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Assistant Prior Authorization Jobs in Ohio (NOW HIRING)

TriHealth

Prior Authorization Specialist

Cincinnati, OH · On-site

$17.25 - $23/hr

Prior Authorization Specialist (Certified Medical Assistant or Pharmacy Technician) At TriHealth, you'll join a growing, forward-moving health system that invests in its people and creates meaningful ...

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Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit ... Medical Assistant, Certified Pharmacy Technician or Registered Pharmacy Technician (must be ...

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Assistant Prior Authorization information

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How much do assistant prior authorization jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for assistant prior authorization in Ohio is $18.93, according to ZipRecruiter salary data. Most workers in this role earn between $13.84 and $20.66 per hour, depending on experience, location, and employer.

What are some common challenges faced by an assistant prior authorization, and how can they be effectively managed?

Assistant Prior Authorization professionals often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and ensuring timely communication between healthcare providers, patients, and insurance companies. Staying organized and maintaining up-to-date knowledge of payer policies are essential for success. Using electronic health records efficiently and fostering strong teamwork with clinical staff can help streamline the approval process and reduce delays, ultimately improving patient care.

What is an assistant prior authorization?

Assistant Prior Authorization jobs involve supporting healthcare providers and insurance companies by helping to obtain approval for specific medical procedures, treatments, or medications. These assistants review patient information, coordinate with physicians and insurance representatives, and ensure all necessary documentation is submitted for approval. The role is crucial in helping patients receive timely care by navigating insurance requirements and reducing delays. Strong organizational and communication skills are essential in this position.

What is the difference between Assistant Prior Authorization vs Medical Billing Specialist?

AspectAssistant Prior AuthorizationMedical Billing Specialist
Required CredentialsHigh school diploma, certification in healthcare administration or relatedHigh school diploma, certification in medical billing or coding
Work EnvironmentHealthcare offices, insurance companies, hospitalsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesObtaining prior approvals from insurance for procedures/servicesProcessing and submitting medical claims, coding, and billing
Industry UsageCommonly used in healthcare and insurance sectorsWidely used in healthcare billing and revenue cycle management

While both roles operate within the healthcare industry, an Assistant Prior Authorization focuses on securing insurance approvals before procedures, whereas a Medical Billing Specialist handles claims processing and billing after services are rendered. Understanding these differences helps clarify career paths and employer expectations in healthcare administration.

What are the key skills and qualifications needed to thrive as an assistant prior authorization?

To thrive as an Assistant Prior Authorization, you generally need a strong understanding of medical terminology, health insurance processes, and prior authorization requirements, often supported by a high school diploma or medical office training. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are standout soft skills in this position. These skills ensure accurate and timely processing of authorizations, minimize insurance denials, and support efficient patient care coordination.

What are the most commonly searched types of Prior Authorization jobs in Ohio?

The most popular types of Prior Authorization jobs in Ohio are:

What are popular job titles related to Assistant Prior Authorization jobs in Ohio?

For Assistant Prior Authorization jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Assistant Prior Authorization jobs in Ohio look for?

The top searched job categories for Assistant Prior Authorization jobs in Ohio are:

Assistant Prior Authorization jobs near you

Prior Authorization Specialist

Equitas Health, Inc.

Columbus, OH

$18.13 - $21.78/hr

Full-time

Re-posted yesterday

Equitas Health rating

5.4

Company rating: 5.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

ORGANIZATION INFORMATION:

Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation’s largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives.

HOURLY RATE: $18.13-$21.78

BENEFITS:
  • PTO
  • Vision
  • Dental
  • Health
  • 401k
  • Sick time

POSITION SUMMARY:
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work with internal and external pharmacies, CoverMyMeds, the EHR, and all Equitas Health health center providers to facilitate prior authorization completion. This individual must be able to work in conjunction with the pharmacy department and health center staff to facilitate the prior authorization process.
ESSENTIAL JOB FUNCTIONS:
The Prior Authorization Specialist is responsible for handling all prior authorizations, appeals, and third party medication disputes for providers at Equitas Health. The Prior Authorization Specialist will be required to communicate with prescribers, pend medication changes, and maintain exceptional documentation in the patient health record. The staff member will also be in constant communication with internal pharmacies, external pharmacies, and patients waiting on prior authorizations. Essential job functions include, but are not limited to, driving or having reliable transportation, written and verbal communication, utilizing a computer for typing, multi-system use/maintenance, and attending meetings.
MAJOR AREAS OF RESPONSIBILITIES:

  • Complete prior authorizations submission within established time frame.
  • Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party representatives.
  • Ensure proper documentation is maintained in the EHR.
  • Work with clinical pharmacist team to provide potential therapeutic substitutions to prescribers
  • Communicate with the clinical team on the status of prior authorizations or changes that must be made for therapy to continue for the patient.
  • Maintain constant communication with the internal and external pharmacy teams for medication processing.
  • Inform patients when prior authorizations are approved.
  • Provide data on prior authorizations as needed to Senior Leadership.
  • Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership.
  • Comply with the Equitas Health Care Corporate Compliance Standards of Conduct and related policies and procedures.
  • Demonstrate unconditional positive regard to clients and conduct all aspects of job responsibilities.
  • Continuously grow and develop cultural competency, exhibiting an understanding, awareness, and respect for diversity.
  • Contribute to a positive work environment by demonstrating unconditional positive regard to all Equitas Health employees, interns, etc. with an understanding, awareness, and respect for diversity.


EDUCATION/LICENSURE:

  • Medical Assistant, Certified Pharmacy Technician or Registered Pharmacy Technician (must be registered with State of Ohio Board of Pharmacy).


Knowledge, Skills, Abilities and other Qualifications:

  • Experience working in medical records preferred.
  • Must be able to accurately and effectively meet established deadlines
  • Experience with prior authorizations preferred.
  • Strong attention to detail.
  • Ability to be flexible in working hours.
  • Must ensure detailed and thorough documentation.
  • Exemplary written and verbal communication skills.
  • Knowledge of healthcare terminology.
  • Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, chemical dependency and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community.
  • Proficiency in all Microsoft Office applications, computers, email, web-based systems and electronic health records.
  • Reliable transportation, driver’s license and proof of auto insurance required.

OTHER INFORMATION:

Background and reference checks will be conducted. In accordance with Equitas Health’s Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. EOE/AA

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