Average salary: $119,085 /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...SuggestedWork at officeRelocation package
- ...review of all referrals as designated by hospital assignment, which includes submitting insurance benefit verifications and prior authorizations. Additionally, in this role you will approve or escalate referrals based on clinical or financial capabilities of each campus...SuggestedWeekly payWork at officeLocal areaWork from homeHome office
Trilogy Healthcare Services
Kings Mills, OH4 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/...SuggestedWork at officeMonday to Friday
Western Reserve
Stow, OH4 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, OH3 days ago $43.89k - $122.4k
CVS Health is seeking a Data Analyst in Columbus, Ohio. This full-time position involves developing analytic solutions for the Prior Authorization program and requires proficiency in SQL, Python, and Tableau. The ideal candidate will have experience in data extraction and...SuggestedFull time$18 - $21 per hour
...effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. Title: Insurance Specialist - Prior Authorization Schedule: Eastern & Central Time Zones, Monday – Friday Location: Remote Paid Training: 3 weeks Compensation: $18 - $21 per...SuggestedHourly payRemote workMonday to FridayMed A/Rx
Rocky River, OH3 days ago$18 - $21 per hour
Med A/Rx is looking for an Insurance Specialist to manage claims processing, specializing in resolution of billing challenges. This remote position offers a salary of $18 to $21 per hour. Candidates should have 2+ years in Denials Management and Medical Billing, with proficiency...SuggestedHourly payRemote workMed A/Rx
Rocky River, OH2 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...SuggestedWork at office
- ...building a general neurology practice at O'Bleness Hospital Highly supportive staff who manage clerical duties including prior-authorizations, routing of referrals and orders, patient phone calls, etc. No stroke call is required; tele neurology responds to all acute...SuggestedWork at office
$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaRemote work- A healthcare insurance company is seeking a Supervisor for Prior Authorization Nurses in Cleveland, Ohio. This role oversees utilization review processes, ensures compliance with medical necessity guidelines, and supports the professional development of nursing staff. Candidates...Suggested
- ...Job Title Assists in obtaining diagnostic testing insurance prior authorizations as well as the essential functions listed below. Job Description Performs a wide variety of complex administrative activities for a Section Chief or VP, and/or others as assigned...SuggestedFlexible hours
Nationwide Children's Hospital
Columbus, OH4 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
- ...further notice. Key Responsibilities Provide excellent provider-relations support Educate providers regarding payor referral, prior authorization and claims submission policies and procedures as well as Child & Family Health Collaborative resources, payor education...SuggestedFull timeWork at officeFlexible hours
- ...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...SuggestedWork at office
Careers Integrated Resources Inc
Columbus, OH4 days ago $44.09 - $78.7 per hour
...coordinate care with providers, payers, and manufacturers to ensure therapy access and continuity Demonstrated ability to oversee prior authorizations and utilization management, ensuring compliance with payer and program requirements Demonstrated ability to monitor...Hourly payDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayUnitedHealth Group
Gallipolis, OH2 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...Full timeWork at officeMonday to FridayCleveland Clinic
Akron, OH2 days ago$52k - $70k
...through solid risk analysis, pricing and servicing. Adheres to corporate underwriting and pricing guidelines. Operates within written authority grant and makes referrals to management as required. Provides professional, timely and courteous communication and service...Work at officeRemote workFlexible hoursAmTrust Financial
Cleveland, 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
Marietta, OH3 days ago $160k
...Verifying prescriptions accurately and conducting thorough drug utilization reviews to ensure safety and efficacy. Reviewing prior authorizations and facilitating prescription transfers to provide patients with timely access to medications. Leading the implementation...Local areaImmediate startMonday to FridayDay shiftAfternoon shiftASG Pharmacy
Hamilton, OH20 hours 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 officeLocal areaWorldwideAccenture
Cincinnati, OH1 day ago- ...Responsibilities include verifying insurance benefits, obtaining authorization, and/or referrals for the Hand Therapy (OT) department. While... .... Verify that proper documents, such as prescriptions and prior authorizations, are completed and documented in the patient chart...Full timeWork at officeShift workDay shift
- ...Welcome and room patients: height, weight and vitals * Review medical history chief complaints and gather other information * Prior authorization and referrals * EKGs * Answer in basket message, patient follow up calls and message * Using EPIC *Minimum...Full timeWork at officeLocal areaRelocation packageMonday to FridayShift work
Mount Carmel Health System
Columbus, OH50 minutes agonew - ...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...Work at officeFlexible hoursShift work
- ...Supervisor, Prior Authorization Utilization Management This is a hybrid-remote role based out of the Brooklyn, OH office, with employees expected to work onsite on designated in-office days each week. Founded in 1934, Medical Mutual is the oldest and one of the largest...For subcontractorWork at officeRemote work
- ...duties such as returning patient phone calls, refilling medication requests, making pathology result phone calls, and completing prior authorizations. Medical assisting experience is necessary and dermatology experience is preferred. This position will be will be full...Full timeWork at office
Universal Dermatology
Lewis Center, OH21 days ago $215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...Work at office- ...to gather information regarding changes to be made in the computerized daily appointment schedules. ~ Insures that prior authorization for service is obtained according to established Hospital policy. If necessary, notifies admitting physician and/or patient when...Local area
LMHS
Newark, OH3 days ago - ...Appropriately obtains valid orders (Detailed Written Orders), Certificates of Medical Necessity, Face-To-Face chart notes and insurance prior authorizations before dispensing product. Completes orders from intake to confirmation for billing in a manner that is proficient. #...All shiftsShift workRotating shiftDay shift
Genesis HealthCare System (ohio)
Zanesville, OH4 days ago - ...This is a temporary position without guarantee of conversion to full-time employment. Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies...Full timeTemporary workFlexible hoursDay shift
