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Remote Optum Prior Authorization Jobs in Ohio (NOW HIRING)

Valeris

Executive Case Manager (Remote)

Cincinnati, OH · Remote

This includes completing benefit investigations, tracking prior authorizations / denial appeals ... Remote work eligibility is subject to all work from home criteria met and based on business need ...

Vertiv Co

Controls Engineer (Remote)

Delaware, OH · On-site +1

$79K - $102K/yr

Prior work interfacing with utilities or ISOs. The successful candidate will embrace Vertiv's Core ... Work Authorization No calls or agencies please. Vertiv will only employ those who are legally ...

Vertiv Group Corp.

Controls Engineer (Remote)

Delaware, OH · On-site +1

$79K - $102K/yr

Prior work interfacing with utilities or ISOs. About Us The successful candidate will embrace ... Work Authorization No calls or agencies please. Vertiv will only employ those who are legally ...

Symmetry

Remote Work Sales Agent

Columbus, OH · On-site +1

$180K/yr

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Symmetry

Remote Work Sales Agent

Columbus, OH · Remote

$180K/yr

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Imh

Patient Access Acute Coordinator

Cleveland, OH · On-site +1

$24.60 - $37.46/hr

Follows up on pending issues and escalations, such as prior authorizations, referrals, and ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

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Remote Optum Prior Authorization information

What is a Remote Optum Prior Authorization?

A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.

How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?

As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.

What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?

To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.

What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?

AspectRemote Optum Prior AuthorizationRemote Optum Claims Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical coding credentialsOften requires similar healthcare certifications, with focus on claims processing
Work EnvironmentRemote, healthcare insurance setting, interacting with providers and patientsRemote, insurance claims processing environment, reviewing submitted claims
Employer & Industry UsageCommonly employed by health insurance companies like Optum, focusing on authorization processesEmployed by insurance companies, focusing on claims review and reimbursement

Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.

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

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

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

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

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

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

What cities in Ohio are hiring for Remote Optum Prior Authorization jobs?

Cities in Ohio with the most Remote Optum Prior Authorization job openings:

Remote Optum Prior Authorization jobs near you

Licensed Clinical Psychologist

Optimum Care Counseling & Wellness

North Canton, OH • Remote

Full-time, Part-time

Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Benefits:

401(k) matching

Bonus based on performance

Competitive salary

Flexible schedule

Come join Optimum Care Counseling and Wellness Solutions

We are seeking licensed Psychologists (PhD or PsyD) residing in the United States who are passionate about providing high-quality, evidence-based care to diverse populations across the United States.

At Optimum Care Counseling and Wellness Solutions, our mission is to empower clients to use their individual strengths to gain insight into their challenges and feel more in control of their lives. As part of our growing team, you will provide psychological services while collaborating with an interdisciplinary team of psychiatrists, nurse practitioners, and therapists.

This is a fully remote position, offering telehealth opportunities based on client and program needs.

We offer flexible scheduling:

Monday–Friday: 7:00 AM – 9:00 PM

Saturday: 7:00 AM – 4:00 PM

We are seeking psychologists available for Part-Time.

Psychologists will provide diagnostic evaluations, psychological testing, and individual therapy to children, adolescents, adults, and older adults. Our practice utilizes a robust Electronic Health Records (EHR) system with an integrated telehealth platform to ensure efficient and secure service delivery.

Practice Support & Resources

New patient scheduling

Credentialing support

Advertising and marketing

Copay collection

Prior authorizations

Patient relations support

Established referral base

In-house prescribers for medication management

Electronic EHR system

Secure phone system (to maintain professional boundaries)

Online fax system

Paid training

Collaborative, team-based work environment

Responsibilities

Conduct comprehensive psychological evaluations and diagnostic assessments

Administer and interpret psychological and cognitive testing

Provide evidence-based therapeutic interventions

Develop and implement individualized treatment plans

Collaborate with psychiatrists, nurse practitioners, and other treatment providers

Maintain accurate and timely documentation

Complete required EHR training modules

Qualifications

Doctoral degree (PhD or PsyD) in Clinical Psychology or related field

Active Psychologist license required in Maryland

Experience in psychological assessment and testing preferred

Strong written and verbal communication skills

Ability to build rapport with clients across the lifespan

Strong organizational and clinical leadership skills

This is a remote position.

Apply