Prior Authorization Specialist
Columbus, OH · On-site
$18.13 - $21.78/hr
Columbus, OH · On-site
$18.13 - $21.78/hr
Columbus, OH · On-site
$16 - $22.25/hr
Columbus, OH · On-site
$16.75 - $22.50/hr
New
Columbus, OH · On-site
$80 - $134/hr
New
Springfield, OH · On-site +1
Columbus, OH · On-site +1
Dublin, OH · On-site
$61.50 - $72.25/hr
Columbus, OH · On-site
$54.50 - $65.50/hr
Columbus, OH · On-site
$137 - $229/hr
Chillicothe, OH · On-site
$20.97 - $24.56/hr
Logan, OH · On-site
$20.97 - $24.56/hr
Lancaster, OH · On-site
$20.97 - $24.56/hr
Nelsonville, OH · On-site
$20.97 - $24.56/hr
New Lexington, OH · On-site
$20.97 - $24.56/hr
Columbus, OH · On-site
$20.97 - $24.56/hr
Circleville, OH · On-site
$20.97 - $24.56/hr
Newark, OH · On-site
$20.97 - $24.56/hr
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An authorization specialist reviews insurance information and determines if any authorization or official confirmation is necessary before providing the services. The job title typically refers to specialists who review medical or hospital insurance information, but it may also apply to people determining authorization for automotive services. As an authorization specialist, you also perform prior authorization responsibilities, which entail determining if the insurance company even covers a given procedure or service. Your duties are to compile paperwork related to the patient or customer, assess their eligibility for particular services, communicate with the insurance provider, and track the progress of a case.
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As a prior authorization nurse, you review requests for authorization for specific medications, treatments, or surgeries. Your duties include reviewing medical records and documents related to the application. You consider each prior authorization request and collect evidence and patient information to support your decision. You communicate with the insurance provider to obtain additional information if needed. Your responsibilities in this position also involve ensuring the authorization meets regulations and requirements and contractual obligations of all parties involved. Your job can also require coordinating with administrators and healthcare providers to gain necessary information and ensure that patients receive authorized care.
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