- OhioHealth (Reynoldsburg, OH)
- …C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system, to include but not limited ... to: attachment of requested dictation to claims , addition of diagnosis allowances and authorization numbers 7....and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal… more
- Sedgwick (Dayton, OH)
- …in management of the absence programs. + Communicates with client, employee, healthcare providers and Company operations team to coordinate resolution of escalated ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Kelly Services (Beachwood, OH)
- …Join our innovative team in creating the factory of the future for healthcare imaging components. + We're dedicated to developing and integrating custom software for ... regulatory requirements (including product testing, clinical data, etc.), product claims and country regulatory dependencies to ensure optimized sequencing for… more
- OhioHealth (Columbus, OH)
- …to include but not limited to: attachment of requested dictation to claims , addition of diagnosis allowances and authorization numbers 6. Refer utilization ... the clinical, revenue and observation billers to correct or adjust any claims as directed by payer discussions. 10% ORGANIZATIONAL/OFFICE RESPONSIBILITIES 1. Sorts,… more
- OhioHealth (Columbus, OH)
- …Health Management is a strategic leadership role focused on transforming healthcare for communities that OhioHealth serves by overseeing population health ... demonstrating business acumen and a minimum of five years' experience in healthcare leadership. Strategic thinker with a strong background in population or community… more
- Walgreens (Cuyahoga Falls, OH)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient consultation, medication management, drug therapy reviews,… more
- Elevance Health (Mason, OH)
- …care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... and procedures. + Within the medical management role will collaborate with healthcare providers and members to promote quality member outcomes, to optimize member… more
- Elevance Health (Mason, OH)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... will make an impact:** + Developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs. + Projecting cost… more
- Cardinal Health (Columbus, OH)
- …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
- Humana (Columbus, OH)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
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