Average salary: $119,085 /yearly
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- ...Patient Account Coordinator 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, including Medicaid and self-pay. Maintains current knowledge...SuggestedFlexible hours
Nationwide Children's Hospital
Columbus, OH16 hours ago - Overview PHIL is looking for a full-time Prior Authorization Specialist with a focus on pharmacy support for Monday through Friday shifts. About The Company: Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering the first Software Therapy...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
- ...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/...SuggestedReliefWork at office
- A major educational institution in Ohio seeks a Prior Authorization Coordinator to handle complex medical necessity denials and support reimbursement for oncology services. The role involves providing clinical education to payers and working closely with various departments...SuggestedDay shift
- A prominent educational institution in Columbus, Ohio, is seeking a Prior Authorization Coordinator to manage complex denials in the oncology department. Responsibilities include providing clinical education to payers, supporting clinicians with evidence-based therapies...SuggestedFull time
- ...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
$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Cleveland, OH11 hours agonew- ...leading healthcare company is seeking a Business Configuration Sr. Coordinator to oversee the development and performance of prior authorization criteria. The role involves managing projects related to configuration data and collaborating with cross-functional teams within...Suggested
- ...excited to highlight a key position on our team! This role plays a vital part in ensuring seamless patient care by obtaining prior authorizations from third-party payors for all hospital admissions, outpatient procedures, surgeries, and interventional pain procedures—...SuggestedWork at office
Mayfield Brain and Spine
Cincinnati, OH6 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 students...SuggestedWork at officeRelocation package
Holzer Health System
Gallipolis, OH1 day 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 must...SuggestedFlexible hours
Alora Pharmaceuticals, LLC
Cleveland, OH16 hours 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...SuggestedFull timeWork at office
OrthoCincy
Cincinnati, OH2 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...SuggestedWork at officeLocal area
PhyNet Dermatology LLC
Mason, OH3 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...SuggestedFull timeMonday to FridayRotating shift
Central Ohio Primary Care - Employees
Reynoldsburg, OH19 days ago $26.41 - $61.79 per hour
...eligibility, benefits, and expected length of stay for requested treatments and procedures. Conduct thorough reviews to determine prior authorization and financial responsibilities. Process requests promptly within the required timelines. Refer complex cases to medical...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Columbus, OH16 hours ago- ...Document all communication concerning denied claims and any resolution communicated to facility or physicians Obtain Prior Authorizations and non-covered forms Obtain Part B documentation Assist with billing DME supplies on line (Medicaid) Resolve Hospice...Full timeMonday to FridayDay shift
Innovative Rx Us Holdings Inc
East Canton, OH21 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, OH27 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$31.5 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. Flexibility to...Hourly payShift work- ...right place and time. Provides daily review and evaluation of members requiring hospitalization and/or procedures, including prior authorizations and/or concurrent review. Assesses services for members to ensure optimal outcomes, cost-effectiveness, and compliance with...
- ...businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any...Local area
$174.07k - $374.92k
...precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy,...Hourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend work$45.43 - $101.54 per hour
A healthcare company is seeking a Clinical Pharmacist to handle prior authorizations in a fully remote position. Responsibilities include reviewing cases, collaborating with colleagues, and providing client support. Applicants must have an active pharmacist license, a...Remote jobHourly pay- ...healthcare navigation organization in Dublin, OH is seeking an RN for the Pre-Certification role. Responsibilities include managing prior authorization processes, coordinating patient care services, and working closely with clinical teams. Candidates must hold an active RN...Full time
$26.01 - $56.14 per hour
...platforms/systems 1+ year of experience with Microsoft Office Applications (Outlook, Teams, Excel) Preferred Qualifications Prior authorization utilization experience preferred Outpatient clinical experience Knowledge of Medicare/Medicaid Managed care experience...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hoursShift workAfternoon shift$20 - $22 per hour
...:30pm Pay rate: $20-$22/hr Responsibilities: Perform administrative and high-volume data entry work related to UM prior authorization requests Process and document cases within Facets, FileBound, and Jira systems Conduct outbound notification calls to providers...Contract workWork at officeMonday to FridayRussell Tobin
Mason, OH2 days ago- ...building a general neurology practice at OBleness 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...Work at office
OhioHealth
Athens, OH1 day 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 outLocal area
Lower Lights Christian Health Center
Columbus, OH1 day ago - ...) Additional Job Description: SPECIALIZED KNOWLEDGE Prior experience in research projects with presentation and publication... ...pharmacy volume capture, patient financial assistance, prior authorizations, claims processing, financial performance, payer contracting,...Local areaShift work
OhioHealth
Columbus, OH1 day ago $115k - $145k
...Strong account based selling skills with demonstrated success in prior sales roles ~ Working knowledge of strategies and tactics to... ...pull-through local formulary wins. ~ Understanding of prior authorization process and experience partnering with key healthcare...Work at officeLocal areaCollegium Pharmaceutical, Inc.
Dayton, OH4 days ago
