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Authorizations Manager Jobs in Ohio (NOW HIRING)

Pre-Certification Specialist

Boardman, OH ยท On-site

$15 - $20/hr

Authorization Management: Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner. * Intake & Investigation: Gather accurate, detailed patient data ...

Pre-Certification Specialist

Boardman, OH ยท On-site

$17 - $22.50/hr

Authorization Management: Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner. * Intake amp; Investigation: Gather accurate, detailed patient data ...

Senior Leader ITC, CES

Evendale, OH ยท 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 ...

$71.20 - $94.93/hr

Support account managers on high-value opportunities, including delivering impactful product ... Experience with SAP authorizations and/or SAP licensing is highly desirable * Fluent German ...

Senior Leader ITC, CES

Evendale, OH ยท 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 ยท 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 ...

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Authorizations Manager information

What is an authorizations manager?

An Authorizations Manager is responsible for overseeing and managing the approval process for various transactions, services, or procedures within an organization, often in fields like healthcare, finance, or insurance. They ensure that requests meet policy guidelines, compliance standards, and organizational protocols before granting approval. The role involves coordinating with internal teams and external parties, reviewing documentation, and maintaining accurate records. Authorizations Managers play a key role in minimizing risk and ensuring efficient operations related to authorization processes.

How does an authorizations manager typically collaborate with other departments to ensure timely approvals?

An Authorizations Manager works closely with various departments such as compliance, operations, and customer service to coordinate and expedite approval processes. They often serve as a liaison, addressing documentation gaps and clarifying requirements to minimize delays. Regular meetings and clear communication channels are essential, as the manager must balance regulatory standards with operational efficiency. This collaborative approach helps prevent bottlenecks and ensures that authorization requests are processed accurately and on schedule.

What are the key skills and qualifications needed to thrive as an authorizations manager, and why are they important?

To thrive as an Authorizations Manager, you need expertise in regulatory compliance, insurance policies, and healthcare administration, typically supported by a bachelor's degree in business, healthcare, or a related field. Familiarity with prior authorization software, electronic health record (EHR) systems, and payer portals is essential. Strong organizational skills, attention to detail, and effective communication are vital soft skills for managing workflows and collaborating with teams. These competencies are crucial for ensuring timely and accurate authorization processes, reducing claim denials, and optimizing patient care and organizational efficiency.

What is the difference between Authorizations Manager vs Insurance Coordinator?

AspectAuthorizations ManagerInsurance Coordinator
CredentialsTypically requires healthcare administration or related certificationsOften requires insurance or healthcare administration certifications
Work EnvironmentManages authorization processes in healthcare settings, overseeing teamsHandles insurance documentation and patient authorizations at clinics or hospitals
Employer & IndustryHospitals, healthcare providers, insurance companiesMedical offices, clinics, healthcare facilities
Search & ComparisonOften compared for roles managing healthcare authorizations and approvalsCompared for roles handling insurance paperwork and patient authorizations

The main difference is that an Authorizations Manager oversees the entire authorization process, managing teams and policies, while an Insurance Coordinator handles the day-to-day insurance documentation and patient authorizations. Both roles require healthcare or insurance certifications and work within healthcare environments, but their responsibilities and scope differ.

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

The most popular types of Authorizations jobs in Ohio are:

What are popular job titles related to Authorizations Manager jobs in Ohio?

For Authorizations Manager jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Authorizations Manager jobs in Ohio look for?

The top searched job categories for Authorizations Manager jobs in Ohio are:

What cities in Ohio are hiring for Authorizations Manager jobs?

Cities in Ohio with the most Authorizations Manager job openings:

Pharmacy Prior Authorization Specialist

Communicarehealth

Broadview Heights, OH โ€ข Remote

$17.50 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 days ago


Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Job Description: Prior Authorization Specialist

Reports to: Pharmacy Prior Authorization Manager

Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.

Key Responsibilities Include but are not limited to:

  • Work in cohesion with the Adjudication, Claim Intervention and Billing Departments
  • Submit prior authorizations in accordance with Insurance regulations
  • Ensure accurate and timely processing of prior authorizations
  • Work directly with insurance companies for prior authorization resolution
  • Communicate with facilities to gain additional information
  • Any other duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications and Requirements:

  • Prior Authorization experience (not required)
  • Previous Long-Term Care pharmacy experience a plus (not required)
  • Knowledge of Framework LTC a plus (not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more