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Prior Authorization Jobs in Ohio (NOW HIRING)

360care

Ancillary Product Coordinator

Richfield, OH · On-site

This position is responsible for efficiently securing prior authorization or payor source for dentures in multiple states. Duties will include assisting patients, providers and billing staff with ...

360care

Ancillary Product Coordinator

Richfield, OH · On-site

Overview This position is responsible for efficiently securing prior authorization or payor source for dentures in multiple states. Duties will include assisting patients, providers and billing staff ...

360care

Ancillary Product Coordinator

Richfield, OH

Overview This position is responsible for efficiently securing prior authorization or payor source for dentures in multiple states. Duties will include assisting patients, providers and billing staff ...

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Showing results 41-60

All JobsPrior Authorization JobsPrior Authorization Jobs in Ohio

Prior Authorization information

See Ohio salary details

$13

$19

$30

How much do prior authorization jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for 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 as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs

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

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

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

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

What cities in Ohio are hiring for Prior Authorization jobs?

Cities in Ohio with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various 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.

Access Specialist II- Prior Authorization- Full Time

Dayton Children's Hospital

Dayton, OH • On-site

Full-time

Posted 2 days ago

New

Dayton Children's Hospital rating

7.4

Company rating: 7.4 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

348th of 1,059 rated hospitals

Job description

Facility:Dayton Children's - Tech TownDepartment:Patient Access - Pre-Registration/Prior AuthorizationSchedule:Full timeHours:40Job Details:Patient Access Representatives provide customer-service coverage and assume the responsibility for successful financial outcomes of all patient services. Under the general supervision of the Patient Access Manager, this position performs imperative duties, which may include, but not limited to appointment scheduling, registration, transcribing orders, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and payment collection, while maintaining patient relations, customer satisfaction, and Dayton Children's Hospital financial solvency.

Department Specific Job Details:

Shift

  • Monday-Friday
  • 8am-4:30pm

Education

  • High school diploma or GED required


Experience

  • Customer service (front desk/patient facing)
  • Healthcare (preferred)

What Dayton Children's Hospital employees say

Pay

Benefits

Hours and flexibility

Workplace

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