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Authorizations Manager Jobs in Ohio (NOW HIRING)

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

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 ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

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 ...

VOQUZ Labs

$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 ...

Camaco

EHS Manager

Lorain, OH

$75K - $102K/yr

Provide initial response to work-related injuries, including first aid coordination and clinic authorization. Manage workers' compensation claims in coordination with Human Resources, including ...

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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:

Authorizations Manager jobs near you

Benefits &Prior Authorization Specialist

Jewish Family Service Association of Cleveland

Beachwood, OH • On-site

$17.25 - $23/hr

Other

Posted 10 days ago

Job description

Description
Do you have experience with healthcare prior authorizations, insurance verification, medical billing, electronic health records, payer portals, or Medicaid management? JFSA of Cleveland has an immediate opening for a part-time or full-time Benefits & Prior Authorization Specialist.
Position Type: Hourly, Part-time or Full-time, Office-based
General Duties and Responsibilities:
  • Coordinates initial, concurrent, and renewal prior authorization requests for assigned behavioral health services in accordance with payer requirements and internal timelines.
  • Verifies coverage, eligibility, benefit limitations, authorization requirements, and payer-specific submission procedures before services begin and throughout the authorization period.
  • Advocates for individuals through benefits application/enrollment process. Monitors revalidation/redetermination needs through client portals or local office. Assists individuals with problem-solving barriers and ensuring benefits are reinstated.
  • Reviews authorization packets for required administrative and clinical elements and promptly follows up on missing, inconsistent, expired, or incomplete information.
  • Submits requests and supporting records through payer portals and other approved secure methods while protecting client confidentiality and complying with HIPAA requirements.
  • Maintains an accurate authorization tracker that includes requested and approved services and units, effective dates, remaining balances, renewal deadlines, status, denials, and follow-up activity.
  • Monitors service utilization, payer thresholds, and clients approaching or exceeding authorized limits and provides advance notice to clinical and program leadership.
  • Tracks pending requests through final resolution, documents payer communications, responds to requests for additional information, and escalates delays before they affect services or billing.
  • Coordinates prior authorization denial reviews, reconsiderations, peer-to-peer requests, and appeals by gathering records, communicating deadlines, and supporting clinical leadership and billing staff.
  • Communicates authorization decisions and limitations promptly and ensures approved information is entered accurately in the electronic health record and billing systems.
  • Reconciles authorization records with service delivery and claims data and helps identify services delivered without authorization, unused units, authorization-related denials, and recurring process gaps.
  • Prepares routine reports on pending requests, upcoming expirations, denials, appeal outcomes, turnaround times, and authorization-related financial risk and recommends workflow improvements.
  • Maintains organized, audit-ready records and remains current on Ohio Medicaid, managed care, Medicare, commercial payer, and organizational requirements relevant to assigned services.
  • Participates in team meetings, audits, training, and quality-improvement activities and performs other duties or special projects as required or assigned.
  • Credentialing new providers for in-network reimbursement and provider revalidations.
  • Assists with special projects as needed and any additional duties as assigned.
Requirements
Minimum Qualifications and Skills:
  • High School Diploma/GED, degree in healthcare administration, information management, medical billing and coding, business, or related behavioural health field preferred.
  • Relevant payer, clinical expereince, prior authorization, revenue-cycle, or medical office training may substitute for post-secondary education.
  • Experience in Excel, Word, and other applicable software.
  • At least 2 years expereince in healthcare prior authorization, insurance verification, utilization support, medical billing, revenue cycle, or medical office operation is preferred.
  • Behavioral health, community mental health Medicaid managed care, or human-services expereince is strongly preferred.
  • Excellent interpersonal skills.
  • Must be able to prioritize and schedule daily activities effectively.
  • Computer data entry experience.
  • High degree of accuracy and attention to detail.
  • Experience using the Internet.
  • Experience with payer portals, authorizations, claims-tracking systems, Direct Data Entry ("DDE"), and electronic medical records systems preferred.

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