Top 67 Quality liaison Jobs in Athens Oh

Prior Authorization Specialist
Integrated Services for Behavioral Health —Athens, OH
- $19.00 - $22.26 an hour
- Hybrid work
- Mid-level
- 2 years
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
Case Manager
Phoenix Group Home, LLC —The Plains, OH
- Writing skills
- HIPAA
- Mid-level
Quick Apply
Program Manager Medical Cannabis Laboratory
Hocking College —Nelsonville, OH
- $60,000 - $65,000 a year
- Customer service
- Master's degree
- University
Quick Apply
Physician Practice Manager - Pulmonology and Sleep Medicine (Athens & Berger Practices)
OhioHealth —Athens, OH
- Full-time
- Inventory management
- HIPAA
- Outpatient experience
Executive Director- LNHA
Kimes Nursing and Rehab —Athens, OH
- $95,000 - $130,000 a year
- Weekends as needed
- Skilled nursing facility
- English
- Office
- Travel reimbursement
- Continuing education credits
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Electrical Engineer
AMETEK, Inc. —Athens, OH
- $75,000 - $95,000 a year
- Bachelor of Science
- Mid-level
- 3 years
Program Manager- Fish Management and Aquaculture Science
Hocking College —Nelsonville, OH
- $55,000 - $65,000 a year
- Email
- Mid-level
- Master's degree
- Bachelor's degree
Quick Apply
Program Manager, Forest Management
Hocking College —Nelsonville, OH
- $60,000 - $65,000 a year
- Master's degree
- University
- Bachelor's degree
Quick Apply
Psychologist - Full Time - With 15% Retention & Recruitment Supplement
State of Ohio - Behavioral Health - Appalachian Behavioral Healthcare —Athens, OH
- $42.29 an hour
- Online Application
- Background check
- Addiction Medicine
- Criminal background check
- Paid holidays
- Loan repayment program
Program Manager Natural Resource Law Enforcement
Hocking College —Nelsonville, OH
- $55,000 - $65,000 a year
- Email
- Master's degree
- Contracts
- Senior level
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Construction Manager
CDI Engineering Services —Washington, WV
- Online Application
- Construction site
- High school diploma or GED
- Supervising experience
Project Manager
Steelial Contstructions & Metal Fabrication —Vinton, OH
- Full-time
- Background check
- Construction site
- 5 years
- Fuel discount
Physical Therapist - Outpatient Neuro | Relocation to Washington State!
PeaceHealth —United States
- $46.27 - $69.41 an hour
- Full-time
- Background check
- Doctoral degree
- Hospital
- Continuing education credits
- 403(b) matching
Quick Apply
Labor and Delivery Travel RN
trustaff —United States
- $1,638 - $3,100 a week
- Part-time
- RN License
- Hospital
- BLS Certification
- Relocation assistance
- Health insurance
Quick Apply
Military Service - U.S. Navy, Mortician
U.S. Navy —United States
- $60,000 - $90,000 a year
- Part-time
- Writing skills
- Office
- Administrative experience
- Health insurance
- Tuition reimbursement
Travel MRI Tech
Trustaff —United States
- $2,120 - $3,383 a week
- Part-time
- Mid-level
- Travel
- Radiology
- Health insurance
- Dental insurance
Quick Apply
Travel CT Tech
Trustaff —United States
- $1,339 - $3,348 a week
- Part-time
- Mid-level
- Travel
- Patient care
- Health insurance
- Dental insurance
Quick Apply
Project Manager- Wastewater Treatment Plant
Thalle Construction Company —United States
- Civil engineering
- Construction site
- Engineering
- Paid holidays
- Disability insurance
Quick Apply
The Senior Business Analyst - JDE Warehouse (Remote)
Rectorseal —United States
- Remote
- 5 years
- Analysis skills
- Contracts
- Paid holidays
- Health insurance
Quick Apply
Staff RN - Vascular Access / FT, nights
Children's Nebraska —United States
- Full-time
- Nursing
- RN License
- BLS Certification

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quality liaison jobs near athens oh

Prior Authorization Specialist

Integrated Services for Behavioral Health -
Athens, OH

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Job Details

$19.00 - $22.26 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Mid-level
2 years
Communication skills

Full Job Description

We are seeking a Prior Authorization Specialist!

