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...SuggestedCurrently hiringWork at office
DeCoach Recovery Centre
Cincinnati, OH3 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...SuggestedFull timeTemporary workWork at officeRemote work
Medical Services Company
Lewis Center, OH1 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...Suggested
EVERSANA Company
Mason, OH4 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:...SuggestedWork at officeLocal areaMonday to FridayShift workRotating shift
EVERSANA Company
Mason, OH1 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,...SuggestedHourly payWork at officeFlexible hoursWeekend workAfternoon shiftEquitas Health
Columbus, OH4 days ago$18 - $21 per hour
...healthcare revenue cycle management, supporting hospitals and practices across the United States. The Insurance Specialist - Prior Authorization ensures approvals are obtained before services are delivered, working with patients, providers, and payers to secure timely authorizations...SuggestedRemote jobHourly payWork from home$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...SuggestedRemote jobHourly pay$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- ...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...SuggestedFull timeWork at officeRelocation package
Holzer Health System
Gallipolis, OH4 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...SuggestedHourly payTemporary workRemote 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, OH2 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...SuggestedFull timeTemporary workApprenticeshipWork at officeWeekend workHumana
Parma Heights, OH4 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,...SuggestedFull timeWork at officeShift workDay shift
TriHealth
Cincinnati, OH4 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...SuggestedWork at office
New Vista Behavioral Health
Cincinnati, OH2 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...Suggested
- ...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...Full timeTemporary workWork at officeRemote work
$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 payFull timeTemporary workWork at officeRemote workMonday to FridayRiverhills Neuroscience
Norwood, OH3 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 benefits...Remote workTrial periodFlexible hoursDay shift
$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 timeLocal area- ...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 timeNight shift
Central Ohio Primary Care
Columbus, OH2 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, OH5 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 officeLocal area
PhyNet Dermatology LLC (External)
Westlake, OH3 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 officeLocal area
PhyNet Dermatology LLC (External)
Columbus, OH3 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...
- ...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, OH3 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, OH13 hours 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 startRemote workGrabJobs
Toledo, OH2 days ago- ...etc.), along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization. Responsibilities...Work at officeDay shift
- ...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, OH4 days ago - ...responsible for supporting staff through training, clinical consultations, and case reviews for members. The ideal candidate will lead prior authorization reviews, provide education, and ensure compliance with regulatory standards. A Doctorate in Medicine (MD or DO) is...
