16 prior authorization specialist jobs at 11 companies in Mentor, OH
3mo
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Pharmacy Prior Authorization Specialist
Broadview Heights or Ohio or West Virginia or Indiana or Maryland
RemoteFull Time
CommuniCare Health Services: Provides post-acute healthcare and long-term senior living services.
Prior Authorization experience (not required); Long-Term Care pharmacy experience a plus; Knowledge of Framework LTC a plus.
1w
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Benefits &Prior Authorization Specialist
Pepper Pike, Ohio, United States
$26/hr OnsitePart Time, Full Time
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)
1mo
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Insurance Specialist - Prior Authorization (Remote) - Eastern Time zone
Rocky River or United States
$18-$21/hr RemoteFull Time
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
1w
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Authorization & Insurance Specialist
Akron, Ohio, United States
OnsiteFull Time
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
1w
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Insurance Specialist - Prior Authorization (Remote) - Eastern Time zone
United States or Rocky River or North America
$18-$21/hr RemoteFull Time
2+ YOEHigh school diploma or GED and 2+ years of prior authorization, insurance verification, medical billing, patient access, or healthcare revenue cycle experience. Requires payer knowledge and Microsoft Office proficiency.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Epic, Cerner, Meditech
1mo
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Surgical Services Precertification Specialist
Cuyahoga Falls, Ohio, United States
OnsitePart Time
Verify benefits, obtain prior authorizations, review clinical documentation, communicate with payers, and maintain EMR records; high school diploma required, associate preferred; insurance/prior auth or medical billing experience preferred.
Electronic Medical Records (EMR), Microsoft Office
1mo
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Surgical Services Precertification Specialist
Cuyahoga Falls, Ohio, United States
OnsitePart Time
High school diploma (associate preferred); experience with insurance verification, prior authorizations, medical billing or healthcare admin preferred; knowledge of CPT/ICD-10 and medical terminology preferred; strong detail, organizational and communication skills.
Electronic Medical Record, Microsoft Office
2w
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Utilization Management Specialist
Kent, Ohio, United States
$60k/yr OnsiteFull Time
5+ YOEEvaluate medical necessity and appropriateness of behavioral health/substance use treatments, obtain prior authorizations, collaborate with payors and clinical staff, analyze utilization data; bachelor's degree and 5 years behavioral health experience required.
Electronic Health Record System, Windows, Microsoft Office, Power BI, SQL
3w
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ONCOLOGY REVENUE INTEGRITY SPECIALIST
Middleburg Heights, Ohio, United States
OnsiteFull Time
3+ YOEAssociate degree ( bachelors preferred), 3+ years oncology revenue cycle experience, knowledge of prior authorization, medical necessity, payer reimbursement and oncology treatment regimens; CCS or utilization review/case management certification preferred.
1w
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Regional Patient Service Specialist
Cleveland or Willoughby Hills
$17-$19/hr FieldFull Time
High school diploma or GED required. Responsibilities include patient registration, appointment scheduling, payment collection, insurance verification, authorizations, and communication with healthcare partners.
1d
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Retail Merchandising Field Specialist
Mentor, Ohio, United States
$18/hr FieldPart Time
High school diploma/GED or equivalent, reliable transportation, smartphone/tablet with GPS, basic toolkit, U.S. work authorization, and availability for at least 20 hours weekly. Retail experience preferred.
Android, Apple, GPS, Smartphone, Tablet, Big Joe, Little Joey, forklifts, FedEx
6d
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Multi-Location Customer Service Specialist
Woodmere or Richmond Heights or Mayfield Heights or University Heights or Shaker Heights
$17/hr OnsiteFull Time
Requires age 18+, unrestricted driver's license, work authorization without sponsorship, ability to lift up to 70 pounds, and willingness to work evenings and weekends; retail or customer service experience preferred.
HireVue
3d
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Patient Engagement Specialist (Euclid, OH)
Euclid, Ohio, United States
$17-$19/hr OnsiteFull Time
High school diploma, GED, or equivalent; behavioral health or substance use experience preferred; unrestricted driver's license and clean record required; crisis intervention training preferred; U.S. work authorization required.
1w
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Multi-Location Customer Service Specialist
Streetsboro, Ohio, United States
$17/hr OnsiteFull Time
Valid unrestricted driver's license, legal work authorization, ability to lift up to 50 pounds frequently and 70 pounds occasionally, and availability for scheduled evening and weekend hours. Retail or customer service experience preferred.
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1w
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Store Customer Service Specialist
Westlake, Ohio, United States
$16/hr OnsiteFull Time
Must be 18+, legally authorized to work without sponsorship, hold an unrestricted driver's license, lift up to 70 lbs, and work evenings and weekends. High school diploma and one year of relevant experience preferred.
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1d
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Retail Merchandising Field Specialist
Avon, Ohio, United States
$18/hr FieldPart Time
High school diploma, GED, or equivalent; preferred retail, merchandising, or customer service experience. Must be 18+, work-authorized, mobile-device proficient, able to drive, travel within 60 miles, and lift 40+ pounds.
Android, Apple, GPS, Smartphone, Tablet, FedEx, Big Joe, Little Joey, forklifts
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