Obtains insurance prior authorization as needed and documents the verification of benefits and ... Associate's Degree, preferred. Licensure Requirement: (not specified) Certifications: CPR ...
Obtains insurance prior authorization as needed and documents the verification of benefits and ... Associate's Degree, preferred. Licensure Requirement: (not specified) Certifications: CPR ...
Medical Management Clinician Associate
Columbus, OH · On-site
$25.39 - $40.09/hr
Prior authorization experience is strongly preferred. * Strong typing skills preferred. For ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Medical Management Clinician Associate
Columbus, OH · On-site
$25.39 - $40.09/hr
Prior authorization experience is strongly preferred. * Strong typing skills preferred. For ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Client Insurance Specialist
Columbus, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
Columbus, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
Logan, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
Logan, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client ... An associate or bachelor's degree in healthcare administration, social work, business, behavioral ...
LPN
Mount Vernon, OH · On-site
$21.50 - $29.25/hr
Obtains prior authorizations when needed * Performs DNA testing, pregnancy testing, and various ... Associate degree in nursing with a minimum of 2 years' experience is preferred * Applicant must ...
LPN
Mount Vernon, OH · On-site
$21.50 - $29.25/hr
Obtains prior authorizations when needed * Performs DNA testing, pregnancy testing, and various ... Associate degree in nursing with a minimum of 2 years' experience is preferred * Applicant must ...
MA , Medical Assistant
$17.25 - $22/hr
Referral and prior authorization * Answer in basket message, patient follow up calls and message ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
$17.25 - $22/hr
Referral and prior authorization * Answer in basket message, patient follow up calls and message ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
Columbus, OH · On-site
$17.25 - $22/hr
Referral and prior authorization * Answer in basket message, patient follow up calls and message ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
Columbus, OH · On-site
$17.25 - $22/hr
Referral and prior authorization * Answer in basket message, patient follow up calls and message ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
$17.25 - $22/hr
Referral and prior authorization * Answer in basket message, patient follow up calls and message ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
$17.25 - $22/hr
Referral and prior authorization * Answer in basket message, patient follow up calls and message ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA, Medical Assistant
Columbus, OH · On-site
$17.25 - $22/hr
Prior authorization and referrals * Procedure and surgery scheduling * Assist with in office ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA, Medical Assistant
Columbus, OH · On-site
$17.25 - $22/hr
Prior authorization and referrals * Procedure and surgery scheduling * Assist with in office ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
Grove City, OH · On-site
$16.75 - $21.25/hr
Prior authorization and referrals * EKGs * Answer in basket message, patient follow up calls and ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA , Medical Assistant
Grove City, OH · On-site
$16.75 - $21.25/hr
Prior authorization and referrals * EKGs * Answer in basket message, patient follow up calls and ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA, Medical Assistant
Columbus, OH · On-site
$17.25 - $22/hr
Prior authorization and referrals * Procedure and surgery scheduling * Assist with in office ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
MA, Medical Assistant
Columbus, OH · On-site
$17.25 - $22/hr
Prior authorization and referrals * Procedure and surgery scheduling * Assist with in office ... Highschool Diploma or GED with 1-2 years Medical experience OR Graduate Bachelors or Associates in ...
Essential Functions of the Job (Key responsibilities) Access Support: • Educates HCPs and key stakeholders within HCP offices on prior authorization requirements, coverage status, payor appeals and ...
Essential Functions of the Job (Key responsibilities) Access Support: • Educates HCPs and key stakeholders within HCP offices on prior authorization requirements, coverage status, payor appeals and ...
Field Reimbursement Manager New York City Northern New Jersey
Columbus, OH · On-site
$46.92 - $58.17/hr
... investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...
Quick apply
Field Reimbursement Manager New York City Northern New Jersey
Columbus, OH · On-site
$46.92 - $58.17/hr
... investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...
Support patient access by providing information on prior authorization requirements, reimbursement ... OR an associate's degree with 8+ years of work experience * OR a high school diploma (or equivalent ...
Support patient access by providing information on prior authorization requirements, reimbursement ... OR an associate's degree with 8+ years of work experience * OR a high school diploma (or equivalent ...
Prior Authorization Associate information
See salary details
$9.38 - $11.41
2% of jobs
$11.41 - $13.44
6% of jobs
$15.01 is the 25th percentile. Wages below this are outliers.
$13.44 - $15.47
21% of jobs
The median wage is $17.02 / hr.
$15.47 - $17.50
27% of jobs
$17.50 - $19.54
18% of jobs
$19.63 is the 75th percentile. Wages above this are outliers.
$19.54 - $21.57
12% of jobs
$21.57 - $23.60
5% of jobs
$23.60 - $25.63
3% of jobs
$25.63 - $27.67
2% of jobs
$27.67 - $29.70
2% of jobs
$29.70 - $31.73
1% of jobs
$9
$19
$31
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Full-time
Posted 25 days ago
Nationwide Children's Hospital rating
7.0
Based on 130 frontline employees who took The Breakroom Quiz
507th of 1,051 rated hospitals
Job description
Schedule: M-F (Day Shift)
On-site during probation period until cleared to work remote.
Job Description Summary:
Verifies and documents benefit information. Requests initial authorization and meets provider's referral requirements to ensure that optimum payment is made to the hospital and providers.
Job Description:
Essential Functions:
- Contacts insurance companies to obtain and verify benefit information, documents all benefit information, and meets payer's referral requirements to ensure that optimum payment to the hospital and providers will be satisfied.
- Obtains insurance prior authorization as needed and documents the verification of benefits and prior authorizations in Epic. Maintains record of pending prior authorizations and documents timely follow-up.
- Assists with the retrospective review of records for patients who have insurance changes that impact the authorization.
- Communicates authorization denials and appeal options to referral sources/Providers. Assists with coverage resources as appropriate.
- Contacts schedulers if insurance cannot be verified and refers self-pay patients to financial assistance resources.
- Participates in department and interdepartmental meetings to promote knowledge, troubleshoot, and resolve issues related to benefits or authorizations.
- Maintains knowledge of The Joint Commission, Medicaid, Medicare, and other third-party payer standards and requirements.
Education Requirement:
High school graduate, required.
Associate's Degree, preferred.
Licensure Requirement:
(not specified)
Certifications:
CPR certification (based on position and as determined by manager).
Skills:
Strong computer skills required with the ability to navigate most current technology systems.
Excellent written, communication, and organizational skills required.
Experience:
One year previous health care or insurance experience preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Biohazard waste, Blood and/or Bodily Fluids, Chemicals/Medications, Communicable Diseases and/or Pathogens, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Loud Noises, Patient Equipment, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
FREQUENTLY: Flexing/extending of neck, Hand use: grasping, gripping, turning
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Able to multi-task within in a stressful environment.
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
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About Nationwide Children's Hospital
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Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Columbus, OH, US
Year founded
1892