Top 44 Medical authorization specialist Jobs in Columbus

Patient Financial Specialist III
Mount Carmel —Columbus, OH
- Full-time
- Surgery
- Hospital
- Customer service
- Relocation assistance
- Health insurance
Health Care Facilities Field Surveyor - Entry (Multiple Vacancies)
State of Ohio - Health —Columbus, OH
- $32.69 an hour
- Full-time
- Background check
- Nursing
- RN License
- Paid holidays
- Health insurance
7d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- CPR Certification
- BLS Certification
- High school diploma or GED
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
- Weekends as needed
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid time off
- 401(k) matching
Quick Apply
Referral Specialist
PrimaryOne Health —Columbus, OH
- High school diploma or GED
- Entry level
- Paid holidays
- Disability insurance
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
- $18.13 - $21.78 an hour
- Weekends as needed
- Mid-level
- Driver's License
- Driving
- Dental insurance
- 401(k)
Quick Apply
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
- Hybrid work
- Microsoft Excel
- HIPAA
- English
Quick Apply
12h
Medical Administrative Assistant
Pain Zero LLC —Westerville, OH
- $20 - $23 an hour
- Full-time
- Background check
- Medical office experience
- Administrative experience
- Paid time off
Quick Apply
9d
Bureau of Workers' Compensation Specialist
The Ohio State University Wexner Medical Center —Columbus, OH
- Part-time
- Background check
- Pass drug screening
- Mid-level
Health Information Management Specialist
Equitas Health, Inc. —Columbus, OH
- Weekends as needed
- Hybrid work
- HIPAA
- Research
- Mid-level
Quick Apply
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
- Full-time
- Remote
- Computer literacy
- Mid-level
- Microsoft Office
Quick Apply
Procedure Denial & Authorization Follow‑Up Specialist
Pain Zero LLC —Grove City, OH
- $18.50 - $20.00 an hour
- Full-time
- Background check
- Clinic experience
- In-person
- Paid time off
Quick Apply
9d
Physcian Office Specialist
OhioHealth —Columbus, OH
- Full-time
- High school diploma or GED
- Cleaning
- Communication skills
6d
Physician Office Specialist
OhioHealth —Bexley, OH
- Full-time
- High school diploma or GED
- Cleaning
- Communication skills
Physician Office Specialist - PCP Davidson Dr
OhioHealth —Reynoldsburg, OH
- Full-time
- High school diploma or GED
- Cleaning
- Communication skills
Physician Office Specialist - Bing Cancer Center
OhioHealth —Columbus, OH
- Full-time
- Mid-level
- High school diploma or GED
- Cleaning
6d
Clinical Specialist/ MA *Outpatient, Monday-Friday*
Vive Vascular —Gahanna, OH
- $19 - $25 an hour
- Full-time
- CPR Certification
- Vital signs
- Surgery
- Health insurance
- Dental insurance
Quick Apply
Physician Office Specialist - Grant, Orthopedic Surgeons
OhioHealth —Columbus, OH
- Full-time
- Mid-level
- High school diploma or GED
- Cleaning
6d
Physician Office Specialist Part-Time Casual
OhioHealth —Dublin, OH
- Part-time
- High school diploma or GED
- Cleaning
- 1 year
Physician Office Specialist- Vascular Surgery
OhioHealth —Columbus, OH
- Full-time
- Microsoft Excel
- Surgery
- Mid-level

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Patient Financial Specialist III

Mount Carmel -
Columbus, OH

Apply Now

Job Details

Full-time

Benefits

Relocation assistance
Health insurance
Dental insurance
Paid time off
Vision insurance
Professional development assistance
Retirement plan

Qualifications

Customer communication
Customer service
High school diploma or GED
Clinical data entry
Medical terminology
Quality data entry
Customer data entry

Full Job Description

Employment Type:
Full time

Shift:
Day Shift

Description:
Position Purpose:
The Patient Financial Specialist III performs all the functions of a PFS II. In addition, the PFS III performs verification of prior authorization and obtaining precertification for selected scheduled services. Also, this staff member is proficient in scheduling complex procedures from the physician’s office as well as complex and changing insurance/reimbursement requirements.
Location: Mount Carmel East
Unit: Radiation Oncology
Shift: Monday - Friday 7:30am - 4:00pm

Responsibilities

Performs activities that relate to patient scheduling, pre-registration, real-time eligibility verification, insurance authorization, medical order processing, medical necessity review (LMRP/LCD review), dissemination of patient information, and support coverage of other intra-departmental functions.
Determines proper scheduling requirements and/or limitations according to requested test(s)/procedure(s) and schedules resources (equipment, staff, room, and etc.) in a timely manner to ensure customer satisfaction, maintain patient flow, and appropriate utilization of the service area. Coordinates add-on and same-day appointments with the service area, as required. Ensures proper test sequencing with minimal patient delays when multiple testing is required.
Provides patient, family and physician office education during scheduling process to inform them of preparations needed for diagnostic testing and proper scheduling instructions. Communicates with various ancillary departments to ensure an accurate schedule and that all reports are properly distributed.
Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Contacts physicians/office staff for clarification, if cases require clarification of diagnosis and/or test(s)/procedure(s).

Requirements/Qualifications

High School Diploma
Working knowledge of medical terminology, and data entry skills. Past work experience of at least two (4) years within a physician office, hospital or clinic environment, performing patient scheduling and precertification activities is highly desired
Proven experience in 2 of the 4 following areas: Web and fax orders, Outpatient IV scheduling, Complex physician office scheduling such as Wound care and physician performed procedures, or Precertification.
Excellent interpersonal skills are necessary in dealing with peers, internal, and external customers. Accuracy, attentiveness to detail and time management skills are required.

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.

Apply Now

Refine Your Search

medical authorization specialist jobs in columbus

Patient Financial Specialist III

Health Care Facilities Field Surveyor - Entry (Multiple Vacancies)

BH Insurance/Precert Specialist

Utilization Management Specialist

Referral Specialist

Prior Authorization Specialist

Insurance Verification and Prior Auth Specialist

Medical Administrative Assistant

Bureau of Workers' Compensation Specialist

Health Information Management Specialist

Medical Billing and Accounts Receivable Specialist

Procedure Denial & Authorization Follow‑Up Specialist

Physcian Office Specialist

Physician Office Specialist

Physician Office Specialist - PCP Davidson Dr

Physician Office Specialist - Bing Cancer Center

Clinical Specialist/ MA Outpatient, Monday-Friday

Physician Office Specialist - Grant, Orthopedic Surgeons

Physician Office Specialist Part-Time Casual

Physician Office Specialist- Vascular Surgery

I want to receive the latest job alert for medical authorization specialist in columbus

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