- Adecco US, Inc. (Columbus, OH)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Will be assigned a market to cover based on location ... on location Temp-to-hire **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… more
- Cardinal Health (Columbus, OH)
- …insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative ... for the patient's concerns regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare,… more
- Elevance Health (Mason, OH)
- …and consultant to other areas of the company; particularly the Medical Review and Appeals areas + May be required to represent the company to external entities ... the United States when conducting utilization review or an appeals consideration and cannot be located on a US...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- OhioHealth (Columbus, OH)
- …* This positon supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special analysis throughout the year associated with ... as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement. Provide Director of Revenue and Reimbursement...and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage… more
- ProMedica Health System (Toledo, OH)
- …the timely management of insurance precertification, recertification, authorizations and appeals , length of stay, and resource utilization. ACCOUNTABILITIES *All ... data as appropriate. 6. Provides coverage to Transitional Care Manager , Case Manager , and PPS Coordinator roles with shared accountabilities as appropriate.… more
- Elevance Health (Mason, OH)
- …of all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Responds to inquiries from physicians, sales team, and members ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Cincinnati, OH)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Mason, OH)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of medical ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Mason, OH)
- …all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Managing inbound and outbound communications, triaging and ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Cleveland Clinic (Beachwood, OH)
- …have been followed, appropriate escalation of PA denials through the appeals process. + Make recommendations regarding appropriateness of the treatment plan ... authorizations for assigned patients with a minimum as deemed appropriate by Manager . + Apply clinical studies or guidelines accurately to monitor appropriateness of… more
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