- Cardinal Health (Columbus, OH)
- …the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Processes ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- Elevance Health (Mason, OH)
- …prior authorization requests from physicians?offices and ensures compliance with Medicare requirements. + Informs relevant parties of all prior authorization ... determinations. + Provides resolution to grievances and appeals issues. + Responds to inquiries from physicians, sales team, and members related to formulary and… more
- Cardinal Health (Columbus, OH)
- …industry including Commercial and Government plans, Prior Authorizations, and Appeals + Experience with Microsoft Office products including Word, PowerPoint, ... with long- and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial plans while planning for various… more