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Commis or Aux or Comptes or Payer jobs in Columbus, OH, 43215

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Field Access Specialist II, Gastro FAS Immunology - Columbus, Ohio

AbbVie  –  Columbus, OH
... The FAS responsibilities include educating on the access and reimbursement support tools available from Abbvie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures. ... - May 19

Case Manager (RN or LSW)- Inpatient Rehab

OhioHealth Rehabilitation Hospital  –  Columbus, OH
... and Payer/Referral Management. Qualifications: Minimum Qualifications Current Licensure in Social Work or in a clinical or related discipline (RN preferred), per state guidelines for case management and/or discharge planning, required. Previous ... - Apr 30

Medical AR Specialist

Columbus Oncology & Hematology  –  Dublin, OH, 43016
... Essential Duties: Proven experience in reviewing, researching and following up on insurance denials Proven experience in submitting customized appeals using precise arguments based on clinical documentations, third-party payer medical policies, and ... - May 05

Managed Care Specialist

Hazelden Betty Ford  –  Grove City, OH, 43123
... Work 8:00am-4:30pm Responsibilities As a Managed Care Specialist you will provide utilization review information to insurance companies throughout the patient's stay at Hazelden Betty Ford Foundation (HBFF) and through final payer approval process. ... - May 16

Sr. Director, Network Strategy, Intelligence, and Forecasting

Mckesson  –  Columbus, OH
... Connects with customer success teams to align payer, provider, and pharmacy objectives Risk mitigation: Identify, assess and develop strategies to mitigate risks associated with information security, regulatory compliance, industry standards, ... - May 20

Home Health & Hospice Billing Collections Manager- Ohio

Interim HealthCare  –  Columbus, OH, 43215
... Experience with Medicaid payer portals required. Strong understanding payer fee schedules/set up within EMR. Previous experience with software implementation required. Previous experience with EDI transactions required. Experience in Power BI is ... - May 14

Marketing Liaison/Health Care Navigator

Otterbein SeniorLife  –  Columbus, OH
... Monitor and maintain targeted payer mix to meet financial goals and assure financial stability for the ministries supported. Develop and execute quarterly nursing marketing plans for Columbus, Ohio. Assess potential referrals or potential admissions ... - May 14

Director, Quality Assurance Monitoring

McKesson  –  Columbus, OH
... Extensive background in the healthcare industry, specializing in specialty pharmaceuticals, payer policy, prior authorization, and/or coverage. - Proficient in working with JIRA and other quality management systems. Adaptable to changing ... - May 20

Sr. Director, Managed Care Solutions (Remote)

McKesson  –  Columbus, OH, 43224
... As an integral part of the Payer Solutions leadership team, this position will develop the vision, strategy, and scope for the value-add solutions to ensure best-in-class operations are in place, as well as building meaningful customer relationships ... - May 21

Supervisor, Benefits and Authorization

Option Care Health  –  Columbus, OH
... Maintains updated knowledge of industry, regulatory and reimbursement issues and of payer requirements. Keeps AVA team abreast of key changes. Assists with roll out of new policies and procedures. Supervisory Responsibilities Does this position have ... - Apr 30
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