Top 74 Prior authorization remote Jobs in Columbus

Pharmacy Billing Representative- Remote
CITYWIDE RX LLC —Columbus, OH
- Weekends as needed
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply
3d
Care Coordinator with Prior Authorization Specialty
Perkins Spine and Sports Medicine, LLC —Dublin, OH
- $20 - $25 an hour
- Full-time
- Hybrid work
- Background check
- OSHA
- Customer service
- Health savings account
- Paid holidays
Quick Apply
2d
AI Training Generalist (No Prior Experience Needed) - Freelance AI Trainer Project
Meridial —Columbus, OH
- $20 an hour
- Remote
- No experience needed
- US work authorization
- Entry level
Patient Navigator (Northeast Region)
Genentech —Columbus, OH
- $75,200 - $139,700 a year
- Online Application
- Mid-level
- 3 years
- Bachelor's degree
6d
Pharmacy Patient Asstnce Coord
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
13d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- CPR Certification
- BLS Certification
- High school diploma or GED
VIRTUAL BRANCH FLOAT REPRESENTATIVE
KEMBA Financial Credit Union —Columbus, OH
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- 1 year
- Cell phone reimbursement
Quick Apply
Lead Reimbursement Analyst
Gifthealth Inc —Columbus, OH
- $31.47 - $39.34 an hour
- Weekends as needed
- Remote
- Research
- Analysis skills
- Supervising experience
Quick Apply
6d
Assistant Clinical Director
BASECAMP RECOVERY LLC —Columbus, OH
- $78,000 a year
- Full-time
- Management
- Doctoral degree
- Master's degree
Quick Apply
Medical Value Access Liaison - Pittsburgh / Ohio
Amgen —Columbus, OH
- $157,780.40 - $213,467.60 a year
- Research
- High school diploma or GED
- Analysis skills
- Disability insurance
- Health insurance
14d
Investment Analyst, IG Credit Research
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- 5 years
- Research
- Paid holidays
- Disability insurance
Investment Professional - Corporate Research Analyst
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- 6 years
- Mid-level
- Paid holidays
- Disability insurance
10d
Environmental Toxicologist (Biochemist)
Battelle —West Jefferson, OH
- Full-time
- Hybrid work
- 5 years
- Bachelor of Science
- Pass drug screening
- Wellness program
- Health insurance
Lecturer
The Ohio State University —Columbus, OH
- Email
- Background check
- Laboratory
- Classroom
- Health insurance
- Dental insurance
5d
RN Clinical Care Coord.
HEART OF OHIO FAMILY HEALTH CENTERS —Columbus, OH
- $57,648 - $81,051 a year
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
11d
Commercialization Expert
CLEAResult Consulting Inc. —Columbus, OH
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Maintenance Planner - Remote US
Hexion Inc. —Columbus, OH
- 18 years or older
- Pass drug screening
- Mid-level
6d
Senior Investment Analyst, Distressed Debt
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- Research
- Office
- Paid holidays
- Disability insurance
Tax Staff Summer 2027
Crowe —Columbus, OH
- $62,000 - $100,000 a year
- Weekends as needed
- Hybrid work
- Research
- Office
- Master's degree
Quick Apply
4d
Senior Accountant- Financial Reporting
Central Insurance Company —Dublin, OH
- Full-time
- Hybrid work
- Oracle
- Research
- Finance
- Health insurance

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prior authorization remote jobs near columbus

Pharmacy Billing Representative- Remote

CITYWIDE RX LLC
Columbus, OH

Quick Apply

Job Details

Full-time
3 days ago

Benefits

Paid training
Paid holidays
Disability insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Phone communication
High school diploma or GED
Medical billing and coding communication with insurance companies
Computer skills
Client interaction via phone calls

Full Job Description

Build Your Career with Us!

Competitive Pay • Stable Schedules • Career Growth • Multiple Shifts Available

SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities.

We are currently seeking a Third-Party Rejections Specialist to join our team. This role is focused specifically on hands-on third-party insurance rejection experience. If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want to hear from you!

Candidates must reside in Ohio, Virginia, or Kentucky.

What You'll Do

Perform duties and responsibilities assigned by the Billing Supervisor.
Research and verify patient eligibility and insurance coverage with state and private insurance providers.
Research, analyze, and resolve third-party insurance rejections in accordance with daily rejection reports.
Maintain and update patient billing, insurance, and coverage information in the system.
Submit and follow up on prior authorizations for state insurance programs.
Communicate directly with insurance companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.
Investigate and resolve pending billing and insurance issues.
Work with client facility staff and other applicable healthcare organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, when necessary.
Maintain accurate documentation and ensure billing information is current and complete.
Work independently while collaborating with the billing team to meet daily goals and deadlines.
Handle multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail.

Qualifications

Who We're Looking For

We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.

If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with direct third-party pharmacy rejection experience.

Required:

High school diploma or equivalent.
Direct, hands-on experience working with third-party pharmacy insurance rejections is required.
Experience must be in actual third-party rejection processing/resolution.
Strong computer skills and ability to learn and navigate multiple systems.
Excellent attention to detail and problem-solving skills.
Professional and courteous telephone communication skills.
Ability to work independently and as part of a team.
Ability to multitask and prioritize work in a fast-paced environment.
Strong organizational skills and follow-through.

Preferred:

Previous pharmacy experience.
Long-Term Care Pharmacy experience.
Experience with New York pharmacy billing claims.
Frameworks/ECM experience.
Experience working directly with insurance providers to resolve pharmacy claim rejections.

Schedule

We are hiring for multiple shifts!

Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred.

Available shifts may include:

8:00 AM – 4:00 PM
9:00 AM – 5:00 PM
11:00 AM – 7:00 PM
12:00 PM – 8:00 PM
3:00 PM – 11:00 PM
4:00 PM – 12:00 AM

What We Offer

Competitive pay based on experience.
Stable and consistent scheduling.
Opportunities for career growth.
Health, dental, and vision insurance.
Group life insurance and short-term disability.
Paid time off and paid holidays.
401(k) with company match.
Paid training and development opportunities.
Collaborative and supportive work environment.

Ready to Join the SpecialtyRx Team?

Apply today through our careers portal:

Apply Here – SpecialtyRx Careers

We look forward to reviewing your application and connecting with qualified candidates to schedule an interview.

EEO Statement

SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Quick Apply

Refine Your Search

prior authorization remote jobs in columbus

Pharmacy Billing Representative- Remote

Care Coordinator with Prior Authorization Specialty

AI Training Generalist (No Prior Experience Needed) - Freelance AI Trainer Project

Patient Navigator (Northeast Region)

Pharmacy Patient Asstnce Coord

BH Insurance/Precert Specialist

VIRTUAL BRANCH FLOAT REPRESENTATIVE

Lead Reimbursement Analyst

Assistant Clinical Director

Medical Value Access Liaison - Pittsburgh / Ohio

Investment Analyst, IG Credit Research

Investment Professional - Corporate Research Analyst

Environmental Toxicologist (Biochemist)

Lecturer

RN Clinical Care Coord.

Commercialization Expert

Maintenance Planner - Remote US

Senior Investment Analyst, Distressed Debt

Tax Staff Summer 2027

Senior Accountant- Financial Reporting

I want to receive the latest job alert for prior authorization remote in columbus

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