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Medical or Claims or Review jobs in Columbus, OH, 43215

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WC Medical Claims Specialist -PN

ohio.gov  –  Franklin County, OH
... Issue initial orders to Accept, Deny, or Dismiss, Medical Only Claims in addition to Subsequent Determinations through a thorough investigation of all medical and legal evidence available in the claim. Review complex claim issues with team members, ... - Apr 28

Clinical Review Clinician - Appeals

Pyramid Consulting, Inc  –  Clinton Township, OH, 43224
... ensure a complete case summary is provided to the Medical Director for review of the appeal case. Review medical code data and records to determine whether a denial is warranted. Utilizing multiple appeals/claims systems to conduct medical reviews. ... - May 02

Claims Adjuster

Central Ohio Transit Authority  –  Columbus, OH, 43215
... Works with COTA's outside adjuster regarding claims and lawsuits; Works with COTA's external experts to assist in preservation of evidence requests. Review collections files in a timely manner and, if applicable, prepare them for Senior Associate ... - May 04

Workers' Compensation Claims Assistant - PN

ohio.gov  –  Franklin County, OH
... into Claims Management System · Contacts appropriate individuals to obtain missing information. · Reviews incoming claims documents (e.g. motions, appeals, self-insured applications, C9s, C92/C92As) to determine required action; requests medical ... - Apr 28

WC Medical Claims Specialist -PN

Workers' Compensation  –  Columbus, OH, 43215
... Issue initial orders to Accept, Deny, or Dismiss, Medical Only Claims in addition to Subsequent Determinations through a thorough investigation of all medical and legal evidence available in the claim. Review complex claim issues with team members, ... - Apr 30

Clinical Review Clinician - Appeals

Pyramid Consulting  –  Clinton Township, OH, 43224
... ensure a complete case summary is provided to the Medical Director for review of the appeal case. Review medical code data and records to determine whether a denial is warranted. Utilizing multiple appeals/claims systems to conduct medical reviews. ... - Apr 24

Claims Adjuster

Central Ohio Transit Authority  –  Columbus, OH
... Works with COTA's outside adjuster regarding claims and lawsuits; Works with COTA's external experts to assist in preservation of evidence requests. Review collections files in a timely manner and, if applicable, prepare them for Senior Associate ... - Apr 25

Dental Claims Specialist

Ohio State University  –  Columbus, OH, 43201
... If you have questions while submitting an application, please review these frequently asked questions. Current Employees and ... enters dental and medical coding; ability to bill medical/dental carriers, appeal claims, and collection functions; serves ... - Apr 17

Registered Nurse - Medical Care

Trailblazer Staffing Solutions  –  Columbus, OH
... 06/16/2025 ~ Duration: 13 weeks ~36 hours per week ~ Shift: 12 hours, nights ~ Employment Type: Travel Trailblazer Staffing Solutions provides top notch travel and local assignments to Allied and Medical Professionals, across the United States. ... - May 04

Claims Clerk

Russell Tobin  –  Clinton Township, OH, 43224
Position – Claims Processor Location – Cincinnati, OH – Hybrid (2-3x/week in-office) Rate - $16 to $17.35/hour Assignment ... progress Monitor shared mailbox for incoming membership documents Review membership documents for accuracy and formatting ... - May 04
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