Prior Authorization Specialist
24 hours ago
We are seeking a highly skilled Prior Authorization Specialist to join our team at CommQuest Services Inc. This role is responsible for securing prior authorizations for behavioral health services, ensuring compliance with payor guidelines, and reducing denials.
Key Responsibilities
- Obtain prior authorizations for behavioral health services
- Maintain compliance with payor guidelines and regulations
- Collaborate with clinical staff, clients, and insurance providers to ensure smooth reimbursement
- Manage denial, data, and reporting to optimize authorization outcomes
Requirements
- Master's degree in Counseling, Social Work, Psychology, or a related field
- Current and valid licensure as a Licensed Professional Clinical Counselor (LPCC), Licensed Clinical Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT) in the state of Ohio
- Minimum of 2 years of experience in counseling, medical billing, prior authorizations, or insurance verification in a healthcare or behavioral health setting
- Experience working with electronic health records (EHR) and billing software
- Valid driver's license and reliable transportation
Benefits
- Generous time off, including Mental Health days
- 10 paid holidays annually
- Retirement plan with company match
- Medical, Dental, and Vision plans
- CEU/Licensure reimbursements and Additional Workshops/Trainings
CommQuest Services Inc. is an equal opportunity employer. All applicants will be considered for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
-
Prior Authorization Specialist
1 day ago
Canton, Ohio, United States CommQuest Services Inc Full timeJob Title: Prior Authorization SpecialistCommQuest Services, Inc. is seeking a skilled Prior Authorization Specialist to join our team in the Canton/Massillon area.About the Role:The Prior Authorization Specialist will be responsible for securing prior authorizations for behavioral health services, ensuring that all necessary approvals are obtained from...
-
Prior Authorization Specialist
3 weeks ago
Canton, Ohio, United States CommQuest Services Inc Full timePrior Authorization SpecialistCommQuest Services Inc is seeking a skilled Prior Authorization Specialist to join our team in the Canton/Massillon area.About the RoleThe Prior Authorization Specialist will be responsible for securing prior authorizations for behavioral health services, ensuring that all necessary approvals are obtained from insurance...
-
Prior Authorization Specialist
3 weeks ago
Canton, Ohio, United States CommQuest Services Inc Full timeJob Title: Prior Authorization SpecialistCommQuest Services Inc is seeking a skilled Prior Authorization Specialist to join our team in the Canton/Massillon area.The successful candidate will be responsible for securing prior authorizations for behavioral health services, ensuring compliance with payor guidelines, and reducing denials.Key...
-
Behavioral Health Prior Authorization Specialist
3 weeks ago
Canton, Ohio, United States CommQuest Services Inc Full timeJob DescriptionPrior Authorization SpecialistReal-world impact. Life-changing outcomes.CommQuest Services Inc. is seeking a Full Time Prior Authorization Specialist in the Canton/Massillon area. The Prior Authorization Specialist is responsible for securing prior authorizations for behavioral health services, ensuring that all necessary approvals are...
-
Canton, Ohio, United States Organogenesis Full time{"title": "Provider Benefit Verification Specialist II", "description": "Empowering HealingWe are a leader in regenerative medicine, and we are seeking a dynamic and detail-oriented Provider Benefit Verification Specialist II to join our team. In this role, you will provide billing and reimbursement support to sales specialists and customers, working closely...
-
Clinical Informatics Specialist
7 days ago
Canton, Ohio, United States Oak Street Health Full timeJob Title: Clinical Informatics SpecialistWe are seeking a highly skilled Clinical Informatics Specialist to join our team at Oak Street Health. As a Clinical Informatics Specialist, you will play a critical role in supporting our primary care providers with clinical documentation, allowing them to focus on providing exceptional care to our...
-
Pharmacy Liaison Specialist
1 week ago
Canton, Ohio, United States Comprehensive Pharmacy Services, LLC Full timePharmacy Liaison Job DescriptionWe are seeking a highly motivated and customer service-oriented Pharmacy Liaison to join our team at Comprehensive Pharmacy Services, LLC. As a Pharmacy Liaison, you will play a critical role in providing outstanding service to patients with complex, specialty diseases to help them achieve improved clinical outcomes.Key...
-
Pharmacy Liaison Specialist
7 days ago
Canton, Ohio, United States Comprehensive Pharmacy Services, LLC Full timePharmacy Liaison Job DescriptionWe are seeking a highly motivated and customer service-oriented Pharmacy Liaison to join our team at Comprehensive Pharmacy Services, LLC. As a Pharmacy Liaison, you will play a critical role in providing outstanding service to patients with complex, specialty diseases, helping them achieve improved clinical outcomes.Key...