Southeastern, OH

Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services, working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.

The Prior Authorization Specialist serves as the lead staff member for prior authorizations within Integrated Services for Behavioral Health. This role supports timely access to behavioral health and substance use treatment services by coordinating insurance approvals, resolving coverage barriers, monitoring authorization requirements, and collaborating closely with clinical, intake, billing, and care coordination teams.

The salary for this position is $19.00-$22.26 an hour, based on experience.

Essential Functions:

Lead the prior authorization process for outpatient behavioral health, substance use disorder, intensive outpatient, and other covered services, including submissions, extensions, and continued stay reviews
Coordinate with providers and clinical teams to obtain and submit required documentation supporting medical necessity and authorization requests
Monitor authorization timelines, approved units, and expiration dates to prevent service interruptions and potential denied claims
Communicate authorization approvals, denials, and follow-up needs to clinical, billing, and operational staff
Assist with appeals, reconsiderations, peer reviews, and the resolution of denied or delayed services
Verify insurance eligibility, behavioral health benefits, and service coverage across Medicaid, managed care, commercial insurance, and OhioRISE plans
Support coordination of coverage changes, payer transitions, Medicaid enrollment issues, and secondary insurance concerns.
Serve as a liaison between clinical staff, billing teams, insurance companies, and external partners regarding authorization and coverage issues
Develop and improve workflows, tracking systems, and communication processes related to authorizations and insurance navigation
Monitor authorization trends, payer requirements, denials, and operational barriers while participating in interdisciplinary meetings and process improvement initiatives
Utilize databases and Electronic Health Record systems for accurate client information retrieval
Maintain compliance with HIPAA, mandated reporting requirements, and professional ethical guidelines
Other duties as assigned

Minimum Requirements

Education:

A high school diploma or GED is required
An associate's or bachelor's degree in human services, social work, or a related field is preferred

Experience:

2 years of experience in healthcare, behavioral health, or a related field is preferred
2 years of experience working with prior authorization, insurance verification, behavioral health operations, medical billing, utilization review, or healthcare navigation is preferred
Experience working within community mental health, substance use treatment, healthcare, or social service settings is preferred

Knowledge, Skills, and Abilities:

Advanced communication skills, both oral and written is required
Advanced organizational skills are required
Problem-solving and customer service skills are required
The ability to maintain confidential information is required
Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and behavioral health authorization processes is preferred
The ability to manage multiple priorities and maintain attention to detail in a fast-paced environment is required
Proficiency with electronic health records and Microsoft Office applications is required
Ability to manage deadlines within a fast-paced, high-volume environment is required
The ability to operate in an Internet-based, automated office environment is required
The ability to maintain a high-speed internet connection is required

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer are required
Must be able to lift up to 15 pounds at times

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.

Benefits include:

Medical
Dental
Vision
Short-term Disability
Long-term Disability
401K w/ Employer Match
Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.

To learn more about our organization: https://ISBH.org/

OUR MISSION
Delivering exceptional care through connection

OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope

Collaboration - We listen to understand and ask how we can best support the people and communities we serve

Wellbeing - We celebrate one another's strengths, and we support one another in being well

Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team

Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not to be construed as an exhaustive list of duties performed by the individuals in this role, 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.”

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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Refine Your Search

quality liaison jobs in athens oh

Prior Authorization Specialist

Case Manager

Program Manager Medical Cannabis Laboratory

Physician Practice Manager - Pulmonology and Sleep Medicine (Athens & Berger Practices)

Executive Director- LNHA

Electrical Engineer

Program Manager- Fish Management and Aquaculture Science

Program Manager, Forest Management

Psychologist - Full Time - With 15% Retention & Recruitment Supplement

Program Manager Natural Resource Law Enforcement

Construction Manager

Project Manager

Physical Therapist - Outpatient Neuro | Relocation to Washington State!

Labor and Delivery Travel RN

Military Service - U.S. Navy, Mortician

Travel MRI Tech

Travel CT Tech

Project Manager- Wastewater Treatment Plant

The Senior Business Analyst - JDE Warehouse (Remote)

Staff RN - Vascular Access / FT, nights

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