policies and procedures with special... 
    Suggested
    Full time
    Temporary work
    Internship
    Work at office
    Local area
    Home office
    Monday to Friday

    Mindfully Behavioral Health

    Marion, OH
    6 hours agonew
  •  ...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... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work

    Medical Service Company

    Cleveland, OH
    5 days ago
  •  ...this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Prior Authorization Specialist Full Time Alliance, OH, US 9 days ago Requisition ID: 1007 JOB DESCRIPTION Prior Authorization Specialist Alliance... 
    Suggested
    Full time
    Work at office
    Immediate start
    Shift work

    Alliance Family Health Center Inc

    Liberty Center, OH
    2 days ago
  • $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... 
    Suggested
    Full time
    Work at office
    Monday to Friday

    Cleveland Clinic

    Akron, OH
    3 days ago
  • $18 - $22 per hour

     ...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work at office
    Remote work
    Monday to Friday

    Riverhills Neuroscience

    Norwood, OH
    18 hours 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... 
    Suggested
    Full time
    Work at office
    Flexible hours

    ProMedica

    Toledo, OH
    16 hours agonew
  •  ...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... 
    Suggested
    Work at office
    Flexible hours

    Fraternal health care llc

    Cleveland, OH
    4 days ago
  •  ...capability to effectively verify patient benefits and obtain required authorizations. (Effectiveness to be monitored in Visiquate and Waystar...  ...~ Previous Experience with OH Insurance Payers and obtaining prior authorizations. ~ Able to give patient benefit information... 
    Suggested
    Full time
    Local area
    Remote work
    Monday to Friday
    Afternoon shift

    Gastro Health

    Columbus, OH
    2 days ago
  •  ...with 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 for... 
    Suggested

    PrimaryOne Health

    Columbus, OH
    1 day ago
  •  ...to insurance companies and government agencies, payment posting, statements and collection management, insurance denials and prior authorizations. Must be able to work independently and efficiently. The Medical Biller will work closely with the Chief Fiscal Officer to... 
    Work at office

    Community Corrections Association, Inc.

    Youngstown, OH
    3 days ago
  • $70k - $115k

     ...contact us at ****@*****.***. Sponsorship & Work Authorization Nexus Engineering Group does not provide employment visa sponsorship...  ...team for specific searches. Any resumes submitted without prior authorization or a current agreement will not be eligible for... 
    Work at office
    Local area
    Remote work
    Flexible hours

    Nexus Engineering Group Inc

    Cleveland, OH
    18 hours 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... 

    Integrated Resources

    Columbus, OH
    4 days ago
  •  ...demographic, medical, and insurance information, coordinating with departments for tests, and ensuring precertification and prior authorization are obtained. The candidate should have a high school diploma or GED, strong interpersonal skills, and the ability to manage... 

    Licking Memorial Health Systems

    Newark, OH
    5 days ago
  •  ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management.... 
    Remote work

    Pharmacy Careers

    Columbus, OH
    3 days ago
  •  ...Administrative Excellence: Ensure strict data integrity within Electronic Medical Records (EMR) and manage complex insurance prior authorizations. Compliance: Maintain patient confidentiality and uphold all OSHA and The Joint Commission (TJC) safety standards.... 
    Full time
    Work at office
    Monday to Friday
    Weekend work

    Southwoods Health

    Youngstown, OH
    18 hours ago
  • $44.09 - $78.7 per hour

     ...compliance, and the ability to thrive in a fast-paced environment. What You Will Do Review requests for prescription prior authorizations. Oversee the activities of pharmacy technicians, pharmacy clerks, and customer service advocates. Perform all duties... 
    Hourly pay
    Minimum wage
    Full time
    Part time
    Work experience placement
    Local area
    Shift work

    Optum

    Marietta, OH
    1 day ago
  •  ...CommuniCare Health is seeking a Pharmacy Prior Authorization Specialist for a full-time remote role. This position involves managing the Prior Authorization workflow for facilities in states including Ohio and West Virginia. The successful candidate will submit prior authorizations... 
    Full time
    Remote work

    Communicare Health Services

    Broadview Heights, OH
    18 hours ago
  •  ...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... 
    Temporary work
    Interim role
    Work at office
    Local area

    NewPath Child & Family Solutions

    Cincinnati, OH
    4 days ago
  •  ...our patients receive timely surgical care by securing insurance authorizations and coordinating with providers, payers, and internal teams....  ...certification program What You'll Do Obtain insurance prior authorizations and precertifications for surgical procedures.... 
    Work at office

    Bridgeview Eye Partners

    Cuyahoga Falls, OH
    4 days ago
  •  ...Patient Access and Authorization Specialist NorthStar Behavioral Health is seeking an organized and professional Patient Access and Authorization...  ...responsibility is to verify insurance eligibility and secure prior authorizations to ensure patients receive timely care while... 
    Summer work
    Monday to Friday

    The Crossroads Center

    Cincinnati, OH
    6 hours agonew
  •  ...support positive medication outcomes. Collaborate with providers and care teams on prescriptions, alternative therapies, and prior authorizations. Support compliance with federal, state, and 340B requirements. Maintain effective medication inventory, procurement,... 
    Local area

    Third Street Community Clinic Inc

    Bucyrus, OH
    5 days ago
  •  ...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, OH
    16 hours agonew
  • $20 per hour

     ...outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. This role supports prior authorizations, claims processing including writing authorization and denial letters, case setup, and triage of tasks while maintaining... 
    Hourly pay
    For contractors
    Work at office
    Local area
    Immediate start
    Remote work
    2 days per week

    WPS Health Solutions

    Columbus, OH
    1 day ago
  •  ...needed to meet the medical needs of patients. Assists with calling in medications for family practice patients. Maintains Prior Authorizations and Referrals for medical services. Assists with EKG and PFT testing within the office. Other duties may be assigned.... 
    Work at office
    Local area

    OVP Healthcare

    Wheelersburg, OH
    3 days ago