| Distance: | Job alert | Jobs 1 - 10 of 63 |
Appeals Nurse
Ohio Staffing
–
Clinton Township, OH, 43224
Appeals Nurse 2 Become a part of our caring community and help us put health first. The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and independent ... - Nov 03
Medical Claim Review Nurse (RN)
Molina Healthcare Careers
–
Columbus, OH, 43279
... Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Utilizing clinical knowledge and experience, responsible for ... - Nov 04
Care Review Clinician (RN)
Molina Healthcare Careers
–
Columbus, OH, 43279
... This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and ... - Nov 04
Director of Individual Giving - CSO
CAPA
–
Clinton Township, OH, 43224
... First 3-6 Months: Annual Giving Leadership Oversee direct mail, digital campaigns, donor circles, and special appeals. Measures of Success: Growth in participation, retention, and average gift size (e.g., 5-10% increase in donor renewal rate, 5-15% ... - Oct 23
Medical Claim Review Nurse (RN)
Molina Healthcare Careers
–
Clinton Township, OH, 43224
... Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Utilizing clinical knowledge and experience, responsible for ... - Nov 04
Care Review Clinician (RN)
Molina Healthcare Careers
–
Clinton Township, OH, 43224
... This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and ... - Nov 04
Associate Specialist, Appeals & Grievances (Provider experience)
Molina Healthcare
–
Columbus, OH, 43231
... Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. Determines appropriate ... - Oct 18
Manager, Appeals & Grievances (Medicaid/Marketplace experience)
Molina Healthcare
–
Columbus, OH, 43231
Description JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to ... - Oct 11
Field Reimbursement Manager (Immunology Dermatology) (Lancaster, OH
Johnson & Johnson
–
Columbus, OH
... Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. ... - Nov 02
Physician / Other / Ohio / Permanent / Associate Medical Director
eviCore healthcare
–
Worthington, OH, 43085
... Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information ... - Nov 01