Average salary: $119,085 /yearly
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- ...insurances, confirming benefits and eligibility, ensuring an authorization is secured for the procedure to be performed, and calculating... ...pocket expense Stay abreast of insurance requirements for prior authorization and medical necessity Maintain awareness of...SuggestedFull timeMonday to Friday
Southwoods Health
Boardman, OH1 day ago - ...operations of the Claims Adjudication Center (real time-Adjudication) Work in cohesion with the Claims Intervention Center, Prior Authorization, and Billing Departments Address Batch/Claim submissions and corrections Ensure accurate and timely processing of real...Suggested
CommuniCare Corporate
Broadview Heights, OH1 day ago - ...for verifying benefits and/or obtaining pre-certification/pre-authorization for all exams scheduled at the facility. Assists with coordinating... ...center including pre-screening and preparation instructions prior to and after patient arrival. Handles correspondence regarding...SuggestedWork at officeAll shiftsShift workRotating shiftWeekend work
Genesis HealthCare System (ohio)
Zanesville, OH2 days ago - ...insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up... ..., and appeal denied authorizations. Ensures services have prior authorizations and updates patients on their preauthorization...SuggestedWork at officeLocal area
Ohio Gastroenterology Group Inc
Columbus, OH27 days ago - ...pharmaceutical/medical sales. Preferred specialty sales experience calling on pediatrics and psychiatrist. Knowledge of working with prior authorizations/steps as well as pharmacy pull-through is also preferred. Must be authorized to be employed in the United States and...SuggestedFlexible hours
Alora Pharmaceuticals, LLC
Cleveland, OH4 days ago - ...Authorization Specialist At UPMC Hillman Cancer Center Are you passionate about ensuring patients receive the care they need? Do you excel... ...to making a difference. Responsibilities: Prior authorization responsibilities: Reviews and interprets medical...SuggestedFull timeWork experience placementWork at officeWeekend workAfternoon shift
UPMC
Steubenville, OH2 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, OH3 days ago- ...verification for patients with medical or auto insurance as well as authorizations. Essential Job Functions: Greets, screens, schedules,... ...system according to physician and office protocol. Obtain prior authorization for patients and verify all insurance based on...SuggestedFull timeWork at office
OrthoCincy
West Chester, Butler County, OH1 day ago - ...Description QuickPro Staffing is hiring a detail-oriented Revenue Cycle Specialist for a healthcare partner. This role focuses on prior authorizations, medical billing, insurance verification, and collections to ensure accurate reimbursement and strong revenue performance....SuggestedFull time
QuickPro Staffing
Cincinnati, OH9 days ago - ...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...SuggestedWork at office
Molina Healthcare
Akron, OH2 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...SuggestedRelocation packageFlexible hoursWeekend work
Holzer Health System
Gallipolis, OH3 days ago $243.5k
...access to facilities with labs, radiology, physical therapy which are all useful to our patients support staff helping with prior authorizations for various drugs which is needed in Rheumatology work hours are Monday to Friday, in office only no inpatient...SuggestedFull timeWork at officeMonday to FridayCleveland Clinic
Akron, OH2 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
Dayton, OH1 day ago - ...Interact with physicians to get answers to patient questions and relay the information to patients. # Refill medications # Prior authorizations # At the request of the physician, call in prescriptions # Various clerical duties (i.e.: answering phones, scheduling...SuggestedFull timeWork at officeRelocation package
Toledo Clinic
Toledo, OH3 days 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, OH3 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 $66.93k
...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,...Full timeContract workLocal areaRemote workCherokee Federal
Dayton, OH3 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...Full time
IntelyCare
Columbus, OH1 day ago - ...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-...Hourly payWork experience placementRelocation package
University Hospitals
Cleveland, OH20 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...Relocation packageMonday to Friday
Holzer Health System
Gallipolis, OH5 days ago - ...building a general neurology practice at Mansfield Hospital Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Advanced Practice Provider support No stroke call is required...Work at office
OhioHealth
Mansfield, OH5 days ago $20 - $21 per hour
...We are seeking a detail-oriented Admin Assistant to provide administrative and data entry support for utilization management prior authorization requests. Responsibilities: Perform administrative and data entry tasks to support prior authorization workflows....Contract workWork at officeRussell Tobin
Mason, OH5 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, OH14 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
Oberlin, 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, OH1 day ago $18.5 - $19.5 per hour
...supplies. Excellent communication skills Organizational skills Ability to work with insurance companies to complete prior authorizations. Calling patients to schedule and confirm appointments. Requirements MINIMUM QUALIFICATIONS: ~ Completion of...Hourly payWork at officeImmediate startShift workFamily Community Services
Kent, OH2 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, OH2 days ago $1,000 per month
...health care facility. ~ Knowledge of insurance coverage and authorization process pertaining to long-term care is helpful. ~... ...and healthcare providers regarding referral updates. Secures prior authorizations and completes financial evaluations for prospective...Daily paidLocal areaHome officeJourney CZ Care Team OH LLC
Willoughby, OH6 days ago- ...patient referrals; help patients understand medication policy, diagnostic testing and other information by phone; and insurance prior authorization for procedures, medications, and emergent diagnostic testing. Must demonstrate the necessary knowledge of complications...ReliefWork at office
Premier Health
Dayton, OH1 day 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...Work at officeLocal areaRemote workShift workDay shiftAfternoon shift
Maximum Potential Chiropractic
Westlake, OH4 days ago
