Top 333 Patient services representative Jobs in Garfield Heights, Oh

Benefits & Prior Authorization Specialist
Jewish Family Service Association of Cleveland —Pepper Pike, OH
- From $26 an hour
- Part-time
- Word processing
- Medical office experience
- HIPAA
Quick Apply
8d
Patient Service Representative
RelateCare —Brecksville, OH
- $15.00 - $15.50 an hour
- 8 hour shift
- Hybrid work
- Computer literacy
- Medical office experience
- English
- Paid training
- Health insurance
Quick Apply
Patient Services Representative
Signature Health Inc —Willoughby, OH
- Extended hours
- Microsoft Excel
- Pass drug screening
- Primary Care
- Health insurance
- Dental insurance
PRN Medical Receptionist (Cleveland)
ImageLink —Cleveland, OH
- From $16 an hour
- Part-time
- Bilingual
- Microsoft Word
- Microsoft Excel
Quick Apply
Front Desk Receptionist
Hunter Chiropractic —Warrensville Heights, OH
- $20 - $23 an hour
- Extended hours
- Private practice
- Driver's License
- 1 year
Quick Apply
Patient Access Representative II OB/GYN, Garfield/Broadview Heights/Twinsburg
University Hospitals —Garfield Heights, OH
- $16.40 - $25.66 an hour
- Surgery
- Mid-level
- High school diploma or GED
Sleep Study Support Specialist
Beacon Biosignals —Cleveland, OH
- $33.65 an hour
- Remote
- Psychiatry
- HIPAA
- Neurology
- Paid time off
Quick Apply
8d
Admissions Coordinator
Seven Hills —Seven Hills, OH
- $26 - $28 an hour
- Full-time
- Skilled nursing facility
- Computer literacy
- Mid-level
- Health savings account
- Health insurance
Quick Apply
12d
Pharmacy Prior Authorization Specialist
Pharmacy Solutions Group of OH —Broadview Heights, OH
- Full-time
- Customer service
- HIPAA
- No experience needed
- Health insurance
- Dental insurance
Patient Advocacy Representative (inbound call center)
Quadax, Inc. —Middleburg Heights, OH
- Remote
- Computer literacy
- High school diploma or GED
- Communication skills
7d
Patient Access Representative - Parma
University Hospitals —Parma, OH
- $15.00 - $23.14 an hour
- 8 hour shift
- Hospital
- High school diploma or GED
- Organizational skills
Patient Access Representative II Cleveland/Beachwood, Mohs Scheduling
University Hospitals —Cleveland, OH
- $16.40 - $25.66 an hour
- Surgery
- Mid-level
- High school diploma or GED
13d
FT Day Shift Receptionist
FOUNDATIONS HEALTH SOLUTIONS —Cleveland, OH
- Full-time
- Office
- Data entry
- Communication skills
Quick Apply
Patient Service Representative (PSR)
Care Alliance Health Center —Cleveland, OH
- $18.12 - $21.33 an hour
- HIPAA
- High school diploma or GED
- Clinic
- Paid holidays
- Health insurance
Quick Apply
Medical Receptionist
Lake County Foot & Ankle Associates LLC —Cleveland, OH
- Full-time
- Ability to walk for extended periods
- HIPAA
- High school diploma or GED
Patient Service/Front Desk Coordinator
MyEyeDr. —Beachwood, OH
- Part-time
- Administrative experience
- Computer skills
- Communication skills
Patient Service Representative
Akron Children's Hospital —Cleveland, OH
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
Front Desk Receptionist/Office Assistant
Timeless Medical —Solon, OH
- $15 - $20 an hour
- Part-time
- In-person
- Entry level
Quick Apply
9d
PT Evening Receptionist E/O Weekend
FOUNDATIONS HEALTH SOLUTIONS —Cleveland, OH
- Part-time
- Office
- Administrative experience
- Data entry
Quick Apply
Patient Services Representative- PRN- Cleveland Hts
Cleve Hts Health Center —Cleveland Heights, OH
- PRN
- Customer service
- High school diploma or GED
- 1 year

I want to receive the latest job alert for patient services representative in garfield heights, oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient services representative jobs near garfield heights, oh

Medical Receptionist jobs in Cleveland, OH

Patient Access Representative jobs in Parma, OH

Patient Services Representative jobs in Cleveland, OH

Front Desk Receptionist jobs in Solon, OH

Weekend Receptionist jobs in Cleveland, OH

Patient Services Representative jobs in Willoughby, OH

Receptionist jobs in Cleveland, OH

Support Specialist jobs in Cleveland, OH

Patient Educator jobs in Houston, TX

Court Services jobs in Hamilton County, TN

Patient Services Representative jobs in Hattiesburg, MS

Patient Care Coordinator jobs in Boston, MA

Patient Services Representative jobs in Lawrence, MA

Patient Services Representative jobs in Seattle, WA

Patient Services Representative jobs in Denton, TX

Psi Services jobs in California

Medical Receptionist jobs in Vacaville, CA

Receptionist jobs in Stafford, VA

Medical Receptionist jobs in North Carolina

Medical Receptionist jobs in Tuscaloosa, AL

Benefits & Prior Authorization Specialist

Jewish Family Service Association of Cleveland -
Pepper Pike, OH

Quick Apply

Job Details

Part-time | Full-time
From $26 an hour
8 days ago

Qualifications

Computer operation
Word processing
High school diploma or GED
Productivity software
Quality data entry

Full Job Description

Do you have experience with healthcare prior authorizations, insurance verification, medical billing, electronic health records, payer portals, or Medicaid management? JFSA of Cleveland has an immediate opening for a part-time or full-time Benefits & Prior Authorization Specialist.

