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/...SuggestedRelief
Western Reserve
Cuyahoga Falls, OH4 days ago $25 per hour
...position that will be located onsite whenever patients are scheduled. 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...SuggestedFull timeTemporary workWork at officeLocal areaFlexible hoursNight shiftLocal Infusion
Beavercreek, OH4 days ago- ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
Hire Talent
Youngstown, OH1 day 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...SuggestedWork at officeRelocation package
Holzer Health System
Gallipolis, OH2 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...SuggestedFull timeMonday to FridayNight shift
Central Ohio Primary Care
Columbus, OH4 days ago $21.65 - $28.82 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedHourly payWork experience placementWork at officeShift workMolina Healthcare
Cleveland, OH3 days ago- ...reporting and documentation requirements for regulatory compliance with OSHA, TJC, CDC etc. · Processes and submits insurance prior authorizations promptly and accurately · Coordinates and tracks patient referrals to specialists; follow up to ensure completion. ·...SuggestedHourly payWork at office
Care Alliance
Cleveland, OH16 days ago $3,000 per month
...activities include but are not limited to: • Utilizes pharmacy systems to process prescriptions, including insurance adjudication and prior authorization submittal, and accurately prepares dangerous drugs for dispensing including counting, pouring, labeling, and performing non-...SuggestedWork experience placementRelocation packageUniversity Hospitals
Cleveland, OH19 days ago$21 per hour
...Overview We are seeking a UM Support Analyst to provide administrative and data entry support for Utilization Management (UM) prior authorization requests. This is a temporary backfill role supporting an upcoming go-live initiative. Key Responsibilities Perform...SuggestedFull timeTemporary workWork at officeImmediate startFlexible hoursRussell Tobin
Mason, OH2 days ago$19 - $21 per hour
...8:30am - 5:30pm Pay rate: $19-$21/hr Responsibilities: Perform administrative and data entry tasks supporting UM prior authorization requests Work within systems such as Facets, Filebound, and Jira Place outbound notification calls to providers and members...SuggestedContract workWork at officeRussell Tobin
Mason, OH2 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...SuggestedFull timeMonday to FridayDay shift
Central Ohio Primary Care
Columbus, OH1 day ago - ...businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any...SuggestedLocal areaRemote work
GSK LLP
Cleveland, OH3 days 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...SuggestedRelocation packageMonday to Friday
Holzer Health System
Gallipolis, OH1 day ago $106.9k - $147k
...technical orchestrator for new client partnerships. You will not author detailed technical designs, but you must deeply understand... ...understanding of pharmacy operations, PBM models, benefits coordination, prior authorization workflows, and specialty care dynamics...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork from homeHome officeColumbus Staffing
Columbus, OH2 days 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...SuggestedTemporary workWork at officeRelocation packageMonday to FridayFlexible hours
Memorial Health University Medical Center
Marysville, OH3 days ago - ...periodicals, flyers, and handouts. Assist with applicable forms and patient paperwork, which includes processing referrals, prior authorizations and pre-certifications, etc. Respond to patient phone calls, as appropriate. Maintain a clean and well-organized work...Full timeWork at officeMonday to FridayShift workRotating shift
Central Ohio Primary Care
Westerville, OH19 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 packageFlexible hours
OhioHealth
Mansfield, OH2 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, OH2 days ago $21 - $31 per hour
...eliminate holds and keep the hospital financially viable. Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. Point of coordinator on day of admissions to guarantee that all equipment...Full timeMonday to FridayDay shiftSelect Medical
Columbus, OH4 days ago- ...experience doesn’t match every requirement. About the role The Pre-Certification Nurse is responsible for all aspects of the prior authorization process for members of Quantum Health’s employer groups. The nurse is responsible for acquiring all clinical documentation to...Permanent employmentCasual workWork at officeWork from home
Vivian Health
Dublin, OH19 hours ago - ...supporting daily medical office operations. Daily tasks involve preparing patients for examinations, taking medical histories, and prior authorizations The candidate will also handle administrative duties such as scheduling appointments and maintaining accurate medical...Full timeWork at office
KENT PULMONARY ASSOCIATES
Delaware, OH6 hours agonew $400 per month
Job Description At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating...Full timeContract workWork at officeLocal areaWork visaFlexible hoursAllstate
Columbus, OH29 days ago- ...-time 24 hour per week position. This position requires legal authorization to work in the US. Essential Functions Reasonable accommodations... ...their responsibility for compliance with the treatment plan prior to leaving the office. Straightens and cleans exam rooms...Hourly payTemporary workPart timeWork at officeLocal areaMonday to Friday
Apex Skin
Richfield, OH4 days ago - ...completion and/or coordination of activities related to patient financial clearance prior to service being rendered including insurance eligibility, medical necessity, and prior authorization activities Ensures materials are provided for meetings/interviews as necessary...Work experience placementWork at office
University Hospitals
Chardon, OH3 days ago - ...Duties include but not limited to scheduling, messaging physician or other clinical associates, medication refills requests, prior authorizations, referral completion, and other various clerical duties as assigned. Responsibilities And Duties Facilitates efficient...Local areaShift work
OhioHealth
Columbus, OH2 days ago - ...agency training, monitoring compliance objectives, and supporting decision making on acceptance or decline of bonds within established authority. Job Responsibilities Handles the responsibility for marketing, underwriting, processing, and servicing surety...Contract workWork experience placementWork at officeLocal areaHome office3 days per week
ohio farmers insurance
Westfield Center, OH2 days ago - Job Description Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting...For contractorsWork at officeLocal areaWork from home
EXL
Cincinnati, OH5 days ago - ...diagnoses, and order appropriate laboratory studies and tests. ~ Respond to nurse triage line tasks. ~ Perform prior authorizations and write letters of medical necessity. ~ Communicate effectively with patients and other care team members....Temporary workWork at officeFlexible hours
Ohio Gastroenterology Group
Columbus, OH3 days ago - ...patient medication as directed by Physician. Input accurate patient information into electronic health record. Sending prior-authorizations to insurance companies. Perform daily financial summary and balance of payments received. Responsible for cash...Full time
Spero Health
Marion, OH1 day ago - ...teams including Discharge, Pediatrics, and Transplant to assess insurance coverage, complete medication histories, address prior authorizations, identify cost or access barriers, and ensure medications are available at discharge, including bedside delivery. You will monitor...Full timeReliefInternshipSummer holidayShift workWeekend work
Cleveland Clinic
Cleveland, OH19 hours ago
