Top 48 Remote medical prior authorization 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
10d
Insurance Authorization Senior Associate
BAYADA Home Health Care —Columbus, OH
- $50,000 - $65,000 a year
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
4d
Lead Reimbursement Analyst
Gifthealth Inc —Columbus, OH
- $31.47 - $39.34 an hour
- Weekends as needed
- Remote
- Research
- Analysis skills
- Supervising experience
Quick Apply
13d
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
Patient Ambassador - Infusion Patient Care Coordinator
Soleo Health Inc —Dublin, OH
- Full-time
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
4d
Transportation Security Officer
US Transportation Security Administration —Columbus, OH
- $48,110 - $59,316 a year
- Overtime
- Background check
- 18 years or older
- Ability to walk for extended periods
- Travel reimbursement
- Paid holidays
Hospital Senior Account Manager, Anti-Infectives - Columbus, OH / WV
GlaxoSmithKline —Columbus, OH
- $165,000 - $275,000 a year
- Full-time
- Remote
- Up to 50% travel
- Hospital
- Bachelor of Science
- Paid holidays
- Health insurance
5d
Training Officer (PN: 20067761, 20067732)
State of Ohio - Workers' Compensation —Columbus, OH
- $28.76 an hour
- Full-time
- Background check
- Public speaking
- Research
- Paid holidays
- Health insurance
3d
Investment Professional - Corporate Research Analyst
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- 6 years
- Mid-level
- Paid holidays
- Disability insurance
Environmental Toxicologist (Biochemist)
Battelle —West Jefferson, OH
- Full-time
- Hybrid work
- 5 years
- Bachelor of Science
- Pass drug screening
- Wellness program
- Health insurance
Associate Director, Patient Access and Reimbursement
Mirum Pharmaceuticals —Columbus, OH
- Remote
- Up to 50% travel
- 3 years
- Bachelor's degree
5d
Project Manager, IT OCM Communications
Vertiv —Westerville, OH
- Mid-level
- Bachelor's degree
- Continuous improvement
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
Executive Administrative Assistant
The Ohio State University —Columbus, OH
- $55,700 - $72,700 a year
- Weekends as needed
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
3h
Regional Sales Director - OH/WV
GlaxoSmithKline —Columbus, OH
- $186,750 - $311,250 a year
- Full-time
- Remote
- 7 years
- Up to 50% travel
- Hospital
- Paid holidays
- Health insurance
Senior Investment Analyst, Distressed Debt
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- Research
- Office
- Paid holidays
- Disability insurance
IFS Cloud Functional Lead
Accenture —Columbus, OH
- $87,400 - $293,800 a year
- Full-time
- 5 years
- Research
- Office
- Paid holidays
- Disability insurance
Oracle Utilities Integration Lead
Accenture —Columbus, OH
- $87,400 - $266,300 a year
- Full-time
- Management
- 5 years
- System design
- Paid holidays
- Disability insurance
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
Senior Investment Professional, Private Placements
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- Background check
- Research
- Office
- Paid holidays
- Disability insurance

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remote medical prior authorization jobs near columbus

Pharmacy Billing Representative- Remote

CITYWIDE RX LLC
Columbus, OH

Quick Apply

Job Details

Full-time
10 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

remote medical prior authorization jobs in columbus

Pharmacy Billing Representative- Remote

Insurance Authorization Senior Associate

Lead Reimbursement Analyst

Medical Value Access Liaison - Pittsburgh / Ohio

Patient Ambassador - Infusion Patient Care Coordinator

Transportation Security Officer

Hospital Senior Account Manager, Anti-Infectives - Columbus, OH / WV

Training Officer (PN: 20067761, 20067732)

Investment Professional - Corporate Research Analyst

Environmental Toxicologist (Biochemist)

Associate Director, Patient Access and Reimbursement

Project Manager, IT OCM Communications

Commercialization Expert

Executive Administrative Assistant

Regional Sales Director - OH/WV

Senior Investment Analyst, Distressed Debt

IFS Cloud Functional Lead

Oracle Utilities Integration Lead

RN Clinical Care Coord.

Senior Investment Professional, Private Placements

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

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