Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Vincent Family Services and MCO payors to ensure authorization requests are submitted timely ... The Utilization Management Specialist monitors client eligibility, tracks authorized units by ...
Quick apply
Vincent Family Services and MCO payors to ensure authorization requests are submitted timely ... The Utilization Management Specialist monitors client eligibility, tracks authorized units by ...
Intake & Authorization Coordinator
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Quick apply
Intake & Authorization Coordinator
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
$16 - $21.75/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Quick apply
Intake & Authorization Coordinator
$16 - $21.75/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
$17 - $23/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Quick apply
Intake & Authorization Coordinator
$17 - $23/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Senior Leader ITC, CES
Evendale, OH · On-site
$106K - $107K/yr
Maintain and oversee implementation of the ITC Authorization Management SOP, authorization management standard work, and digital tools (e.g., OCR EASE database) to ensure full compliance with ...
Senior Leader ITC, CES
Evendale, OH · On-site
$106K - $107K/yr
Maintain and oversee implementation of the ITC Authorization Management SOP, authorization management standard work, and digital tools (e.g., OCR EASE database) to ensure full compliance with ...
Intake & Authorization Coordinator
Bellefontaine, OH · On-site
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
Bellefontaine, OH · On-site
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
$17 - $23.25/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Quick apply
Intake & Authorization Coordinator
$17 - $23.25/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
Bellefontaine, OH · On-site
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
Bellefontaine, OH · On-site
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Senior Leader ITC, CES
Evendale, OH · On-site
$111K - $111K/yr
Maintain and oversee implementation of the ITC Authorization Management SOP, authorization management standard work, and digital tools (e.g., OCR EASE database) to ensure full compliance with ...
Senior Leader ITC, CES
Evendale, OH · On-site
$111K - $111K/yr
Maintain and oversee implementation of the ITC Authorization Management SOP, authorization management standard work, and digital tools (e.g., OCR EASE database) to ensure full compliance with ...
Intake & Authorization Coordinator
$16.75 - $22.75/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Quick apply
Intake & Authorization Coordinator
$16.75 - $22.75/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Intake & Authorization Coordinator
$16.50 - $22.50/hr
Overview The Intake & Authorization Coordinator plays a critical role in supporting Otterbein ... The role also supports payer verification, document management, and communication with referral ...
Pharmacy Prior Authorization Specialist
Cleveland, OH · On-site
$23/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Pharmacy Prior Authorization Specialist
Cleveland, OH · On-site
$23/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Pharmacy Prior Authorization Specialist
Cleveland, OH · Remote
$23/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Pharmacy Prior Authorization Specialist
Cleveland, OH · Remote
$23/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Pharmacy Prior Authorization Specialist
Cleveland, OH · On-site
$23/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Pharmacy Prior Authorization Specialist
Cleveland, OH · On-site
$23/hr
Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...
Patient Access and Authorization Specialist
Cincinnati, OH · On-site
$16.50 - $22/hr
Ability to manage multiple priorities in a fast-paced healthcare environment. Preferred Skills ... Knowledge of payer authorization requirements and denial management. * Strong customer service and ...
Patient Access and Authorization Specialist
Cincinnati, OH · On-site
$16.50 - $22/hr
Ability to manage multiple priorities in a fast-paced healthcare environment. Preferred Skills ... Knowledge of payer authorization requirements and denial management. * Strong customer service and ...
Central Auth Coord - HHH
Westerville, OH · On-site
$18 - $22.25/hr
Essential Activities and Tasks Authorization Verification and Management - 60% * Completes all workflow assigned authorization tasks within primary workflow software in a timely and accurate manner ...
New
Central Auth Coord - HHH
Westerville, OH · On-site
$18 - $22.25/hr
Essential Activities and Tasks Authorization Verification and Management - 60% * Completes all workflow assigned authorization tasks within primary workflow software in a timely and accurate manner ...
New
Central Auth Coord - HHH
Westerville, OH · On-site
$18 - $22.25/hr
Essential Activities and Tasks Authorization Verification and Management - 60% Completes all workflow assigned authorization tasks within primary workflow software in a timely and accurate manner ...
New
Central Auth Coord - HHH
Westerville, OH · On-site
$18 - $22.25/hr
Essential Activities and Tasks Authorization Verification and Management - 60% Completes all workflow assigned authorization tasks within primary workflow software in a timely and accurate manner ...
New
Sr. Physician Services Specialist, Ortho, Full Time, First Shift
West Chester, OH · On-site
$17 - $22.75/hr
Data Management: • Performs audits on patient records/registration for insurance billing and compliance. • Reviews of office notes to ensure that all required items are noted for authorization ...
Sr. Physician Services Specialist, Ortho, Full Time, First Shift
West Chester, OH · On-site
$17 - $22.75/hr
Data Management: • Performs audits on patient records/registration for insurance billing and compliance. • Reviews of office notes to ensure that all required items are noted for authorization ...
This position reports directly to the Revenue Cycle Manager and plays an important role in the continued growth and success of our practice. Primary Responsibilities Obtain prior authorizations and ...
This position reports directly to the Revenue Cycle Manager and plays an important role in the continued growth and success of our practice. Primary Responsibilities Obtain prior authorizations and ...
Authorization Manager information
How does an authorization manager typically collaborate with other departments to ensure efficient access control processes?
What are the key skills and qualifications needed to thrive as an authorization manager, and why are they important?
What is the difference between Authorization Manager vs Credentialing Specialist?
| Aspect | Authorization Manager | Credentialing Specialist |
|---|---|---|
| Required Credentials | Bachelor's degree, healthcare administration or related certifications | Healthcare-related certifications, licensing, and credentials |
| Work Environment | Healthcare organizations, insurance companies, hospitals | Hospitals, clinics, healthcare networks |
| Employer & Industry Usage | Used in healthcare management to oversee authorization processes | Used to verify provider credentials and maintain compliance |
| Common Search & Comparison | Often compared for roles involving patient access and insurance approvals | Compared for roles focused on provider credentialing and compliance |
The Authorization Manager primarily oversees the approval process for patient services and insurance claims, ensuring compliance and efficiency. In contrast, the Credentialing Specialist focuses on verifying healthcare providers' credentials and maintaining licensing standards. Both roles are essential in healthcare operations but serve different functions related to authorization and credential verification.
What does an authorization manager do?

$30/hr
Contractor
Re-posted 14 days ago
Job description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Position Purpose: Review requests for contract specific prior authorization of services within a centralized unit
- Review provider request for contract specific prior authorization through fax or telephone with application of evidence based criteria to ensure medical necessity for services
- Act as clinical resource to unit referral specialist staff and make appropriate referrals
- Provide provider education as directed
- Data entry and inquiry using both claims and clinical system software for performance of the authorization review process with documentation into the appropriate systems
- Active OH RN Licensure
- Experienced with either Interqual or Milliman
Advantages of this Opportunity:
Hours for this Position: Monday- Friday 8a-5p
Pay $30.00 per hour
Start date: 7/6
If you are interested, please call, Lovely 321-574-6539 and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003