Average salary: $71,069 /yearly

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  •  ...Prior Authorization Specialist DeCoach Recovery is a leading addiction treatment center dedicated to providing compassionate care and effective solutions for individuals battling addiction. We take the time with every client to understand their needs and where they are... 
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    Currently hiring
    Work at office

    DeCoach Recovery Centre

    Cincinnati, OH
    3 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... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work

    Medical Services Company

    Lewis Center, OH
    1 day ago
  •  ...responsible to interface with Patients, HCPs and Payers by providing reimbursement support for activities related to benefit coverage, prior authorization, claim denials, appeals, triage to third party support centers and general inquiry.Our employees are tasked with delivering... 
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    EVERSANA Company

    Mason, OH
    4 days ago
  •  ...is to interface with Patients, HCPs and Payers by providing reimbursement support for activities related to benefit coverage, prior authorization, claim denials, appeals, triage to third party support centers and general inquiry. ESSENTIAL DUTIES AND RESPONSIBILITIES:... 
    Suggested
    Work at office
    Local area
    Monday to Friday
    Shift work
    Rotating shift

    EVERSANA Company

    Mason, OH
    1 day ago
  • $18.13 - $21.78 per hour

     ...Prior Authorization SpecialistEstablished in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian,... 
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    Hourly pay
    Work at office
    Flexible hours
    Weekend work
    Afternoon shift

    Equitas Health

    Columbus, OH
    4 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... 
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    Full time
    Work at office
    Monday to Friday

    Cleveland Clinic

    Akron, 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... 
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    Full time
    Temporary work
    Work at office
    Remote work

    Medical Services Company

    Toledo, OH
    2 days ago
  •  ...Prior Authorization Specialist Join TriHealth at Montgomery Fitness Pavilion as a Prior Authorization Specialist, where you'll play a vital role in helping patients access the care and services they need. In this position, you'll collaborate closely with providers,... 
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    Full time
    Work at office
    Shift work
    Day shift

    TriHealth

    Cincinnati, OH
    4 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... 
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    Hourly pay
    Temporary work
    Remote work

    Argonaut Management Services, Inc

    Wyoming, OH
    4 days ago
  •  ...Here General Dermatology with no call Dedicated support team including two medical staff and a secretary Seamless prior authorizations with support from our specialty pharmacy team Teaching and mentorship opportunities with residents and medical students... 
    Suggested
    Full time
    Work at office
    Relocation package

    Holzer Health System

    Gallipolis, OH
    4 days ago
  •  ...Summary: The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient...  ...Inpatient and Outpatient behavioral health treatment.Follow up on prior authorization submissions that need further information to... 
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    New Vista Behavioral Health

    Cincinnati, OH
    2 days ago
  • TriHealth is seeking a Prior Authorization Specialist (Certified Medical Assistant or Pharmacy Technician) to support the PA process across the health system. The role focuses on verifying insurance, managing formulary reviews, and coordinating with patients, prescribers... 
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    Socket.dev

    Cincinnati, OH
    2 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. Identify... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work

    Medical Service Company

    Cleveland, OH
    2 days ago
  • $18 per hour

     ...excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work
    Monday to Friday

    Riverhillsneuro

    Cincinnati, OH
    5 days ago
  •  ...Verifies and documents benefit information. Requests initial authorization and meets provider's referral requirements to ensure that optimum...  ...and providers will be satisfied. Obtains insurance prior authorization as needed and documents the verification of benefits... 
    Suggested
    Flexible hours

    Nationwide Childrens Hospital

    Columbus, OH
    2 days ago
  • $185k - $254k

     ...comprehensive benefits package.PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to...  ...:Resumes submitted for this or any other position without prior authorization from Human Resources will be considered... 
    Full time
    Local area

    Argo Group

    Richmond, OH
    1 day 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

    Davis Eye Center

    Cuyahoga Falls, OH
    3 days ago
  •  ...patients as 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 each... 
    Full time
    Night shift

    Central Ohio Primary Care

    Columbus, OH
    2 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... 

    Careers Integrated Resources Inc

    Columbus, OH
    5 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... 
    Work at office
    Local area

    PhyNet Dermatology LLC (External)

    Westlake, 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... 
    Work at office
    Local area

    PhyNet Dermatology LLC (External)

    Columbus, OH
    3 days ago
  •  ...receivable, and patient billing while ensuring accurate data entry and timely processing. Responsibilities include claim submission, prior authorization, and verifying eligibility. The role requires strong communication, computer skills, and knowledge of vision insurance... 

    Ohio State University

    Columbus, OH
    2 days ago
  • $39k - $49.4k

     ...with insurance providers to verify coverage and obtain necessary authorizations. You will report to the Home Health Intake Supervisor. Key...  ...insurance providers to verify benefits, confirm coverage, and obtain prior authorizations when needed. Serve as a liaison between... 
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Weekend work

    Humana Inc

    Parma Heights, OH
    3 days ago
  •  ...parts. Provide customers with a detailed breakdown of all charges for the services performed to their vehicle. Obtain prior authorization from the customer or warranty company of repairs that need to be completed. Handle telephone inquiries regarding customer... 

    Diehl Automotive

    Massillon, OH
    5 days ago
  • $20.98 - $30.12 per hour

     ...recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts. Handles patient concerns... 
    Immediate start
    Remote work

    GrabJobs

    Toledo, 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... 

    PrimaryOne Health

    Columbus, OH
    3 days ago
  •  ...Financial Specialist III to join the Radiation Oncology team at Mount Carmel East. The role builds on PFS II duties by handling prior authorization verification and precertification for scheduled services, and by scheduling complex procedures with changing insurance... 

    Trinity Health

    Columbus, OH
    3 days ago
  •  ...Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the... 
    Shift work

    GrabJobs

    Cincinnati, OH
    2 days ago
  •  ...Flexible schedule Weekend call 1:4; mostly by phone Average of 15‑20 patients per day Support from specialty pharmacy for prior authorizations Opportunity to work with residents and medical students Team consists of one Endocrinologist, two Nurse Practitioners... 
    Relocation package
    Flexible hours
    Weekend work

    Jobleads-US

    Gallipolis, OH
    2 days ago
  •  ...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

    Nexuse Group

    Cleveland, OH
    3 days ago