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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 ...

Gifthealth

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 ...

Gifthealth Inc

Intake Manager

Columbus, OH

$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 ...

Gifthealth

Pharmacist Intake Leader

Columbus, OH · On-site

Preferred: experience with intake, adjudication, or prior authorization workflows. * Preferred: experience partnering with compliance or regulatory teams on clinical workflow design, and working with ...

Gifthealth

Pharmacist Intake Leader

Columbus, OH · On-site

$132K - $150K/yr

Preferred: experience with intake, adjudication, or prior authorization workflows. * Preferred: experience partnering with compliance or regulatory teams on clinical workflow design, and working with ...

giftHEALTH Inc

Pharmacist Intake Leader

Columbus, OH · On-site

$132K - $150K/yr

Preferred: experience with intake, adjudication, or prior authorization workflows. * Preferred: experience partnering with compliance or regulatory teams on clinical workflow design, and working with ...

Gifthealth Inc

Pharmacist Intake Leader

Columbus, OH · On-site

$132K - $150K/yr

Preferred: experience with intake, adjudication, or prior authorization workflows. * Preferred: experience partnering with compliance or regulatory teams on clinical workflow design, and working with ...

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

$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?

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 August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

REMOTE Prior Authorization Pharmacy Technician

Actalent

Columbus, OH • On-site

$18 - $22/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Job Title: Remote Pharmacy Technician (prior authorization review)
Job Description
As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations, and State Health Programs Pharmacy Operations. You will review requests made by physicians, medical groups, pharmacies, and members for the use of prescription drugs and pharmacy benefits. Your role involves researching and resolving questions, problems, or issues and consulting with Clinical Pharmacists or Regional Medical Directors as needed.
Responsibilities
  • Train on Intake and Technician Review processes.
  • Accurately type information on the prior authorization request form into a Compass case.
  • Verify intake accuracy and compare prior authorization requests with clinical documentation to determine approval.
  • Contact the office for any missing information required for request approval.
  • Route denials to the pharmacist queue for double-checking.
  • Remediate cases if determinations need overturning or errors need correction.
  • Move cases to the Manual Outreach queue and communicate decisions to providers and/or members.
Essential Skills
  • Pharmacy Technician license.
  • 2 years of experience as a Pharmacy Technician.
  • Experience with managed care and claims.
  • Proficiency in data entry.
Additional Skills & Qualifications
  • Customer service or retail experience preferred.
  • Familiarity with Microsoft functions including Teams, Outlook, Word, Excel, and OneNote.

Work Environment
This position is fully remote, fostering a strong sense of connectivity and support through Teams for chat, audio or video calls, and screen shares. Outlook is heavily used for team communications. The training schedule is Monday-Friday from 10am to 6:30pm. Post-training, the schedule will be Tuesday-Friday from 12:30pm to 9pm EST and Saturday from 8am to 4:30pm EST. Overtime is not expected.
Job Type & Location
This is a Contract to Hire position based out of Columbus, OH.
Pay and Benefits
The pay range for this position is $18.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Aug 12, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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About Actalent

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Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

Year founded

1983

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