Appeals Specialist $50,000 jobs in Ohio

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Emergency Medicine - Pediatric Emergency Medicine, Pediatric...
From major league attractions to small-town appeal, the greater Akron area has something for everyone. The ER is supported by a dedicated suture team, a...
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Social Worker or Counselor
Connections Healthcare Staffing - Dayton, OH
Assessment Specialist at Juvenile Court – Master’s, LSW not looking to be independently licensed or PCC....
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Family Practice-Without OB - Physician
Spot On Recruiting - Cleveland, OH
Built on the quiet dignity of hard-working people - family-centered community that has hometown appeal. Family medicine specialist jobs, family medicine jobs,...
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Clinical Review Specialist, Payment Integrity

CareSource - 55 reviews - Dayton, OH
§ Attend and participate in appeals committee meetings as needed. § Serve as main point of contact between SIU and the Clinical Appeals Department for FICO pre...

Pharmacotherapy Specialist

Wolters Kluwer - 175 reviews - Hudson, OH
Works with other departments to improve data/products and their appeal to selected segments of the market as requested....

Labor Specialist (HR/Law)

Cleveland Metropolitan School District - 65 reviews - Cleveland, OH 44114 (Downtown area)
Assesses level of determination and/or appeal. The Labor Specialist will report to the Executive Director....

PFK Care Coordination Team Lead

Nationwide Children's Hospital - 166 reviews - Columbus, OH
Composes inpatient clinical appeals for medical necessity and/or DRG reassignment denials. Prioritizes appeal responses based on payer restrictions, medical...

Coding Analyst I (HP)

Buckeye Community Health Plan - 11 reviews - Columbus, OH 43215 (Downtown area)
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CSS), Professional Coder-Payer...

AppealsPlus Support Specialist

Etactics, Inc. - Stow, OH 44224
Healthcare Claims Submission, Denial and Appeals Experience:. Etactics AppealsPlus facilitates business process improvements when identifying, quantifying and...
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Clinical Specialist

Human Arc - 12 reviews - Cleveland, OH
Human Arc seeks an experienced individual to review medical records and provide clinical appeal support for medical necessity and authorization denials....

Medicare Pharmacy Specialist

Medical Mutual of Ohio - 42 reviews - Cleveland, OH
Knowledge of appeal and grievance guidelines preferred. Maintain working knowledge of processes regarding new or updated CMS regulations, Coverage Gap Discount,...

Clinical Pharmacist

Aline Staffing - 2 reviews - Solon, OH
$50 an hour
Escalate issues to Coverage Determinations and Appeals management team as needed. Responsible for reviewing clinical coverage determination and appeals using...
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Billing Process Improvement Specialist

Harbor - 9 reviews - Toledo, OH
Investigates and initiates appeals to third-party payers for incorrect reimbursements and failures to reimburse....
Pediatric Emergency Medicine - Northeast Ohio
From major league attractions to small-town appeal, the greater Akron area has something for everyone. The ER is supported by a dedicated suture team, a...
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