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Prior Authorization Supervisor Jobs in Ohio (NOW HIRING)

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership. * Comply with the Equitas Health Care Corporate Compliance Standards of Conduct and related ...

Ohio Living

Central Auth Coord - HHH

Westerville, OH · On-site

$18 - $22.25/hr

... Supervisor in a timely manner. Completes all recertification on existing authorizations, as ... Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring ...

Ohio Living

Central Auth Coord - HHH

Westerville, OH · On-site

$18 - $22.25/hr

... Supervisor in a timely manner. Completes all recertification on existing authorizations, as ... Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring ...

DOCS, LLC

Care Management Coordinator

Dublin, OH · On-site

Act as a resource for clinical and prior authorization team members by performing various tasks ... All other duties as assigned by supervisor. Minimum Qualifications * High School Diploma or ...

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Prior Authorization Supervisor information

What is a prior authorization supervisor?

A Prior Authorization Supervisor oversees the prior authorization process in healthcare settings, ensuring that insurance approvals for medical treatments, procedures, or medications are obtained efficiently. They manage a team responsible for reviewing authorization requests, verifying coverage, and coordinating with patients, providers, and insurance companies. Their role includes training staff, monitoring workflow, and ensuring compliance with regulatory guidelines. Effective leadership and knowledge of insurance policies are key to success in this role.

What are the key skills and qualifications needed to thrive as a prior authorization supervisor?

To thrive as a Prior Authorization Supervisor, you need strong knowledge of healthcare benefit structures, prior authorization processes, and insurance guidelines, often supported by experience in medical administration or a related degree. Familiarity with healthcare management software, claims processing systems, and occasionally relevant certifications like Certified Medical Manager (CMM) or Certified Professional Coder (CPC) is important. Leadership, problem-solving abilities, and effective communication are essential soft skills for this supervisory role. These skills ensure efficient workflow, regulatory compliance, and positive team performance in a fast-paced healthcare environment.

What are the typical challenges faced by a prior authorization supervisor, and how can someone succeed in this role?

One of the primary challenges for Prior Authorization Supervisors is balancing high-volume workflows while ensuring thorough reviews of complex insurance and medical documentation. Success in this role often involves staying updated on frequent policy changes, motivating team members, and developing effective communication channels between providers, payers, and patients. By implementing efficient processes and fostering a collaborative team environment, supervisors can reduce approval delays and improve overall service quality. Adaptability, attention to detail, and strong leadership skills are key to excelling and advancing in this field.

Is prior authorization a stressful job?

Prior Authorization Supervisors often find the role to be stressful due to the need for accuracy, attention to detail, and managing deadlines to ensure timely approvals. The job requires strong organizational skills and familiarity with healthcare policies, which can contribute to work-related pressure, especially during high-volume periods or complex cases.

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

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

What job categories do people searching Prior Authorization Supervisor jobs in Ohio look for?

The top searched job categories for Prior Authorization Supervisor jobs in Ohio are:

What cities in Ohio are hiring for Prior Authorization Supervisor jobs?

Cities in Ohio with the most Prior Authorization Supervisor job openings:

Prior Authorization Supervisor jobs near you
Infographic showing various Prior Authorization Supervisor job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, 2% Temporary, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Prior Authorization Supervisor

Medical Service Company

Toledo, OH • On-site

$65 - $90/hr

Other

Life, Retirement, PTO

Posted 7 days ago

Medical Service Company rating

6.7

Company rating: 6.7 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

Location: Toledo, OH Job Id: 2389 # of Openings: 1

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).

MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team!

We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!

to become a part of our dynamic team!

  • Competitive Pay & Mileage Reimbursement
  • HSA Account w/Company Contribution
  • Pet Insurance
  • Company provided Life and AD&D insurance
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement Program
  • Employee Assistance Program (EAP)
  • Employee Referral Bonus Program
  • Social Recognition Program
  • Employee Engagement Opportunities
  • CALM App
  • 401k (with a matching program) / Roth IRA
  • Company Discounts
  • Payactiv/On-Demand Pay
  • Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays
General:

Coordinate, lead and manage the daily activities of the Revenue Qualification Dept

Responsibilities and Duties:
  • Monitor daily activities among the PAR representatives to ensure revenue is created and billed timely and accurately. This is to be accomplished through task assignment, delegation to team members, and management of project completion.
  • Coordinate available resources to appropriately staff each Team for efficient daily productivity
  • Daily review of the Brightree WIP state and RC worklists, monitor and assist with timely follow up and accurate logging and insurance verification
  • Daily review of the SNAP worklists, monitor and assist with timely follow up and accurate verification of documents and insurances.
  • Daily review of the Brightree RC worklist and Stop order reports, monitor, and assist with timely follow up and accurate billing release for pap compliance.
  • Monitor daily processes that all standard operating procedures and guidelines are being adhered to.
  • Supervise the PAR team effectively to assure both internal and external customers receive the ultimate customer service experience when interacting with the department.
  • Serve as the daily lead and role model for the entire PAR team. Mentor all staff members to enable achievement of functional team objectives (FTOs).
  • Monitor staff performance within the PAR Team through daily review of productivity dashboards and work directly with the Manager, CMN and PAR on observations and concerns.
  • To assist and provide feedback on end of year performance appraisals
  • To assist with monthly one-on-one meetings for PAR staff members to provide performance feedback, motivate toward goal achievement, and request input on departmental improvement.
  • To assist with training and re-training for all new and current staff members.
  • Assist Manager, CMN and PAR in setting departmental goals, reviewing team member performance, and allocating resources to accomplish objectives.
  • As part of the qualification team, participate in rotating responsibilities including after hours.
Qualifications: Education:

High school diploma required.

Experience/Knowledge/Skills/Physical Requirements:
  • Minimum 5 years of Revenue Cycle experience in the HME field.
  • 2-3 years of leading a team or training experience
  • Customer oriented with strong communication skills.
  • Interpersonal and organizational skills required; TEAM player.
  • Ability to develop, organize and coordinate paperwork flow.
  • Required to travel as part of the weekly schedule and as needed.
  • Office/clerical motor skills with extensive computer and telephone experience.
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