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Insurance Authorization Jobs in Ohio (NOW HIRING)

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Reliable transportation, driver's license and proof of auto insurance required. OTHER INFORMATION:

Southwoods Health

Pre-Certification Specialist

Boardman, OH · On-site

$15 - $20/hr

In this role, you will be responsible for requesting and obtaining insurance authorizations for procedures and imaging ordered by Southwoods Health physicians. Essential Duties & Responsibilities

Southwoods Health

Pre-Certification Specialist

Boardman, OH · On-site

$17 - $22.50/hr

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

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Insurance Authorization information

See Ohio salary details

$24.2K

$62.4K

$79.4K

How much do insurance authorization jobs pay per year?

As of Jul 27, 2026, the average yearly pay for insurance authorization in Ohio is $62,415.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $73,200.00 per year, depending on experience, location, and employer.

What is the 3 month rule for jobs?

In the context of insurance authorization jobs, the 3 month rule often refers to a policy where certain authorizations or approvals are valid for three months, requiring re-authorization afterward. This rule helps ensure that coverage and approvals are current and accurate, and employees in this role must monitor expiration dates and follow up for renewals or re-approvals as needed.

What does an insurance authorization specialist do?

An insurance authorization specialist reviews and obtains prior authorization from insurance companies to approve medical procedures, treatments, or services. They communicate with healthcare providers and insurers, ensure documentation is complete, and use billing or authorization software to facilitate approvals, helping to ensure timely patient care and reimbursement.

What is an Insurance Authorization job?

An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Insurance Authorization position, and why are they important?

To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.

Is prior authorization a stressful job?

Insurance authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing deadlines. Employees often handle complex documentation and communicate with healthcare providers and insurance companies, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

What are the typical challenges faced in an Insurance Authorization role, and how are they addressed?

Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.

Do you need a degree to be a prior authorization specialist?

A degree is not typically required to become a prior authorization specialist, but relevant certifications, healthcare knowledge, and experience with insurance processes are often preferred. Strong communication skills and familiarity with medical billing and coding can improve job prospects. Employers may have varying educational requirements depending on the organization.
What are the most commonly searched types of Insurance Authorization jobs in Ohio? The most popular types of Insurance Authorization jobs in Ohio are:
What are popular job titles related to Insurance Authorization jobs in Ohio? For Insurance Authorization jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Insurance Authorization jobs in Ohio look for? The top searched job categories for Insurance Authorization jobs in Ohio are:
What cities in Ohio are hiring for Insurance Authorization jobs? Cities in Ohio with the most Insurance Authorization job openings:
Insurance Authorization jobs near you
Infographic showing various Insurance Authorization job openings in Ohio as of July 2026, with employment types broken down into 53% Full Time, and 47% Part Time. Highlights an 100% In-person job distribution, with an average salary of $62,415 per year, or $30 per hour.

Prior Authorization Specialist

Riverhills Healthcare, Inc

Cincinnati, OH • Hybrid

$18 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

About Us:

For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.

Position: Prior Authorization Specialist

Location: Norwood Office

Department: Billing

Schedule: Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training.

Pay: $18-22 per hour

Key Benefits for Full-Time Employees:

  • Competitive pay based on experience, minimum $18
  • 401k with Profit Sharing and 4% Company Match
  • Comprehensive Medical, Dental, and Vision insurance
  • Long-Term and Short-Term Disability Insurance
  • Company Paid Life Insurance
  • Paid Holidays
  • Over three weeks of Paid Time Off
  • Continuing Education Reimbursement
  • Uniform Allowance
  • Free Parking

Responsibilities:

As a Prior Authorization Specialist at Riverhills Neuroscience, you will play a vital role in ensuring the efficiency and accuracy of our billing processes. Your responsibilities include:

  • Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirements
  • Coordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determination
  • Facilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patients
  • Ensure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin procedures
  • Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheet
  • Initiate patient education on available assistance programs

Background and Experience:

  • 1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practice
  • Pain Management experience is a plus
  • Experience with an Electronic Medical Record (EMR) and practice management system
  • Knowledge of Medicare/Medicaid and major insurance carrier's guidelines
  • Working knowledge of ICD-9-10 medical coding and billing and medical terminology
  • Superior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors

If you're eager to contribute to a world-class healthcare team, apply today. We look forward to welcoming dedicated professionals to contribute to the growth of our practice.

Equal Opportunity/Drug-Free Workplace:

Riverhills Neuroscience is an equal opportunity employer and maintains a drug-free workplace.

#IND3

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