238 authorization specialist jobs at 94 companies in Ohio
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Authorization Specialist
Fairlawn or Akron
$17-$23/hrOnsiteFull Time
Crystal Clinic Orthopaedic Center: Specialized hospital for orthopedic and plastic/reconstructive medical care.
3+ YOEHigh school diploma or GED required. Three to five years of experience preferred, including medical office experience. Requires customer service, organization, attention to detail, and computer skills.
Avita Health System: Providing comprehensive hospital and outpatient medical care in Ohio.
2+ YOERequires customer service experience, 2+ years in healthcare pre-authorizations, and familiarity with healthcare insurance processes. Associate degree, medical terminology, anatomy, and EPIC experience preferred.
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.
Medical Service Company: Provider of home medical equipment and respiratory care services.
3+ YOEHigh school diploma or GED and 3+ years of healthcare revenue cycle experience required, including prior authorization and insurance verification experience; computer proficiency and communication skills required.
TriHealth: Provides comprehensive hospital, clinical, and emergency medical services.
2+ YOEHigh school diploma or medical assistant education required; 2–3 years of clinical pharmacy, pharmacy technician, or medical assistant experience. Medical terminology, reimbursement, Epic, and prior authorization knowledge preferred.
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)
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 experience, knowledge of Medicare/Medicaid and insurance guidelines, ICD-9/10 coding familiarity, strong verbal/written skills and medical terminology.
CHC Addiction Services: Non-profit provider of addiction treatment and recovery services.
High school diploma required; healthcare intake, insurance verification, prior authorization, or medical billing experience preferred. Requires payor knowledge, communication, organization, accuracy, and Microsoft Office proficiency.
Microsoft Office, electronic health record systems
Ensemble Health Partners: Manages financial operations and technology for healthcare organizations.
1+ YOEHigh school diploma/GED required; 1-3 years related experience; CRCR required within 9 months; authorization/revenue cycle experience preferred; strong communication and inquisitive mindset; willingness to travel to client sites.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma/GED, 1+ year pharmacy or prior authorization experience, and required state pharmacy technician registration. Requires insurance claims, authorization, documentation, and communication skills.
The Christ Hospital: Operates an acute care hospital and healthcare provider network.
1+ YOEHigh school diploma or GED required; 1–2 years of registration or insurance verification experience preferred. Requires insurance knowledge, communication, critical thinking, and Microsoft Office proficiency.
Electronic Health Record (EHR), Epic, Microsoft Office
Prior Authorization Specialist (Remote after training)
Cincinnati, Ohio, United States
HybridFull Time
DeCoach Recovery Centre: Provides comprehensive addiction and mental health recovery services.
2+ YOEHigh school diploma required; associate or bachelor's degree preferred. Requires 2+ years in prior authorizations or revenue cycle, strong communication and negotiation skills, and Microsoft Office Suite proficiency.
Jewish Family Service Association of Cleveland: Providing comprehensive social and health services for the community.
2+ YOEHigh school diploma/GED required; 2+ years of healthcare authorization, insurance verification, billing, revenue cycle, or medical office experience preferred. Requires accuracy, computer data entry, and payer portal experience preferred.
Microsoft Excel, Microsoft Word, Electronic Health Records (EHR), Direct Data Entry (DDE)
The Crossroads Center: Provides addiction treatment and mental health recovery services.
3+ YOEHigh school diploma or equivalent; 3+ years of behavioral healthcare registration, patient access, insurance verification, and authorization experience; EHR and practice management systems experience; knowledge of insurance plans and medical codes.
Electronic Health Records (EHR), CPT, ICD-10, HCPCS, practice management systems, Relias, HIPAA
2+ YOEHigh school diploma, 2+ years denials and medical billing/follow-up experience, Medicare/Medicaid/commercial payor knowledge, PC proficiency with Microsoft Outlook/Word/Excel, secure private workspace and required internet speeds.
Microsoft Outlook, Microsoft Word, Microsoft Excel, speedtest.net
Pharmacy Prior Authorization and Billing Specialist
Toledo, Ohio, United States
OnsiteFull Time
ProMedica: Integrated not-for-profit health system providing clinical medical services.
5+ YOEAssociate degree in a related field, certified pharmacy technician credential, or 5 years of billing/insurance verification experience; 5 years of relevant healthcare, pharmacy, claims, or revenue cycle experience; ICD-10 and CPT familiarity.
High school diploma or equivalent, strong communication and organizational skills, intermediate computer skills, and knowledge of healthcare insurance eligibility or prior authorization preferred.
Microsoft Excel, Microsoft Word, Electronic Medical Records (EMR), eClinicalWorks
North Canton City Schools: Provides K-12 public education for students in North Canton, Ohio.
0+ YOERequires an intervention specialist license in PreK–3 or K–12; candidates with specified general education teaching licenses may also be considered. Work authorization is required.