Average salary: $119,085 /yearly

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  •  ...insurance coverage for therapy services and effectively documents benefit information. Subject matter expert in completing the prior authorization process and pre-determination with insurance companies. Able to answer patient questions regarding financial obligations.... 
    Suggested
    Work at office

    Mary Rutan Health

    Bellefontaine, OH
    2 days ago
  •  ...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/... 
    Suggested
    Part time
    Relief
    Work at office
    Day shift

    Western Reserve

    Cuyahoga Falls, OH
    3 days ago
  •  ...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... 
    Suggested
    Work at office
    Relocation package

    Holzer Health System

    Gallipolis, OH
    1 day ago
  •  ...accurately verifying patient insurance, confirming benefits, securing authorizations, and calculating patient financial responsibility to ensure a...  ...on changing insurance requirements for medical necessity and prior authorization. Qualifications: Experience: Previous... 
    Suggested
    Full time
    Monday to Friday

    Southwoods Health

    Boardman, OH
    4 days ago
  •  ...position without guarantee of conversion to full-time employment. Job Description Summary: Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate... 
    Suggested
    Full time
    Temporary work
    Flexible hours
    Day shift

    Nationwide Children's Hospital

    Columbus, OH
    3 days ago
  •  ...on insurance and administrative pharmacy tasks. What You’ll Do Verify insurance coverage for patient prescriptions Process prior authorizations and refill requests Communicate with providers and pharmacies regarding missing details Update patient profiles and prescription... 
    Suggested
    Remote work

    New Paradigm Staffing

    New Bremen, OH
    5 days 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... 
    Suggested
    Work at office
    All shifts
    Shift work
    Rotating shift
    Weekend work
    Day shift

    Genesis HealthCare System (ohio)

    Zanesville, OH
    2 days ago
  • A leading medical institution in Columbus is seeking an experienced oncology nurse to manage complex medical necessity denials and provide clinical education. The ideal candidate will have at least three years of oncology experience and an Associate Degree in Nursing. Responsibilities...
    Suggested

    The Ohio State University Wexner Medical Center

    Columbus, OH
    3 days ago
  • A leading higher education organization is seeking a Prior Authorization Coordinator in Columbus, Ohio. The role involves managing complex medical necessity denials and facilitating education to ensure compliance and support hospital reimbursement. Ideal candidates will... 
    Suggested
    Full time
    Day shift

    Inside Higher Ed

    Columbus, OH
    2 days ago
  • A prominent healthcare institution located in Columbus, Ohio is seeking a skilled administrative professional to provide varied support to the Section Chief or VP. The role includes scheduling appointments, managing travel arrangements, and ensuring excellent service to...
    Suggested

    Nationwide Children's Hospital

    Columbus, OH
    4 days ago
  • $40k - $52.3k

     ...for chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to...  ...years' experience working in an administrative support capacity Prior professional experience of Microsoft Word, Outlook and Excel with... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Remote work
    Home office

    Humana

    Columbus, OH
    5 days ago
  •  ...verification for patients with medical or auto insurance as well as authorizations. Essential Job Functions: Greets, screens,...  ...system according to physician and office protocol. Obtain prior authorization for patients and verify all insurance based on patient... 
    Suggested
    Full time
    Work at office

    OrthoCincy

    Cincinnati, OH
    5 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... 
    Suggested
    Full time
    Work at office
    Monday to Friday

    Cleveland Clinic

    Akron, OH
    5 days ago
  •  ...Job Title Assists in obtaining diagnostic testing insurance prior authorizations as well as the essential functions listed below. Performs a wide variety of complex administrative activities for a Section Chief or VP, and/or others as assigned. Essential Functions... 
    Suggested
    Flexible hours

    Nationwide Children's Hospital

    Columbus, OH
    2 days ago
  •  ...and results-driven leader to oversee front-end revenue cycle operations, including referral intake, insurance verification, prior authorizations, renewals, and patient access services across a growing multi-state organization. This role is ideal for someone who thrives... 
    Suggested
    Immediate start

    Horizon Infusions

    Blue Ash, OH
    45 minutes ago
  • $94.4k - $293.8k

     ...Preferred 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 office
    Local area
    Worldwide

    Accenture

    Cincinnati, OH
    4 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 office
    Local area

    PhyNet Dermatology LLC

    Westlake, OH
    5 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... 
    Full time
    Monday to Friday

    Central Ohio Primary Care

    Columbus, OH
    5 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, OH
    4 days ago
  •  ...Job Functions: ~ Responsible for reviewing, submitting, monitoring, and responding to issues regarding medication prior authorizations. ~ Reviews patient medical history to identify supporting documentation in the patient chart relevant to the medication... 
    Temporary work
    Work at office
    Local area
    Immediate start

    Ohio Gastroenterology Group

    Columbus, OH
    20 hours ago
  •  ...building a general neurology practice at Marion General Hospital Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. Advanced Practice Provider support Position offers a mix of... 
    Full time

    OhioHealth

    Marion, OH
    5 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

    Central Ohio Primary Care

    Upper Arlington, OH
    1 day 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... 
    Temporary work
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours

    Memorial Health University Medical Center

    Marysville, OH
    5 days ago
  •  ...in EHR system. Supports Program Coordinator with program issues and process adherence/risk management. Assist with prior authorizations for treatment. Performs program prescreen on patients. Calls to check on patients after initiation of treatment... 
    Live out
    Local area

    Lower Lights Christian Health Center

    Columbus, OH
    4 days 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 package
    Flexible hours

    OhioHealth

    Mansfield, OH
    1 day ago
  • $60 - $65 per hour

     ...workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out Performs prior authorizations and peer-to-peer reviews as needed Administering various tests and screenings Maintaining strict confidentiality in... 
    Hourly pay
    Part time
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours
    1 day per week

    Greater Good Health

    Cleveland, OH
    2 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, OH
    1 day ago
  •  ...Assisting with clinic schedule changes by contacting all patients on schedule and rescheduling for future appointments. Obtain prior authorizations for voice evaluation and voice therapy. Answer SLP portal messages/patients calls regarding testing or general voice... 
    Work at office
    Monday to Friday

    Ohio ENT & Allergy Physicians

    Columbus, OH
    2 days ago
  • $33.5 per hour

     ...clinical flow. In collaboration with the nursing team, you will also manage inbasket responsibilities such as MyChart messages, prior authorizations, prescription refills, and scheduling inquiries helping to create an efficient, patient-centered experience. As a valued... 
    Hourly pay
    Part time
    Shift work

    Cleveland Clinic

    Cleveland, OH
    1 day ago
  •  ...health services organization in Columbus is looking for an Informatics Lead to provide advanced analytical support for Medicaid Prior Authorization reporting. This role entails collaborating with cross-functional teams to ensure compliance with reporting guidelines and... 
    Remote job

    Humana Inc

    Columbus, OH
    5 days ago