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Utilization or Review or Medical or Enterprise jobs in Columbus, OH, 43215

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Utilization Review Support Specialist-2

Nationwidechildrens  –  Discovery District, OH, 43215
... to enhance utilization review processes. Education Requirement: High School Diploma or equivalent, required. Associate's Degree, preferred. Licensure Requirement: (not specified) Certifications: (not specified) Skills: Working knowledge of medical ... - Jul 01

Utilization Review Specialist-PRN

Acadia External  –  Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Conduct quality reviews for medical necessity and services provided. Facilitate peer review calls between facility and ... - Jul 16

Utilization Review Specialist-FT

Acadia External  –  Franklin Township, OH, 43223
... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified ... Conduct quality reviews for medical necessity and services provided. Facilitate peer review calls between facility and ... - Jul 03

Medical Biller

Creative Financial Staffing  –  Clinton Township, OH, 43224
20.19 - 21.63 per hour
... medical services. The ideal candidate will have a strong understanding of medical billing procedures, insurance policies, and coding regulations. Key Responsibilities: Prepare and submit medical claims to insurance companies, Medicare, and Medicaid. Review ... - Jul 24

Utilization Review Specialist-FT

Acadia Healthcare Inc.  –  Columbus, OH, 43216
... * Gather and develop statistical and narrative information to report on utilization, non-certified days (including ... * Conduct quality reviews for medical necessity and services provided. * Facilitate peer review calls between facility and ... - Jul 07

Medical Coder

Creative Financial Staffing  –  Clinton Township, OH, 43224
... Key Responsibilities: Review patient medical records and assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and treatments. Ensure coding accuracy and compliance with federal, state, and payer regulations (CMS, HIPAA, and other ... - Jul 24

Medical Biller - WFH Potential in Columbus Area

Ohio ENT & Allergy Physicians  –  Columbus, OH, 43214
Description: The Medical Biller will be responsible for reviewing and approving CPT & ICD-10 codes entered by providers ... • Review and submit accurate claims to various insurance companies either electronically or by paper. • Answers questions ... - Jul 24

Infrastructure Specialist 3 (Backup Team) - Enterprise Computing

ohio.gov  –  Franklin County, OH
... and maintenance of the enterprise backup environment: Performs daily health checks of enterprise backup environment infrastructure, including server hardware and OS, backup data storage pools, and backup solution applications. Review daily backup ... - Jul 22

Senior Enterprise Architect - Data

Alliancedata  –  Columbus, OH
... Job Summary The Senior Enterprise Architect role is intended to align architecture support to a specific application or ... Bread Financial offers medical, prescription drug, dental, vision, and other voluntary benefits (including basic and ... - Jul 22

Quality Review Manager (Medicaid Health Systems Administrator 1)

Medicaid  –  Columbus, OH, 43215
... As the Quality Review Manager, you will be responsible for the following: Conducting quality reviews of ODM Administered ... The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis ... - Jul 21
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