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Remote 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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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Ohio

Remote Prior Authorization information

What is a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

What are the key skills and qualifications needed to thrive as a remote prior authorization specialist, and why are they important?

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

What are some common challenges faced by remote prior authorization specialists, and how can they be addressed?

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

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

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

Are remote prior authorization jobs in high demand?

Remote prior authorization jobs are in moderate to high demand due to the increasing need for efficient healthcare administration and insurance processing. These roles often require knowledge of healthcare policies, strong communication skills, and familiarity with electronic health record systems. The demand is expected to grow as healthcare providers and insurers continue to prioritize remote and streamlined authorization processes.
More about Remote Prior Authorization jobs

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

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

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

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

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

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

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

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

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Ohio as of August 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 100% Remote job distribution.

Licensed Behavioral Health Counselor

Optimum Care Counseling & Wellness

Cincinnati, OH • Remote

$56K - $76K/yr

Full-time, Part-time

Retirement

This job post has expired today. 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 Therapists 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 counseling services while collaborating with an interdisciplinary team of psychiatrists, nurse practitioners, psychologists, and fellow 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 currently hiring for Part-Time positions.

Therapists will provide individual therapy services 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

Provide individual therapy using evidence-based treatment approaches (CBT, DBT, trauma-informed care, etc.)

Develop and implement individualized treatment plans

Maintain accurate and timely clinical documentation

Collaborate with psychiatrists, nurse practitioners, psychologists, and other treatment providers

Participate in team meetings and case consultations as needed

Complete required EHR training modules

Qualifications

Master's degree in Counseling, Social Work, Marriage and Family Therapy, or related behavioral health field

Active professional clinical license in Ohio (LPC, LCSW, LMFT, PhD, PsyD, Ed.D)

Experience providing therapy across the lifespan preferred

Strong written and verbal communication skills

Ability to build rapport with diverse populations

Strong organizational and time-management skills

This is a remote position.

Apply