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...SuggestedHourly payWork at office
Progressive Spine and Orthopaedics LLC
Englewood, OH9 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...SuggestedWork at officeMonday to Friday
Diley Medical Group LLC
Canal Winchester, OH2 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...SuggestedFull timeContract workRemote work
Mindlance
Dublin, OH1 day 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...SuggestedWork at officeColeman Professional Services, Inc.
Kent, OH18 hours 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...SuggestedHourly payTemporary workRemote work$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...SuggestedFull timeTemporary workInternshipWork at officeLocal areaHome officeMonday to FridayMindfully Behavioral Health
Marion, OH5 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...SuggestedFull timeTemporary workWork at officeRemote work
- ...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...SuggestedFull timeTemporary workWork at officeRemote work
Medical Services Company
Toledo, OH4 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...SuggestedFull timeWork at officeMonday to Friday$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...SuggestedHourly payFull timeTemporary workWork at officeRemote workMonday to FridayRiverhills Neuroscience
Norwood, OH18 hours 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...SuggestedFull timeWork at officeImmediate startShift work
Alliance Family Health Center Inc
Liberty Center, OH2 days ago - ...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...SuggestedWork at officeFlexible hours
Fraternal health care llc
Cleveland, OH4 days 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...SuggestedFull timeWork at officeFlexible hours
- ...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, OH1 day 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...SuggestedFull timeLocal areaRemote workMonday to FridayAfternoon shift
Gastro Health
Columbus, OH2 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
Community Corrections Association, Inc.
Youngstown, OH3 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 officeLocal areaRemote workFlexible hoursNexus Engineering Group Inc
Cleveland, OH18 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, OH4 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 workMonday to Friday
The Crossroads Center
Cincinnati, OH5 hours agonew - ...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 timeRemote work
Communicare Health Services
Broadview Heights, OH18 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 payMinimum wageFull timePart timeWork experience placementLocal areaShift workOptum
Marietta, OH1 day 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, OH3 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 timeWork at officeMonday to FridayWeekend work
Southwoods Health
Youngstown, OH18 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 workInterim roleWork at officeLocal area
NewPath Child & Family Solutions
Cincinnati, OH4 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...
- ...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, OH4 days ago - ...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, OH5 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...
$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 payFor contractorsWork at officeLocal areaImmediate startRemote work2 days per week- ...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 officeLocal area
OVP Healthcare
Wheelersburg, OH3 days ago
