Utilization Review Specialist

* Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. * Monitor patient length of stay and extensions and...

Job DescriptionJob DescriptionLeading and innovative plaintiff’s trial law firm is looking for an experienced and charismatic Intake Specialist to join their operations call center team. The Intake Specialist must be experienced in client relations and must understand the key role that they play in being the first person that clients will speak with when...

Leading and innovative plaintiff's trial law firm is looking for an experienced and charismatic Intake Specialist to join their operations call center team. The Intake Specialist must be experienced in client relations and must understand the key role that they play in being the first person that clients will speak with when calling in. They will be...

**Purchasing/Inventory Specialist** **Location:** Columbus, OH **Inventory Specialist** **Job Summary:** The inventory specialist is responsible for maintaining the accuracy of the inventory in a Long-Term Care Pharmacy setting. Inventory Specialists must have an understanding on how to use procedural methods to investigate inventory inaccuracy which cause...

Job DescriptionJob DescriptionPrairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and...

Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed...

Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical nec Specialist, