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Intake Prior Authorization Jobs in Ohio (NOW HIRING)

Gifthealth Inc

Intake Manager

Columbus, OH · On-site

$70K - $82K/yr

Own the intake operations strategy for assigned program(s) from initial implementation through ... Understanding of the prior authorization cycle, including initiation, submission, follow-up, and ...

Local Infusion

Intake Coordinator - Mason, OH

Mason, OH · On-site

$24 - $25/hr

Insurance Prior Authorization Experience * Medical Terminology Experience * Overall Medical ... All Intake Coordinator's must provide documentation of a negative TB test (within the last two ...

Armada Recovery

Intake Therapist

Dayton, OH · On-site

$60K - $70K/yr

Intake Therapist Generous PTO Health, Dental, Vision, Life Insurance 401(k) matching Job Summary ... Experience obtaining prior authorizations and working with managed care organizations. * Knowledge ...

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Intake Prior Authorization information

What are the key skills and qualifications needed to thrive as an Intake Prior Authorization Specialist, and why are they important?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What is an Intake Prior Authorization Specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are some common challenges faced in an Intake Prior Authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in Ohio? For Intake Prior Authorization jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Intake Prior Authorization jobs in Ohio look for? The top searched job categories for Intake Prior Authorization jobs in Ohio are:
Intake Prior Authorization jobs near you
Infographic showing various Intake Prior Authorization job openings in Ohio as of July 2026, with employment types broken down into 100% Full Time. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution.
Homecare Prior Authorization Supervisor

Homecare Prior Authorization Supervisor

Nationwide Children's Hospital

Columbus, OH • On-site

$16.75 - $23/hr

Full-time

Posted 29 days ago

Nationwide Children's Hospital rating

7.0

Company rating: 7.0 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

507th of 1,051 rated hospitals

Job description

Overview:
Schedule: M-F (Day Shift)
On-site during the first 90 days until approved to work hybrid (2 office days per week)
Job Description Summary:
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client service functions, information management, and initiates steps to resolve issues impacting the Homecare revenue cycle.
Job Description:
Essential Functions:
  • Supervises staff, providing training and support as needed, and manages workflow of team, ensuring appropriate staffing needs are met.
  • Monitors employees' productivity and quality of work, ensuring accuracy of data entry and information gathering.
  • Manages communication regarding inquiries and complaints and acts as the primary resource for internal and external customers.
  • Develops departmental policies and procedures and reviews organization-wide policies. Identifies opportunities for process improvement, devises solutions, and implements those solutions.
  • Assists with compliance to applicable laws and regulations from federal, state, and local bodies, and from accrediting organizations.

Education Requirement:
Bachelor's Degree in related field, or equivalent education and experience, required.
Skills:
  • Effective attention to detail, organizational skills, and multitasking abilities, with a proven ability to manage multi-disciplined projects and teams.
  • Excellent communication and customer service skills, with a strong professional demeanor that fosters credibility and rapport.
  • Proficient with computer systems and MS Office.

Experience:
  • Three years of experience in the health care field related to registration, referral process, or intake process, required.
  • One year of medical terminology, public relations, quality improvement, and utilization review experience, required.
  • One year leadership or management experience, preferred.

Physical Requirements:
OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Standing, Walking
FREQUENTLY: Decision Making, Sitting
CONTINUOUSLY: Audible speech, Computer skills, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

What Nationwide Children's Hospital employees say

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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892

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