Average salary: $71,069 /yearly

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  • NorthStar Behavioral Health is seeking a Patient Access and Authorization Specialist to join our team in Cincinnati. You will verify insurance eligibility, determine patient financial responsibility, and obtain necessary authorizations to ensure timely care and minimize... 
    Suggested

    NorthStar Behavioral Health

    Cincinnati, OH
    4 days ago
  • $18 - $21 per hour

    Meduit is seeking an Insurance Specialist - Prior Authorization to support hospitals and physicians remotely in the United States. The role focuses on resolving insurance processing errors and denials, ensuring accurate and timely payments, and communicating with patients... 
    Suggested
    Remote job
    Hourly pay

    Meduit | Driving Revenue Cycle Performance

    Rocky River, OH
    2 days ago
  • $60k

     ...treatment providers and insurance payors, this position secures authorization to maximize reimbursement while ensuring clients receive...  ...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, Inc.

    Kent, OH
    4 days ago
  •  ...Verifies and documents benefit information. Requests initial authorization and meets provider’s referral requirements to ensure that optimum...  ...hospital and providers will be satisfied. Obtains insurance prior authorization as needed and documents the verification of... 
    Suggested
    Remote work
    Trial period
    Flexible hours
    Day shift

    Nationwide Children's Hospital

    Columbus, 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... 
    Suggested
    Hourly pay
    Temporary work
    Remote work

    Argonaut Management Services, Inc

    Wyoming, OH
    3 days ago
  •  ...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... 
    Suggested
    Remote job
    Currently hiring
    Work at office

    DeCoach Recovery Centre

    Cincinnati, OH
    5 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
    2 days ago
  • DeCoach Recovery Centre in Cincinnati, OH is seeking a Prior Authorization Specialist to obtain approvals from insurance providers before treatment or medications begin. You will review clinical documentation, submit requests, and communicate with payers to ensure coverage... 
    Suggested
    Remote job

    DeCoach Recovery Centre

    Cincinnati, OH
    1 day ago
  • $50k - $60k

     ...as a high-touch resource for members and their dependents Assist with questions regarding benefits, claims, network access, prior authorizations, prescriptions, and other healthcare concerns Build strong relationships with members, client leadership, providers, and... 
    Suggested
    Full time
    Work at office

    Integrity Health Products

    Cleves, OH
    3 days ago
  •  ...inpatient admissions and outpatient services requiring precertification. Ensures all scheduled outpatient services requiring prior authorization/precertification have the correct and appropriate authorizations prior to services being rendered. RESPONSIBLE TO: The... 
    Suggested
    Work at office
    Monday to Friday

    Wooster Community Hospital

    Wooster, OH
    3 days ago
  •  ...(DODD) is hiring for a Rehabilitation Program Specialist 2 to support the Medicaid Unit in Columbus, OH. This role handles prior authorizations, hearing processes, and waiver management to ensure compliant service delivery. Responsibilities include reviewing assessments... 
    Suggested
    Local area

    Ohio Department of Developmental Disabilities

    Columbus, OH
    2 days ago
  •  ...and behavioral health services. In this role, you will verify insurance eligibility, process enrollments and renewals, secure prior authorizations, and resolve coverage issues that impact care. You will collaborate closely with clinical, billing, and front-desk teams,... 
    Suggested

    Care Alliance Health Center

    Cleveland, OH
    4 days ago
  • Jewish Family Service Association of Cleveland is seeking a Benefits & Prior Authorization Specialist to join our office-based team in Ohio. The role supports hourly or full-time work schedules and focuses on managing prior authorizations, eligibility verification, and... 
    Suggested
    Hourly pay
    Full time
    Work at office

    The Ohio Council of Behavioral Health & Family Services Prov...

    Cleveland, OH
    4 days 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
    3 days ago
  •  ...Prior Authorization Representative Complex Authorizations The Prior Authorization Representative will manage authorization requests for specialty medications and help ensure cases move efficiently through the insurance approval process. The ideal candidate will have... 
    Suggested
    Contract work
    Work at office
    Local area
    Remote work

    Addison Group

    Columbus, OH
    15 hours ago
  • $18.13 - $21.78 per hour

     ...Prior Authorization Specialist Established 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... 
    Hourly pay
    Work at office
    Flexible hours
    Weekend work
    Afternoon shift

    Equitas Health

    Columbus, OH
    3 days ago
  • TriHealth is seeking a Prior Authorization and Medical Records Specialist for outpatient behavioral health. This role coordinates insurance authorizations, reviews documentation, submits requests, tracks approvals, and manages denials and appeals to ensure timely patient... 

    Socket.dev

    Cincinnati, OH
    3 days ago
  • Insurance Verification and Prior Auth Specialist Ensures information obtained is complete and accurate, applying acquired knowledge...  ...carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up... 
    Work at office
    Local area

    Ohio Gastroenterology Group, Inc.

    Columbus, 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... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Remote work
    Monday to Friday

    Riverhills Neuroscience

    Norwood, OH
    4 days 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

    Service Core inc.

    Youngstown, OH
    4 days ago
  • $18 - $21 per hour

     ...effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. Title: Insurance Specialist - Prior Authorization Schedule: 8am to 4:30pm Eastern Time Zone, Monday - Friday Location: Remote Paid Training: 3 weeks Compensation: $18 - $2... 
    Remote job
    Hourly pay
    Monday to Friday

    Meduit | Driving Revenue Cycle Performance

    Rocky River, OH
    4 days ago
  • $45.7k - $68.6k

     ...Dr. Location Shift: 1st Workstyle: 100% Onsite Career Level: 2 Job Grade: Non-Exempt-4 (NE4) Job Purpose Within authorized authority, HFCU policy, state and federal law, this position provides expertise in underwriting, structuring, documenting,... 
    Full time
    Temporary work
    Work experience placement
    Work at office
    Relocation package
    Shift work

    Honda Federal Credit Union

    Marysville, OH
    more than 2 months ago
  •  ...Enter and maintain patient profile information in the pharmacy system Process prescription insurance claims and assist with prior authorizations as needed Prepare home delivery packages to ensure accurate and timely delivery Notify customers when prescriptions... 
    Full time
    Work at office
    Weekend work
    Afternoon shift

    Central Ohio Compounding Pharmacy

    Columbus, OH
    7 days ago
  •  ...min 1 year working in a chiropractic office or medical setting Must have strong understanding of insurance verification and prior authorization processes Education: High School Diploma ***AT THIS TIME our office DOES NOT provide traditional health care coverage... 
    Full time
    Part time
    Work at office
    Local area
    Remote work
    Shift work
    Afternoon shift

    MAXIMUM POTENTIAL CHIROPRACTIC

    Medina, OH
    7 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

    Central Ohio Primary Care

    Columbus, OH
    3 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
    2 days ago
  •  ...Patient Access and Authorization Specialist Job Description NorthStar Behavioral Health is seeking an organized and professional...  ...responsibility is to verify insurance eligibility and secure prior authorizations to ensure patients receive timely care while... 
    Hourly pay
    Summer work
    Monday to Friday

    The Crossroads Center

    South Lebanon, OH
    1 day ago
  • $97.1k - $161.9k

     .... Operating as a senior individual contributor, the role earns authority through expertise and trust rather than positional reporting lines...  ...market trends, payer and formulary movement, and shifts in prior-authorization volume into clear operational implications the front... 
    Full time
    Remote work
    Shift work

    McKesson

    Ohio
    1 day 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
    3 days 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
    5 days ago