Top 298 Intake worker Jobs in Ohio

Credentialing, Registration & Prior Authorization Specialist
Charak Center for Health and Wellness —Garfield Heights, OH
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
9d
Juvenile Detention Officer
County of Portage —Ravenna, OH
- Writing skills
- Mid-level
- High school diploma or GED
Medicaid Waiver Specialist-Ohio Medicaid
Aging Advocacy & Care Management —Ohio
- $32 - $38 an hour
- Part-time
- Google Workspace
- Mid-level
- Older adults
- Paid training
- Work from home
Quick Apply
10d
Mental Health Assessor (Remote)
Evergreen Mentorship —Cincinnati, OH
- From $75 an hour
- Call employer
- Remote
- Computer literacy
- Mid-level
- Organizational skills
Community Health Worker (Women's Health)
OhioHealth —Hilliard, OH
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Children
Children's Services Worker (Intake Worker After Hours) (3345-12)
Hamilton County, Ohio —Cincinnati, OH
- $27.58 an hour
- Weekends as needed
- Hybrid work
- Background check
- Master of Social Work
- Hospital
- Free parking
- Wellness program
Quick Apply
Community Health Worker
OhioHealth —Columbus, OH
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Children
Case Manager (CDCA)
Women of Hope Cleveland —Solon, OH
- $24.48 - $29.48 an hour
- Part-time
- CPR Certification
- Addiction Medicine
- Experience working with individuals with disabilities
Quick Apply
Intake Assessor, PRN, Behavioral Health (RN, Social Worker or Counselor)
Sunrise Vista Behavioral Health —Canton, OH
- Part-time
- RN License
- Adults
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Foster Care Navigator
Child Care Resource Center —Lorain, OH
- $45,000 - $50,000 a year
- Weekends as needed
- Hybrid work
- Background check
- Marketing
- Mid-level
- Health insurance
- 403(b)
OB Intake Nurse
PrimaryOne Health —Columbus, OH
- Mid-level
- Ob/Gyn
- Travel
- Paid holidays
- Disability insurance
Children's Services Worker (Children's Services Caseworker) (4641-12)
Hamilton County, Ohio —Cincinnati, OH
- $26.52 an hour
- Full-time
- Hybrid work
- Background check
- Master of Social Work
- Hospital
- Free parking
- Wellness program
Quick Apply
Community Health Outreach Worker
PrimaryOne Health —Columbus, OH
- Mid-level
- High school diploma or GED
- Travel
- Paid holidays
- Disability insurance
Customer Relations Associate
Genesis HealthCare System —Ohio
- Full-time
- Office
- High school diploma or GED
- Ability to lift 50 pounds
Intake Social Worker
Bluestone Child & Adolescent Psychiatric Hospital —University Heights, OH
- From $60,000 a year
- Full-time
- LMFT
- Psychiatry
- Writing skills
- Wellness program
- 403(b) matching
Quick Apply
Community Health Worker
Womankind, Inc. —Garfield Heights, OH
- $20 an hour
- Part-time
- Background check
- Office
- Criminal background check
Quick Apply
Animal Shelter Attendant ANIMAL SERVICES (1)
Cleveland County —Cleveland, OH
- $17.35 - $22.54 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Driver's License
3d
Enrollment and Marketing Specialist
Heritage Christian School —Canton, OH
- From $42,000 a year
- Full-time
- Background check
- Marketing
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Part Time Clinical Supervisor (15-20 hours)
Fathers' Uplift Inc. —Cincinnati, OH
- $52,847.89 - $72,000.00 a year
- Part-time
- Hybrid work
- Google Workspace
- Mid-level
- Master's degree
- Continuing education credits
Quick Apply
Legal Assistant, Medical Subrogation
Charles E. Boyk Law Offices, LLC —Holland, OH
- $20 - $23 an hour
- Full-time
- Mid-level
- Data entry
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for intake worker in ohio

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

intake worker jobs near ohio

Juvenile Correctional Officer jobs in Ravenna, OH

Customer Service Representative jobs in Ohio

Prior Authorization Specialist jobs in Garfield Heights, OH

Community Health Worker jobs in Columbus, OH

Shelter Attendant jobs in Cleveland, OH

Case Worker jobs in Cincinnati, OH

Clinical Supervisor jobs in Cincinnati, OH

Mental Health Technician jobs in Cincinnati, OH

Case Manager jobs in Solon, OH

Psychiatric Nurse jobs in Canton, OH

Intake Worker jobs in Cincinnati, OH

Juvenile Correctional Officer jobs in Grand Forks, ND

Security Officer jobs in Fresno, CA

Correctional Counselor jobs in Connecticut

Juvenile Detention jobs in Denton, TX

Juvenile Correctional Officer jobs in Illinois

Juvenile Correctional Officer jobs in Oklahoma

Juvenile Correctional Officer jobs in Rome, GA

Security Officer jobs in Delaware

Pediatric Nurse jobs in Charleston, SC

Credentialing, Registration & Prior Authorization Specialist

Charak Center for Health and Wellness
Garfield Heights, OH

Quick Apply

Job Details

Full-time
9 days ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Microsoft Word
Customer communication
Microsoft Excel
Overseeing health insurance pre-certification
Managed care
Electronic health records (EHR) management
Medical insurance coverage verification
Customer service
Medical office experience
Certified Provider Credentialing Specialist
Microsoft Office
Client services
Microsoft Teams
Productivity software
Medical terminology
State-specific medical credentialing regulations

Full Job Description

Credentialing, Registration & Prior Authorization Specialist

We are seeking a highly organized, detail-oriented, and customer-focused Credentialing, Registration & Prior Authorization Specialist to join our growing behavioral health team. This multifaceted role is responsible for ensuring agency and provider credentialing compliance, coordinating client registration and scheduling, verifying insurance benefits, and managing prior authorizations for medications and services.

