Average salary: $66,651 /yearly
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- ...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
- ...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, OH3 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 workArgonaut Management Services, Inc
Wyoming, 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 Our...SuggestedWork at officeLocal areaMonday to FridayShift workRotating shift
Define Ventures
Mason, OH5 days ago $101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Columbus, OH1 day ago$19 - $22.26 per hour
...Position Overview The Prior Authorization Specialist serves as the lead staff member for prior authorizations within Integrated Services for Behavioral Health. This role supports timely access to behavioral health and substance use treatment services by coordinating insurance...SuggestedTemporary workWork at officeIntegrated Services of Appalachian Ohio
Kenton, OH2 days ago$18.13 - $21.78 per hour
...Prior Authorization Specialist Job Category: Medical Center Full-Time On-site Columbus, OH 43203, USA Description Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health...SuggestedHourly payFull timeWork at officeFlexible hoursWeekend workAfternoon shiftEquitas Health
Columbus, OH4 days ago$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Columbus, OH1 day ago- ...for interfacing 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...SuggestedLocal areaMonday to FridayShift workRotating shift
EVERSANA Company
Mason, OH1 day 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. Identify...SuggestedFull 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...SuggestedHourly payFull timeTemporary workWork at officeRemote workMonday to FridayRiverhills Neuroscience
Norwood, OH5 days ago- ...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 an an available point of contact...Suggested
PrimaryOne Health
Columbus, OH4 days ago - Position: Insurance Verification and Authorization Specialist Location: Caldwell, OH Job Id: 13066 # of Openings: 1 Job Title: Insurance... ...eligibility, benefits, and authorization requirements prior to admission Submit and manage prior authorization requests for...SuggestedFull timeMonday to Friday
- ...collaborative, multidisciplinary clinic environment. This role is responsible for assessing and coordinating patient care, managing prior authorizations, and supporting both providers and patients throughout the care process. In clinic, the nurse rooms patients, independently...Suggested
Aya Healthcare
Dayton, OH2 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...Suggested
Diehl Automotive
Massillon, OH2 days ago $19 - $21 per hour
...Handle refill requests and prescription renewals Communicate with patients, providers, and insurance companies Assist with prior authorizations and billing issues Package, label, and prepare medications for dispensing Maintain accurate patient and prescription...Contract workTemporary workActalent
Hamilton, OH1 day ago- ...by sending all referrals to Specialists via fax and/or by phone if needed. Completes requests for specialty care ensuring any prior authorization is obtained. Calls patients to notify them of the referral and follow-up as well. Maintains patient files in EHR and...Hourly payFull timeAfternoon shift
Rocking Horse Center
Springfield, OH2 days ago - ...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 area
Nexus Engineering Group Inc
Cleveland, OH2 days ago - ...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, OH4 days ago - ...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 consults see...Full timeWork at officeMonday to Friday
Cleveland Clinic
Akron, OH1 day ago - ...hours/week). Hours between 6:00am- 5:00pm. What You’ll Do Register patients accurately, verifying demographics, insurance, prior authorizations, and required documentation. Collect copayments and input patient information into scheduling and registration systems. Greet...Full timeLocal areaMonday to Friday
Compass Surgical Partners
Springfield, OH2 days ago $94.4k - $293.8k
...Qualifications Clinical background (RN, MD, PA) or significant experience working with clinical leaders Experience with prior authorization, or throughput optimization Exposure to EHR‑enabled workflow redesign (e.g., Epic, Cerner) Ability to translate clinical...Work at officeLocal areaWorldwideAccenture
Cleveland, OH4 days ago$15.9 - $17 per hour
...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hoursAccendra Health
Columbus, OH5 days ago$145.5k - $242.5k
...focus on building trusted relationships and influencing without authority. Work arrangement: This is a field-based role. Most... ...commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK....Live inLocal areaRemote workRelocationNight shiftGlaxoSmithKline
Akron, OH2 days ago$18 - $19 per hour
...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...Hourly payOne80 Intermediaries
Cleveland, OH1 day ago$18.13 - $21.78 per hour
...ongoing tracking and appropriate documentation on referrals and authorizations via computer system and/or manual systems. Major areas of... ...responsibilities: Screen and schedule incoming referrals. Obtain prior authorization for diagnostic services and procedures....Hourly payWork at officeFlexible hoursWeekend workAfternoon shiftEquitas Health
Columbus, OH4 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 timeMonday to FridayDay shift
Central Ohio Primary Care
Columbus, OH4 days ago - ...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
Quantum Health
Dublin, OH3 days ago - ...Claims Authorization Specialist We are seeking a detail-oriented and highly motivated Claims Authorization Specialist to join our fast... ...claims that have been suspended (pended) due to missing or invalid prior authorizations. You will support multiple lines of...
- ...with case managers and social workers, assisting them with everyday duties, including skilled nursing facility pre-certs and prior authorizations. The ideal candidate will have a strong background in hospital settings and acute care. The case management assistant must...
Southwest General
Cleveland, OH6 days ago
