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Claims or Utilization jobs in Columbus, OH, 43215

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Job alert Jobs 21 - 30 of 580

Homecare Reimbursement Specialist- Homecare Finance

Nationwide Children's Hospital  –  Columbus, OH
... Reviews statements and claims for reasonability and completeness. Identifies and obtains necessary additional information. ... patient case conferences, performance improvement teams, customer satisfaction surveys, utilization review activities, etc. ... - Apr 20

Business Office Coordinator

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... Post payment and follow up with claims. Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims. Process claims electronically or hard copy ... - May 01

Project Coordinator - Construction

IAP DESIGN-BUILD LLC  –  Columbus, OH, 43215
... \tContinued support for completed projects including any claims or disputes & full payment. \tManage project-related paperwork by ensuring all necessary materials are current, properly filed and stored, including but not limited to Job Contract, all ... - May 06

Warranty Inspector

Yokohama Tire Corp  –  Groveport, OH, 43195
... This position will also perform administrative tasks related to warranty claims, recalls, surveys and scrap tires. Responsibilities * Timely inspection, classification and processing of warranty claim tires * Accurately and timely process warranty ... - May 07

HYBRID - LTSS Data Analytics Specialist (Health Services Policy

ohio.gov  –  Franklin County, OH
... and financial data (e.g., case management data, demographics, performance metrics, service utilization, and cost and utilization projections) extracting data from existing claims payment, eligibility, decision support, and case management systems ... - Apr 23

Medical Director - Medicare Risk Adjustment HCC Review

DOCTORS CHOICE PLACEMENT SERVICES, INC.  –  Worthington, OH, 43085
... pharmacy reviews from finance and/or claims Provides clinical interpretation and guidance to fellow clinicians and internal staff. Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues. ... - May 07

Claims Representative Sr

Insbrk  –  Dublin, OH
We are looking for an individual who can provide inbound customer support by promptly and courteously handling incoming calls, verifying contract information, and accurately entering new claims into the system based on client-specific terms and ... - Apr 10

EHS Specialist

PURIS Corporation, LLC  –  Columbus, OH, 43204
... Coordinate with Director of EH&S in claims settlement agreements and the use of outside counsel/insurance adjuster ... of the incident reporting process as required…to maximize the full operational support/utilization of the system. ... - May 07

Construction Superintendent

IAP DESIGN-BUILD LLC  –  Columbus, OH, 43215
... \tAssist in resolving issues or conflicts related to daily construction activities (e.g., vendor contracts, work orders, job progress, design, warranty claims). \tAuthorize payment for materials received and work completed. \tEnsure trade partner ... - Apr 18

Physiatrist

Novus Physical Medicine and Pain Managment  –  Columbus, OH, 43224
... The applicant's job tasks include, but not limited to providing specialized pain management and one on one care to residents with acute and chronic pain, appropriate evaluation of medication utilization, and ongoing outcome tracking of pain ... - May 08
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