The ideal candidate possesses strong administrative and critical thinking skills, a thorough understanding of healthcare insurance processes, and the ability to thrive in a fast-paced outpatient behavioral health environment.

Essential Duties and Responsibilities

Credentialing

Coordinate and oversee the credentialing and recredentialing process for medical, mental health, and allied healthcare providers.
Review practitioner applications and supporting documentation to ensure eligibility and compliance.
Conduct primary source verification, background investigations, and credential file audits.
Identify discrepancies, investigate issues, and ensure timely resolution.
Prepare and maintain credentialing files as directed by agency leadership.
Monitor expiring licenses, certifications, registrations, and insurance coverage, initiating renewals as necessary.
Maintain compliance with applicable regulatory and accreditation standards, including CMS, Joint Commission, NCQA, URAC, federal and state regulations, and delegated payer contracts.
Submit and retrieve National Practitioner Data Bank (NPDB) reports.
Coordinate credentialing for new agency programs and services.
Collaborate with Billing, Human Resources, and agency leadership to resolve credentialing and compliance issues.
Assist with delegated credentialing audits and conduct internal quality reviews.
Support HR compliance and risk management activities related to provider credentialing.
Maintain credentialing databases and generate required reports.
Assist with agency compliance initiatives, including accreditation and regulatory requirements.

Registration and Intake

Answer incoming intake and registration calls in a professional and compassionate manner.
Collect demographic, insurance, and clinical information from prospective and returning clients.
Screen callers and assess needs to schedule appointments with appropriate providers.
Verify insurance eligibility and benefits through electronic and telephonic methods.
Process referrals and maintain referral tracking systems.
Manage appointment scheduling and client correspondence.
Return voicemails and respond to intake inquiries promptly throughout the day.
Monitor referrals received via fax and designated email accounts.
Route calls appropriately and relay messages to staff.
Maintain accurate and timely documentation within the electronic medical record (EMR).

Prior Authorizations

Serve as an administrative liaison between patients, providers, pharmacies, and insurance companies.
Verify insurance eligibility, benefits, formulary requirements, and prior authorization needs.
Prepare and submit prior authorization requests with accurate clinical documentation, diagnosis codes, and supporting records.
Track pending authorization requests and conduct timely follow-up with insurance carriers.
Monitor authorization statuses to ensure continuity of patient care.
Manage denied requests by reviewing payer requirements, gathering additional documentation, and initiating appeals.
Assist with prior authorizations for Bureau of Workers' Compensation and other specialty programs.

Qualifications

Required Knowledge and Skills

Knowledge of behavioral health and substance use disorder terminology.
Understanding of healthcare insurance plans, eligibility verification, and prior authorization processes.
Strong customer service and communication skills.
Ability to appropriately manage urgent or crisis-related calls.
Exceptional attention to detail and organizational abilities.
Strong critical thinking and problem-solving skills.
Ability to work independently and collaboratively in a fast-paced environment.
Proficiency with electronic medical records (EMR), Microsoft Office Suite, including Excel and Teams.
Commitment to providing exceptional service to clients and supporting agency operations.

Experience

Previous experience in provider credentialing, medical office administration, behavioral health, managed care, or healthcare registration preferred.
Experience with insurance verification and prior authorizations strongly preferred.
Knowledge of medical terminology, credentialing standards, and healthcare regulations.
Experience using credentialing software and provider databases preferred.

Preferred Attributes

Self-motivated and highly dependable.
Professional and compassionate demeanor.
Strong multitasking and time management skills.
Ability to maintain confidentiality and exercise sound judgment.
Adaptable and eager to contribute to a collaborative team environment.

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Ability to Relocate:

Garfield Heights, OH 44125: Relocate before starting work (Required)

Work Location: In person

Quick Apply

Refine Your Search

intake worker jobs in ohio

Credentialing, Registration & Prior Authorization Specialist

Juvenile Detention Officer

Medicaid Waiver Specialist-Ohio Medicaid

Mental Health Assessor (Remote)

Community Health Worker (Women's Health)

Children's Services Worker (Intake Worker After Hours) (3345-12)

Community Health Worker

Case Manager (CDCA)

Intake Assessor, PRN, Behavioral Health (RN, Social Worker or Counselor)

Foster Care Navigator

OB Intake Nurse

Children's Services Worker (Children's Services Caseworker) (4641-12)

Community Health Outreach Worker

Customer Relations Associate

Intake Social Worker

Community Health Worker

Animal Shelter Attendant ANIMAL SERVICES (1)

Enrollment and Marketing Specialist

Part Time Clinical Supervisor (15-20 hours)

Legal Assistant, Medical Subrogation

I want to receive the latest job alert for intake worker in ohio

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected