Alternate Solutions Health Network: Provides home health and hospice care through healthcare partnerships
1+ YOESecures medical authorizations, checks eligibility, collects documentation, interfaces with clinical staff and payors; HS diploma required, associate's preferred, 1 year billing/insurance experience preferred, proficiency in Microsoft Office.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Peachtree, HCHB, EPIC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEHigh school diploma, 2 years related experience in preregistration/patient access/authorizations/insurance verification/billing, strong attention to detail and communication.
Avita Health System: Providing comprehensive hospital and outpatient medical care in Ohio.
2+ YOE2+ years healthcare pre-authorization experience, customer service experience, familiarity with insurance processes; associate degree and medical terminology coursework preferred; EPIC experience preferred.
Primary Health Solutions: Provides integrated healthcare services to underserved Ohio communities.
2+ YOE2+ years prior authorization or revenue cycle experience, EHR and payer portal proficiency, medical terminology knowledge, strong communication and problem-solving skills.
Electronic Health Records (EHR), NextGen EHR, Microsoft Office, Microsoft Word
Equitas Health: Regional healthcare system providing comprehensive medical and social services.
Handles prior authorizations and appeals for medications, collaborates with pharmacies and providers, documents in EHR, requires pharmacy or medical assistant credential and valid driver license/transportation.
Ensemble Health Partners: Manages financial operations and technology for healthcare organizations.
2+ YOEHigh school diploma/GED and 2+ years insurance authorization experience; CRCR required within 9 months; knowledge of medical coding/billing, appeals, regulatory compliance, strong communication and judgment.
Equitas Health: Provides community-based healthcare specializing in HIV/AIDS and LGBTQ+ care.
Requires medical assistant or pharmacy technician credential (Ohio registration for RPT), reliable transportation and driver's license, proficiency with Microsoft Office and EHR, strong documentation and communication skills, prior authorization experience preferred.
CoverMyMeds, Microsoft Office, Electronic Health Records (EHR)
Arizona or Arkansas or Colorado or Florida or Hawaii or Idaho or Illinois or Indiana or Kansas or Michigan or Missouri or Montana or Minnesota or North Carolina or Ohio or Oregon or Tennessee or Texas or Virginia or Washington
RemoteFull Time
Logan Health: Provides comprehensive medical care and hospital facilities in Montana.
2+ YOE2+ years obtaining pre-certifications/prior authorizations in hospital/clinic/billing, knowledge of commercial and government insurance, ICD-9/CPT, medical terminology, HIPAA, Microsoft Office; Meditech experience preferred.
Riverhills Neuroscience: Physician-owned provider of comprehensive neurological and specialty medical services.
1+ YOE1-2 years medical billing/prior authorization experience, EMR and practice management system experience, knowledge of Medicare/Medicaid and insurance guidelines, working knowledge of ICD-9-10/CPT coding, strong verbal/written skills and medical terminology.
Electronic Medical Record (EMR), practice management system, ICD-9-10
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma/GED, 1+ year pharmacy or prior authorization experience, pharmacy technician license/registration, knowledge of CoverMyMeds, NCPDP and insurance claims, strong communication and documentation skills, HIPAA compliance.
The Crossroads Center: Provides addiction treatment and mental health recovery services.
3+ YOE3+ years patient access/insurance verification and prior authorization experience in behavioral healthcare; high school diploma required, Associate's preferred; familiarity with commercial/Medicare/Medicaid plans, medical coding, EHRs, strong attention to detail.
Electronic Health Records (EHR), practice management systems, CPT, ICD-10, HCPCS
Lima Memorial Health System: A regional non-profit hospital providing comprehensive inpatient and outpatient healthcare.
3+ YOE3+ years medical office/admissions and insurance experience; working knowledge of ICD/CPT codes, insurance payer policies; high school diploma or GED; strong communication, organizational, and customer service skills.
Meditech, ARM module, Availity, Navinet, Evicore, eCW, AccuReg
Battle Creek or Columbus or New Cumberland or Philadelphia or Fort Belvoir or Richmond
$115k-$125k/yrRemoteFull Time
Connected Logistics: Provides IT and logistics services for government defense agencies.
5+ YOEU.S. citizen with 5+ years C&A/RMF experience, DoD/DLA experience, ability to assess NIST 800-53 controls, brief senior leadership, and strong analytical and writing skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, MS Project, NIST 800-53, Risk Management Framework (RMF)
Cybersecurity Assessment & Authorization (A&A) SME
Columbus, Ohio, United States
OnsiteFull Time
Dynamo Technologies: Delivers IT and digital transformation services to federal agencies.
10+ YOEExpert in RMF/A&A, IA controls, ST&E, eMASS, CVAs and audits; strong technical writing; DoD Secret clearance and IT-II eligibility; DoD 8570/8140 baseline cert; 10+ years RMF/NIST A&A experience; CAP or CISSP.
Risk Management Framework (RMF), Security Test and Evaluation (ST&E), eMASS, Cyber Operational Readiness Assessments (CORAs), NIPRNet, SIPRNet
Pre-Authorization & Surgery Scheduler / Vascular Surgery Office
Akron, Ohio, United States
$19-$23/hrOnsiteFull Time
Summa Health: Integrated healthcare delivery system providing comprehensive patient care services.
2+ YOE2+ years medical office experience, high school diploma or equivalent, proficiency with Microsoft Word/Excel/PowerPoint, knowledge of medical terminology, strong interpersonal and confidentiality skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Strategic Account Operations Manager – Medical Prior Authorization
Columbus, Ohio, United States
$101k-$168k/yrRemoteFull Time
McKessonNew York Stock Exchange: MCK: Distributes pharmaceuticals and provides healthcare information technology solutions.
7+ YOEBachelor's degree or equivalent, 7+ years in healthcare account management/operations, direct medical prior authorization experience, payer policy knowledge, program leadership, analytical and communication skills; EHR, PACS, and Salesforce experience preferred.
Mechanical Engineer 2 - Indefinite US Work Authorization Required
New Bremen, Ohio, United States
OnsiteFull Time
Crown Equipment: Manufactures and distributes forklifts and material handling equipment.
2+ YOEBachelor's in Mechanical Engineering, 2+ years mechanical design experience, strong communication and analytical skills, occasional travel (0-5%), U.S. work authorization required.
Computer aided design (CAD), Geometric dimensioning and tolerancing (GD&T)
Allied Universal: Global provider of physical security and facility management services.
High school diploma or equivalent, background check and drug screen required, age minimum for role, ability to provide customer service and follow site procedures.