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Admin or Appeals jobs in Columbus, OH, 43215

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Senior Precertification Specialist

Columbus Oncology & Hematology  –  Dublin, OH, 43016
... Escalation & Resolution: Handle escalated cases requiring appeals, medical director reviews, and direct payer negotiations for high-priority authorization requests. Qualifications: 3–5 years' experience in a physician practice or healthcare setting ... - May 22

Clinical Finance Case Management - RN Specialist 2

Ohio State University  –  Columbus, OH, 43201
... Reviews, Pre-billing edits, in-patient account validations, supporting Utilization Management, Peer to Peer processes, complex billing scenarios, audits (governmental, commercial, compliance, and internal), clinical appeals and denial management. ... - May 20

TMISS Management Roles

Atlas Advisors, LLC  –  Clinton Township, OH, 43224
... If the idea of helping our team appeals to you, then please continue reading... ABOUT YOU: In general... You love doing things efficiently. At ATLAS, we are a small business, so the work you do will have a noticeable and disproportionate impact on ... - May 27

CSEA Attorney

Delaware County, OH  –  Delaware, OH, 43015
Individual is responsible for providing legal counsel and representation to the Child Support Enforcement Agency, investigating, preparing, and litigating civil actions related to child support, and writing and approving appeals. Individual reports ... - May 06

Chiropractor Dublin OH

HCRC Staffing  –  Dublin, OH, 43016
... and modalities Documentation and Charting (timely and accurate notes) EHR/SOAP notes to ensure compliance with audits and appeals Work cooperatively with team and other support staff for comprehensive patient care Patient follow up to ensure ... - May 27

MCO Additional Payment Program Manager (TMS)

Workers' Compensation  –  Columbus, OH, 43215
... This role includes compiling and reviewing large amounts of data used in the calculation of the payment, and managing contract payment appeals. The payment manager will work with the team to develop cost predictions used to negotiate contract terms ... - May 24

Firewall Administrator - Cloud Operations SECRET Clearance

Stellar Innovations  –  Whitehall, OH, 43213
... Solutions Architect Expert • MC Azure Admin Associate Microsoft Certified Azure Administrator Associate • OCI Cloud Ops Pro 2024 Oracle Cloud Infrastructure 2024 Cloud Operations Professional • Check Point Certified Cloud Specialist (CCCS) cert U.S. ... - May 08

Columbus, Ohio, Metro Hematologist Oncologist to a

CompHealth  –  Whitehall, OH, 43213
... OSU 2 international airports within 15 miles of downtown Diverse city with a vibrant downtown Monday through Friday with 4 admin hours per week Provide comprehensive community-based oncology care Our services are free for you We help negotiate your ... - May 16

Physician / Otolaryngology / Ohio / Permanent / ENT/Otolaryngologist

CompHealth  –  Worthington, OH, 43085
... Loan repayment J-1 and H-1B visa sponsorship Flexible 4-day work week with an admin day if needed Competitive guaranteed salary with additional bonuses General ENT (but open to subspecialty) 6 weeks of PTO $5k CME stipend 40 minutes to Dayton and ... - May 25

Service Advisor - Westerville

Buckeye Complete Auto  –  Westerville, OH, 43081
... via phone, email, text, and in person Build trust and long-term relationships with every customer interaction Operations & Admin Create accurate estimates and invoices Help with parts ordering, dispatching, and workflow management Support general ... - May 29
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