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Parttime Prior Authorization Jobs in Ohio (NOW HIRING)

University Hospitals

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 ...

University Hospitals

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 ...

University Hospitals

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 ...

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All JobsParttime Prior Authorization JobsParttime Prior Authorization Jobs in Ohio

Parttime Prior Authorization information

What is the difference between Parttime Prior Authorization vs Parttime Medical Coder?

AspectParttime Prior AuthorizationParttime Medical Coder
CredentialsTypically requires knowledge of insurance policies and healthcare regulationsRequires coding certifications like CPC or CCS
Work EnvironmentHealthcare offices, insurance companies, hospitalsHospitals, clinics, billing companies
Employer & Industry UsageInsurance providers, healthcare facilitiesMedical billing and coding companies, healthcare providers

While both roles are healthcare-related, Parttime Prior Authorization focuses on reviewing and approving insurance requests, whereas Parttime Medical Coder involves translating medical records into standardized codes. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

What are part-time prior authorization jobs?

Part-time prior authorization jobs involve reviewing and processing requests from healthcare providers to approve specific medical treatments, procedures, or medications for insurance coverage. Individuals in these roles typically work fewer hours than full-time staff and may coordinate with doctors, patients, and insurance companies to ensure proper documentation and compliance. The position often requires knowledge of medical terminology, insurance policies, and strong communication skills. Part-time prior authorization specialists are commonly employed by hospitals, clinics, insurance companies, or third-party administrators. These roles are ideal for those seeking flexible work hours while contributing to the healthcare system.

What are the key skills and qualifications needed to thrive as a Part-time Prior Authorization Specialist, and why are they important?

To thrive as a Part-time Prior Authorization Specialist, you need knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with prior authorization software, electronic health records (EHRs), and payer-specific portals is typically required. Attention to detail, strong organizational skills, and effective communication are essential soft skills for handling complex cases and collaborating with healthcare providers. These skills ensure timely and accurate processing of authorizations, reducing care delays and supporting efficient healthcare delivery.

What are some typical challenges faced by part-time Prior Authorization specialists, and how can they be managed?

Part-time Prior Authorization specialists often face challenges such as managing a high volume of requests within limited working hours and staying updated on frequent changes in insurance policies. Effective time management, clear communication with healthcare providers, and leveraging electronic health record systems can help mitigate these challenges. Collaboration with full-time team members ensures continuity of care and proper follow-up on pending authorizations. Being proactive in seeking updates and clarifying payer guidelines also helps maintain efficiency and accuracy in a part-time capacity.
What are popular job titles related to Parttime Prior Authorization jobs in Ohio? For Parttime Prior Authorization jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Parttime Prior Authorization jobs in Ohio look for? The top searched job categories for Parttime Prior Authorization jobs in Ohio are:
What cities in Ohio are hiring for Parttime Prior Authorization jobs? Cities in Ohio with the most Parttime Prior Authorization job openings:
Parttime Prior Authorization jobs near you
Specialty Pharmacy Medication Access Coordinator

Specialty Pharmacy Medication Access Coordinator

Akron Children's Hospital

Akron, OH • On-site

$18 - $23.50/hr

Part-time

Posted 25 days ago

Akron Children's Hospital rating

7.4

Company rating: 7.4 out of 10

Based on 97 frontline employees who took The Breakroom Quiz

347th of 1,051 rated hospitals

Job description

Part-time, 20 Hours/week
Monday - Friday, 8AM-4:30PM
Onsite Akron, OH
$2,000 Sign on bonus available (taxable)
Summary:
The Specialty Pharmacy Medication Access Coordinator position resides within the Pharmacy Department and supports the pharmacy by providing medication access assistance to providers, clinical staff, and pharmacists. The position is primarily responsible for completing necessary third-party prior authorization requests, improving patient outcomes, and maximizing efficiency for patients and clinic staff. Other areas of responsibility include call center support for the specialty pharmacy and navigating financial assistance for patients.
Responsibilities:
  1. Provide medication access and affordability services by completing the following:
    • Conduct prospective benefits investigation services to expedite clinic workflow and enhance patient care
    • Review prior authorization requests received from clinic staff
    • Review documentation in the patient's medical record that is required for prior authorization submission
    • P benefits investigation review upon third party payor determination to assess patients coverage and out of pocket costs
    • Identify financial options that could be utilized to reduce patient financial burden including but not limited to copay cards, grants, foundations or manufacturer patient assistance programs.
    • Communicate with clinic staff for any clinical information or guidance related to prior authorization submission and determination
    • Assist the clinic in submitting appeals and independent reviews related to coverage denials
  2. Demonstrate proficiency and skill with pharmacy and health system information systems
  3. Ensure timely and accurate documentation related to services provided to providers, clinic staff and patients/families
  4. Manage and process incoming and outgoing calls in call center including:
    • Processing medication orders
    • Refill reminders
    • Providing order updates
    • Providing prior authorization updates and details
    • Collaborating with other staff for patient needs
  5. Effectively communicate with other pharmacy team members, physicians, nurses and patients/families
  6. Resolve routine medication-related issues and ensure medication transactions are processed accurately and appropriately
  7. Complete other duties as assigned by supervisor or pharmacist regarding medication access and other patient care needs

Other information:
Technical Expertise
  1. Prior experience as an outpatient pharmacy technician is preferred.

Education and Experience
  1. High School diploma or equivalent combination of education (GED)
  2. Certification: Registration as a "Registered Ohio Pharmacy Technician" or "Pharmacy Technician Trainee" required. National Pharmacy Technician Certification (PTCB or equivalent required).
  3. Years of relevant experience: 3 to 5 years is preferred
  4. Years of experience supervising: none

Part Time
FTE: 0.500000
Status: Fixed Hybrid

What Akron Children's Hospital employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Akron Children's Hospital

Sourced by ZipRecruiter

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Akron, OH, US

Year founded

1890

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