Position Type: Hourly, Part-time or Full-time, Office-based

General Duties and Responsibilities:

Coordinates initial, concurrent, and renewal prior authorization requests for assigned behavioral health services in accordance with payer requirements and internal timelines.
Verifies coverage, eligibility, benefit limitations, authorization requirements, and payer-specific submission procedures before services begin and throughout the authorization period.
Advocates for individuals through benefits application/enrollment process. Monitors revalidation/redetermination needs through client portals or local office. Assists individuals with problem-solving barriers and ensuring benefits are reinstated.
Reviews authorization packets for required administrative and clinical elements and promptly follows up on missing, inconsistent, expired, or incomplete information.
Submits requests and supporting records through payer portals and other approved secure methods while protecting client confidentiality and complying with HIPAA requirements.
Maintains an accurate authorization tracker that includes requested and approved services and units, effective dates, remaining balances, renewal deadlines, status, denials, and follow-up activity.
Monitors service utilization, payer thresholds, and clients approaching or exceeding authorized limits and provides advance notice to clinical and program leadership.
Tracks pending requests through final resolution, documents payer communications, responds to requests for additional information, and escalates delays before they affect services or billing.
Coordinates prior authorization denial reviews, reconsiderations, peer-to-peer requests, and appeals by gathering records, communicating deadlines, and supporting clinical leadership and billing staff.
Communicates authorization decisions and limitations promptly and ensures approved information is entered accurately in the electronic health record and billing systems.
Reconciles authorization records with service delivery and claims data and helps identify services delivered without authorization, unused units, authorization-related denials, and recurring process gaps.
Prepares routine reports on pending requests, upcoming expirations, denials, appeal outcomes, turnaround times, and authorization-related financial risk and recommends workflow improvements.
Maintains organized, audit-ready records and remains current on Ohio Medicaid, managed care, Medicare, commercial payer, and organizational requirements relevant to assigned services.
Participates in team meetings, audits, training, and quality-improvement activities and performs other duties or special projects as required or assigned.
Credentialing new providers for in-network reimbursement and provider revalidations.
Assists with special projects as needed and any additional duties as assigned.

Minimum Qualifications and Skills:

High School Diploma/GED, degree in healthcare administration, information management, medical billing and coding, business, or related behavioural health field preferred.
Relevant payer, clinical expereince, prior authorization, revenue-cycle, or medical office training may substitute for post-secondary education.
Experience in Excel, Word, and other applicable software.
At least 2 years expereince in healthcare prior authorization, insurance verification, utilization support, medical billing, revenue cycle, or medical office operation is preferred.
Behavioral health, community mental health Medicaid managed care, or human-services expereince is strongly preferred.
Excellent interpersonal skills.
Must be able to prioritize and schedule daily activities effectively.
Computer data entry experience.
High degree of accuracy and attention to detail.
Experience using the Internet.
Experience with payer portals, authorizations, claims-tracking systems, Direct Data Entry (“DDE”), and electronic medical records systems preferred.

Jewish Family Service Association of Cleveland is an Equal Opportunity Employer with a strong commitment to diversity, inclusion, and equity. In accordance with applicable law, we prohibit discrimination against any applicant or employee based on any legally-recognized basis, including, but not limited to: race, color, religion, sex (including pregnancy, lactation, childbirth, or related medical conditions), sexual orientation, gender identity, age (40 and over), national origin or ancestry, ethnic group, citizenship status, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state or local law. Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and co-workers.

#AllJobs

Quick Apply

Refine Your Search

patient services representative jobs in garfield heights, oh

Benefits & Prior Authorization Specialist

Patient Service Representative

Patient Services Representative

PRN Medical Receptionist (Cleveland)

Front Desk Receptionist

Patient Access Representative II OB/GYN, Garfield/Broadview Heights/Twinsburg

Sleep Study Support Specialist

Admissions Coordinator

Pharmacy Prior Authorization Specialist

Patient Advocacy Representative (inbound call center)

Patient Access Representative - Parma

Patient Access Representative II Cleveland/Beachwood, Mohs Scheduling

FT Day Shift Receptionist

Patient Service Representative (PSR)

Medical Receptionist

Patient Service/Front Desk Coordinator

Patient Service Representative

Front Desk Receptionist/Office Assistant

PT Evening Receptionist E/O Weekend

Patient Services Representative- PRN- Cleveland Hts

I want to receive the latest job alert for patient services representative in garfield heights, oh

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected