Average salary: $82,390 /yearly
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- ...general neurology practice at Pickerington Methodist Hospital 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....SuggestedFull time
OhioHealth
Pickerington, OH5 days ago $37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' 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 workArgonaut Management Services, Inc
Columbus, OH4 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...SuggestedRelocation packageFlexible hours
OhioHealth
Mansfield, OH5 days ago - ...will have experience in patient services and knowledge of reimbursement processes. You’ll engage with patients, assist with prior authorizations, and educate stakeholders on therapy access, all while working within a collaborative field team. Competitive salary and comprehensive...SuggestedFlexible hours
Amgen
Columbus, OH2 days ago - ...inpatient admissions and outpatient services requiring precertification. Ensures all scheduled outpatient services requiring prior authorization/precertification have the correct and appropriate authorizations prior to services being rendered. RESPONSIBLE TO: The Director...SuggestedWork at officeMonday to Friday
Wooster Community Hospital
Wooster, OH4 days ago - ...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....Suggested
Medical Mutual
Cleveland, OH2 days ago - ...Absolute Health Services is seeking an Insurance Verification and Authorization Specialist in Cambridge, OH. You’ll ensure timely access to... ...services through verifying insurance eligibility and managing prior authorization requests, making a direct impact on patient care...Suggested
Absolute Health Services
Cambridge, OH5 days ago - ...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 payLocal area
Trilogy Healthcare Services
Kings Mills, OH5 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, OH4 days ago$19.83 - $23.88 per hour
...Member Advocate Job Functions, including but not limited to: Assist members with questions regarding benefits, network access, prior authorizations, and claim processing Manage certain insurance carrier communications for members Build and maintain relationships with...SuggestedHourly payFull timeFor contractorsWork at officeWork from homeRelocationMonday to FridayShift workDay shiftIntegrity Health Products
Cleves, OH3 days ago$20 - $25 per hour
...Job description About the Role: Woodhaven Residential Treatment Center is hiring a fully remote Prior Authorization Specialist to support our Utilization Management team. In this role, you'll handle prior authorization submissions, denials and appeals, and ensure...SuggestedHourly payLive inRemote workHome officeMonday to FridayFlexible hoursWoodhaven - Havens of Ohio LLC
Dayton, OH3 days ago- Baylor Scott & White Health in Columbus, Ohio is seeking an Insurance Verification Specialist 2 to ensure timely verification of insurance benefits and financial clearance. This role directly impacts reimbursement and involves coordinating documentation and communicating...Suggested
- ...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...SuggestedWork at office
Orthopedic One
Westerville, OH6 days ago - ...patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home. As an Authorization Specialist , you will take the lead in securing medical authorizations from third party payers (commercial and government) for...SuggestedWork at officeMonday to Friday
Alternate Solutions Health Network
Kettering, OH4 days ago - ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Columbus, OH5 days ago - ...Review (UR) Specialist is responsible for managing all aspects of authorization, continued stay requests, and utilization review activities... ...requests by the required deadlines. Submit Medicaid prior authorization (PA) packets including clinical documentation, notes...Full timeRemote work
Dove Recovery
Columbus, OH2 days ago $16.75 - $21.75 per hour
Cardinal Health is seeking a Senior Coordinator, Prior Authorization to support effective order management for durable medical equipment. The candidate will obtain and track payer approvals, engage in phone communications, and ensure compliance with HIPAA standards. This...Remote jobHourly pay- Cardinal Health is seeking a candidate for a position focused on managing prior authorization processes. The role requires thorough communication with payers and healthcare providers, attention to detail in documenting authorizations, and a strong understanding of healthcare...
$100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...Full timeLocal areaRemote workArgonaut Management Services, Inc
Columbus, OH4 days ago- Insurance Verification & Authorization Specialist - Homecare Absolute Home Health & Hospice Full-Time | Monday-Friday | 8:00 AM - 4:30 PM... ...insurance eligibility, benefits, and authorization requirements prior to admission Submit and manage prior authorization requests...Full timeMonday to Friday
- ...eligibility checks Handle inbound and outbound calls with facilities, guarantors, and insurance companies Initiate and follow up on prior authorizations Review and respond to insurance audit requests Reconcile online third-party claims Investigate and resolve insurance and...Afternoon shift
Absolute Health Services
Canton, OH2 days ago - ...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...Full timeWork at officeFlexible hours
- ...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
$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 to...Work at officeRemote workFlexible hoursAmTrust Financial
Cleveland, OH7 days ago- ...patient insurance eligibility, benefits and coverage requirements prior to medical services. You will ensure that the patient's... ...Key Responsibilities: Verify Insurance Coverage Obtain pre-authorizations, referrals, or pre-certifications for treatments Accurately update...Full time
- ...Overview: Assists in obtaining diagnostic testing insurance prior authorizations as well as the essential functions listed below. Job Description Summary: Performs a wide variety of complex administrative activities for a Section Chief or VP, and/or others...Flexible hours
Nationwide Children's Hospital
Columbus, OH5 days ago $18 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...Full timeTemporary workWork at officeRemote workMonday to FridayRiverhills Neuroscience
Norwood, OH3 days ago- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Complete appropriate payer forms related to notification and authorization. Coordinate...Work at officeImmediate start
- ...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...Work at officeRelocation package
- ...RN, Registered Nurse - Pre-Certification position based in Dublin, OH. This role involves responsibilities such as managing prior authorization processes and coordinating health management services to ensure members receive appropriate care. Applicants should hold a current...
Quantum
Dublin, OH2 days ago
