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Remote Optum Prior Authorization Jobs Near Me

Revenue Authorization Specialist

Columbus, OH · On-site

$16.75 - $22.50/hr

Remote What You Will Do: * Assists offices in resolving billing discrepancies and any other ... referrals, prior authorizations, or other equivalent knowledge of professional revenue cycle.

Posted today

Formulary Management Pharmacist

Columbus, OH · On-site

$54.50 - $65.50/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ... Many positions are hybrid or remote-friendly. * Competitive pay, benefits, and professional ...

Lead Reimbursement Analyst

Columbus, OH · On-site

$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

Lead Reimbursement Analyst

Columbus, OH · On-site

$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

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

... 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

... 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 ...

Posted today

... 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 ...

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A map of the United States highlighting the number of Remote Optum Prior Authorization job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Remote Optum Prior Authorization job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Revenue Authorization Specialist

Trinity Health

Columbus, OH • On-site

$16.75 - $22.50/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 hours ago

Posted today


Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

569th of 891 rated healthcare providers


Job description

Employment Type:
Full timeShift:
Description:
Position Purpose:
  • Responsible for all aspects of the authorization/pre-certification or referral process. Verifies insurance eligibility and contacts the payer to initiate pre-certification by providing supporting medical documentation, follows up with insurance on outcome of determination for all medical procedures and services in attempt to obtain a successful authorization.
  • Specialty: Cardiology and Neurology
  • Schedule: Monday - Friday 9:00am - 5:30pm
  • Location: Remote
What You Will Do:
  • Assists offices in resolving billing discrepancies and any other referral/authorization issues
  • Contacts insurance companies via appropriate methods and obtains pre-certifications and authorizations.
  • Obtains urgent authorizations same day, next day
  • Verifies correct procedural and diagnostic codes and insurance verification.
Minimum Qualifications:
  • High school diploma Must possess one (1) to three (3) years of experience with insurance referrals, prior authorizations, or other equivalent knowledge of professional revenue cycle.
  • Knowledge of medical terminology and procedures at the level needed to perform responsibilities.
Position Highlights and Benefits:
  • Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers.
  • Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
  • Retirement savings account with employer match starting on day one.
  • Generous paid time off programs.
  • Employee recognition programs.
  • Tuition/professional development reimbursement starting on day one.
  • RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
  • Relocation assistance (geographic and position restrictions apply).
  • Employee Referral Rewards program.
  • Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
  • Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US