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Human Resources Generalist
Ohio State University Physicians, Inc.
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Columbus, OH, 43202
... Manage fraudulent claims. Participates in disputes and hearings. Compensation and Benefits: Under direction of the senior generalist, conduct standard compensation reviews, recommends salary adjustments and starting rates of pay in line with ... - May 16
Clinical Financial Case Mgr
Ohio State University
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Columbus, OH, 43201
... Submission of test claims proactively supporting clinicians in efforts to identify areas where risk of denial is high to mitigate that risk. Responsibilities also include understanding and verifying benefits and obtaining prior authorization for ... - May 09
ADA Accommodation Coordinator
Sedgwick
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Dublin, OH
... Royal Lane Suite 125 Irving, TX 75063 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: To process claims and determine ... - Apr 22
Pharmacy/Clinical Service Data Analyst
Mount Carmel Health System
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Columbus, OH
... What you'll do: Develop and run detailed ad hoc reports for pharmacy claims analysis and review. · Coordinate and work with PBM and internal departments related to the pharmacy audit requests. · Trend and identify inappropriate pharmacy utilization ... - May 15
Workers Comp Administrator
Surge Careers
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Columbus, OH, 43219
Workers' Compensation Administrator SUMMARY Effectively manage claims execution and cost containment. Responsible for assisting the administration of the workers' compensation program including injury intake, processing claims, determining ... - May 12
HR Generalist - Benefits & Compliance
Gifthealth
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Lincoln Village, OH, 43228
$60k-$75k
... Workers’ Compensation Management Serve as the point of contact for work-related injuries and workers’ comp claims. Coordinate with our TPA and MCO to manage claims, ensure timely reporting, and facilitate return-to-work programs. Monitor trends and ... - May 03
Disability Representative
Sedgwick
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Dublin, OH
... PRIMARY PURPOSE OF THE ROLE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ... - May 06
Manager, Software Engineering Product Manager
Nationwide
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Fairgrounds District, OH, 43211
... This role will provide leadership across people, process, and a variety of technology solutions supporting the Underwriting Journey including co-development of The Policy Processor (TPP), complex vendor integrations, and supporting microservices. ... - May 15
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc.
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Columbus, OH, 43229
18.46USD - 24.97USD per hour
Job Description Summary/Objective Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. Duties include reviewing medical records, coding procedures, and collaborating with healthcare ... - May 17
Senior Project Executive
Gilbane Building Company
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Clinton Township, OH, 43224
... the accuracy of project financial forecast, notice provisions, and billings to meet contract requirements and resolve potential claims and deviations Ensures team creates a project-specific quality plan aligned with the owner contract and contract ... - May 13