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Part Time Prior Authorization Jobs in Ohio (NOW HIRING)

Pharmacy Tech II

Parma, OH · On-site

$17 - $20.50/hr

This is a part-time position working up to 20 hours per week* A Brief Overview The Pharmacy ... prior authorization submittal, and accurately prepares dangerous drugs for dispensing including ...

Pharmacy Tech II

Parma, OH · On-site

$16.50 - $20.25/hr

This is a part-time position working up to 20 hours per week* A Brief Overview The Pharmacy ... prior authorization submittal, and accurately prepares dangerous drugs for dispensing including ...

Pharmacy Tech II

Parma, OH

$17 - $20.50/hr

This is a part-time position working up to 20 hours per week* A Brief Overview The Pharmacy ... prior authorization submittal, and accurately prepares dangerous drugs for dispensing including ...

Customer Care Specialist

Newton Falls, OH · On-site

$13.50 - $17.75/hr

Schedule: Part-time, approximately 20 hrs per week. Location: Newton Falls Position Overview: We ... and obtain prior authorizations, and manage phone calls, assessments, and client inquiries.

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Part Time Prior Authorization information

See Ohio salary details

$13

$19

$30

How much do part time prior authorization jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for part time prior authorization in Ohio is $19.86, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $21.92 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the part time prior authorization position?

A Part Time Prior Authorization specialist needs strong attention to detail, a solid understanding of healthcare insurance processes, and familiarity with medical terminology, often supported by experience in a healthcare setting or relevant certification. Proficiency in prior authorization software, electronic health record (EHR) systems, and payer portals is typically required. Exceptional organizational skills, clear communication, and the ability to multitask are vital soft skills in this position. These competencies are important to ensure timely approvals, minimize claim denials, and provide efficient support to patients and care teams.

What is a part time prior authorization?

A Part Time Prior Authorization job involves reviewing and processing requests for medical procedures, medications, or services that require approval from an insurance provider before they are covered. Professionals in this role verify patient information, check insurance guidelines, and communicate with healthcare providers and insurance companies to ensure timely approvals. This position typically requires knowledge of medical terminology, insurance policies, and prior authorization procedures.

What does a part time prior authorization do?

In a Part Time Prior Authorization role, your daily duties generally include reviewing medical documentation, verifying insurance coverage, submitting authorization requests for procedures or medications, and following up with insurance companies for approvals. You’ll frequently interact with healthcare providers, office staff, and sometimes patients to gather necessary information or clarify details. Accurate record-keeping and timely communication are central to ensuring patients receive required treatments without unnecessary delays. Your work will often be independent, but collaboration with clinical and administrative teams is common, especially to resolve more complex cases.

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

The most popular types of Prior Authorization jobs in Ohio are:

What are popular job titles related to Part Time Prior Authorization jobs in Ohio?

For Part Time Prior Authorization jobs in Ohio, the most frequently searched job titles are:

What cities in Ohio are hiring for Part Time Prior Authorization jobs?

Cities in Ohio with the most Part Time Prior Authorization job openings:

Infographic showing various Part Time Prior Authorization job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $41,317 per year, or $19.9 per hour.

Benefits &Prior Authorization Specialist

company520

Pepper Pike, OH • On-site

$26/hr

Full-time, Part-time

Posted 3 days ago

New


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.