Average salary: $66,003 /yearly
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$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, OH1 day 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, OH4 days ago - ...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 agencies...SuggestedFull timeTemporary workFlexible hoursDay shift
Nationwide Children's Hospital
Columbus, OH1 day ago - ...Key Responsibilities: Review case and insurance coverage information to customize the prior authorization request to the insurance company or physician's office. Navigate through payer portals to initiate/obtain prior authorization status. Provide insurance...SuggestedWork at office
Quadax
Cleveland, OH3 days ago $18 per hour
...and provider(s) in the coordination of appointment scheduling. Provide support to providers by completing OARRS reports, Prior Authorizations, and responding to fax and emails requests for information. Follows system and office policies and procedures with special...SuggestedFull timeTemporary workInternshipWork at officeLocal areaHome officeMonday to FridayMindfully Behavioral Health
Fairfield, OH8 hours ago$18 - $22 per hour
...excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position: Prior Authorization Specialist Location: Norwood Office Department : Billing Schedule: Monday-Friday, 8am-4:30pm, Hybrid, 2 days in...SuggestedHourly payFull timeTemporary workWork at officeRemote workMonday to FridayRiverhills Neuroscience
Norwood, OH4 days ago- ...Position: Insurance Verification and Authorization Specialist Location: Cambridge, OH Job Id: 13069 # of Openings: 1 Insurance Verification... ...eligibility, benefits, and authorization requirements prior to admission Submit and manage prior authorization requests for...SuggestedFull timeMonday to Friday
Absolute Health Services
Cambridge, OH8 hours 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....SuggestedRemote work
Pharmacy Careers
Columbus, OH4 days ago $19 - $22.26 per hour
...We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their...SuggestedTemporary workWork at officeLocal areaIntegrated Services of Appalachian Ohio
Columbus, OH1 day 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...SuggestedFull timeWork at officeMonday to FridayCleveland Clinic
Akron, OH9 days ago$51.8k - $60k
...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...SuggestedHourly payLocal areaRisk Strategies
Cincinnati, OH1 day 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 stroke...SuggestedRelocation packageFlexible hours
OhioHealth
Mansfield, OH4 days ago - ...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...Suggested
Integrated Resources
Columbus, OH3 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. Candidates...Suggested
- Integrated Services for Behavioral Health is looking for a Prior Authorization Specialist in New Lexington, Ohio. The ideal candidate will lead the prior authorization process, ensuring access to behavioral health and substance use treatment services by navigating insurance...Suggested
$19 - $22.26 per hour
Integrated Services for Behavioral Health in Logan, Ohio, seeks a Prior Authorization Specialist to lead the authorization process for behavioral health and substance use treatment. The role involves significant collaboration with clinical and billing teams to ensure correct...Hourly pay- Integrated Services for Behavioral Health is seeking a Prior Authorization Specialist to lead the prior authorization process for outpatient behavioral health services. This role involves coordinating with providers, resolving coverage issues, and ensuring timely access...
- Integrated Services for Behavioral Health is seeking a Prior Authorization Specialist to streamline access to necessary behavioral health and substance use treatment services. This role involves leading the authorization process, coordinating documentation with various...
- ...actions taken and activities performed Provides continuity of care to each patient and their family members Completes Prior Authorizations/Pre-Certification for procedures for that patients are referrals This job description is not designed to cover or contain...Casual workWork at officeLocal areaMonday to Friday
Heart Of Ohio Family Health Centers
Columbus, OH5 days ago - ...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...
Aya Healthcare
Dayton, OH6 days ago $40k - $52.3k
...chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to engage... ...experience working in an administrative support capacity ~ Prior professional experience of Microsoft Word, Outlook and Excel...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Columbus, OH5 days ago- Integrated Services for Behavioral Health in Southeastern, OH is seeking a Prior Authorization Specialist to lead prior authorization processes for outpatient behavioral health services. This virtual position involves coordinating insurance approvals and collaborating with...Remote job
$19 - $22.26 per hour
Integrated Services for Behavioral Health in Southeastern, OH is seeking a Prior Authorization Specialist to ensure timely access to treatment services by coordinating insurance approvals and resolving coverage barriers. The ideal candidate will have a background in healthcare...Hourly pay- ...of this position is to serve as liaison between the provider practices and patients in the process of scheduling, obtaining prior authorization for testing, diagnostic imaging, and referrals to other providers. The goal of the Patient Access team is to assure that these...Work at officeImmediate start
Aultman Health Foundation
Canton, OH4 days ago - ...CommuniCare Health is seeking a Pharmacy Prior Authorization Specialist for a full-time remote role. This position involves managing the Prior Authorization workflow for facilities in states including Ohio and West Virginia. The successful candidate will submit prior authorizations...Full timeRemote work
Communicare Health Services
Broadview Heights, OH4 days ago - ...Pharmacy Solutions Group (PSG) is looking for a Prior Authorization Specialist to support remote workflows primarily in West Virginia, Ohio, Indiana, and Maryland. The role involves maintaining authorization workflows, submitting requests to insurance plans, and ensuring...Remote work
Pharmacy Solutions Group (PSG)
Broadview Heights, OH3 days ago - ...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
- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote workWork from homeFlexible hours
Pharmacy Careers
Cleveland, OH1 day ago - ...including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises prior authorization utilization review nurses ensuring they appropriately apply medical necessity guidelines in making authorization...For subcontractorCasual workWork at officeRemote work
Medical Mutual
Brooklyn, OH1 day ago - ...experience 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...Full timeWork at officeWork from home
Quantum Health
Dublin, OH2 days ago
