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Remote Prior Authorization Analyst Jobs in Ohio (NOW HIRING)

Lead Reimbursement Analyst

Columbus, OH · Remote

$31.47 - $39.34/hr

... prior authorizations, appeals, and patient assistance programs; manage and resolve escalated cases ... Remote; desk-based role with frequent phone and computer use and minimal physical requirements

Medical Economics Analyst II

Dayton, OH · On-site +1

$72K - $115K/yr

Extract, manipulate, and validate large healthcare claims and prior authorization datasets using ... Present analytical findings and recommendations * Support the intake, prioritization and ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

Collateral Analyst Sr

Cincinnati, OH · On-site +1

$27.40 - $62.50/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Collateral Analyst Sr

Columbus, OH · On-site +1

$27.40 - $62.50/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Collateral Analyst Sr

Columbus, OH · On-site +1

$27.40 - $62.50/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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Remote Prior Authorization Analyst information

What is the difference between Remote Prior Authorization Analyst vs Remote Claims Processor?

AspectRemote Prior Authorization AnalystRemote Claims Processor
Required CredentialsHealthcare certifications, knowledge of insurance policiesBasic insurance knowledge, data entry skills
Work EnvironmentHome office, healthcare or insurance companiesHome office, insurance companies or third-party administrators
Employer & IndustryHospitals, insurance providers, healthcare organizationsInsurance companies, third-party claims firms
Common Search/ComparisonYesYes

The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.

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

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

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

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

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

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

Pharmacy Prior Authorization Specialist

Broadview Heights, OH • Remote


Communicarehealth
Health Care and Social Assistance • 10K+ employees

6.1

Company rating: 6.1 out of 10

Based on 158 frontline employees who took The Breakroom Quiz

729th of 895 rated healthcare providers

People enjoy working here

Respectful managers


$17.50 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago


Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Job Description: Prior Authorization Specialist

Reports to: Pharmacy Prior Authorization Manager

Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.

Key Responsibilities Include but are not limited to:

  • Work in cohesion with the Adjudication, Claim Intervention and Billing Departments
  • Submit prior authorizations in accordance with Insurance regulations
  • Ensure accurate and timely processing of prior authorizations
  • Work directly with insurance companies for prior authorization resolution
  • Communicate with facilities to gain additional information
  • Any other duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications and Requirements:

  • Prior Authorization experience (not required)
  • Previous Long-Term Care pharmacy experience a plus (not required)
  • Knowledge of Framework LTC a plus (not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more


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