-
Culinary Specialist
2 months ago
Canton, Ohio, United States 91 Restaurant Group Full timeJob OverviewCulinary Specialist at 91 Restaurant GroupAre you passionate about the culinary arts? We are a dynamic restaurant group dedicated to innovation and creativity in our menu offerings.Each of our dining concepts features distinct menus and highlighted dishes tailored for our patrons.If you thrive in a bustling kitchen atmosphere, this position may...
-
Insulation Installation Specialist
1 day ago
Canton, Ohio, United States Koala Insulation of Canton Full timeJob SummaryKoala Insulation of Canton, OH is seeking a skilled and motivated Insulation Installation Specialist to join our team. As an Insulation Installation Specialist, you will assist in performing high-quality insulation services in attics and crawlspaces.Key Responsibilities:Assist in removal and installation of insulation.Follow standard operating...
-
Project Specialist
4 weeks ago
Canton, Ohio, United States Radiant Innovations Full timeUnlock Your Potential with Radiant InnovationsJob ID 23164At Radiant Innovations, we offer exciting opportunities for professional and personal growth for both entry-level and experienced specialists.Through diverse and challenging tasks for international major clients and corporations, you will gain expertise in the latest technologies or develop broad...
-
Collections Specialist
4 weeks ago
Canton, Ohio, United States Dollar Bank Full timeJob Title: Collections SpecialistAt Dollar Bank, we are seeking a highly skilled Collections Specialist to join our team. As a Collections Specialist, you will play a critical role in monitoring and tracking delinquent accounts, negotiating debt repayment terms, and ensuring compliance with regulatory requirements.Key Responsibilities:Answer incoming...
-
SSA Supervisor
3 weeks ago
Canton, Ohio, United States Stark County Board of Developmental Disabilities Full timeJob SummaryWe are seeking a highly skilled SSA Supervisor to join our team at Stark County Board of Developmental Disabilities. As a key member of our SSA Department, you will be responsible for providing supervision and evaluation of Service and Support Administrators (SSAs) as relates to Individual Service Plan (ISP) administration and duties within...
-
Collections Specialist
3 weeks ago
Canton, Ohio, United States Dollar Bank Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Collections Specialist to join our team at Dollar Bank. As a Collections Specialist, you will be responsible for monitoring and tracking delinquent accounts, negotiating debt repayment terms, and ensuring compliance with regulatory requirements and investor/insurer guidelines.Key...
-
Diagnostic Imaging Specialist
1 month ago
Canton, Ohio, United States Northside Hospital Full timeAbout the RoleNorthside Hospital is a leading healthcare provider in Atlanta, renowned for its cutting-edge technology and commitment to excellence. As a Diagnostic Imaging Specialist, you will play a vital role in delivering high-quality patient care and contributing to the hospital's mission to provide exceptional healthcare services.Key...
-
Customer Requirements Specialist
2 weeks ago
Canton, Ohio, United States Metallus Inc. Full timeJob Title: Customer Requirements SpecialistJoin Metallus Inc., a leading manufacturer of clean steel, and become part of a legacy that spans over a century. We are a team of experts dedicated to delivering high-quality products to the industrial, aerospace, and defense, automotive, and energy markets.About the RoleWe are seeking a skilled Customer...
-
Documentation Specialist
2 weeks ago
Canton, Ohio, United States Beacon Hill Life Sciences - Boston Full timeJob DescriptionBeacon Hill Life Sciences - Boston is seeking a skilled Documentation Specialist to join their team.This is a 6 Month Contract opportunity with potential extensions.The successful candidate will support the documentation activities in support of product production and release, interacting with various departments including Production,...
-
Warehouse Operations Specialist
21 hours ago
Canton, Ohio, United States Diebold Nixdorf Full timeJob SummaryWe are seeking a highly skilled Warehouse Operations Specialist to join our team in North Canton, OH. As a key member of our warehouse team, you will play a crucial role in ensuring the efficient flow of goods and materials.This is a great opportunity to work with a top employer in the technology manufacturing industry, where you will be part of a...
-
Medical Assistant
3 weeks ago
Canton, Ohio, United States ProgressiveHealth Full timeJob Title: Medical Assistant - Occupational Health SpecialistWe are seeking a highly skilled Medical Assistant to join our team at ProgressiveHealth. As an Occupational Health Specialist, you will play a vital role in providing exceptional care to our clients and their employees.Key Responsibilities:Greets and escorts patients to exam areas, measures vital...
-
Nurse Practitioner
4 weeks ago
Canton, Ohio, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and care management solutions. Our team of healthcare professionals is dedicated to improving the quality of care for older adults and at-risk individuals.Job SummaryWe are seeking a skilled Nurse Practitioner to join our team as a PRN/Part Time Home Risk Assessment...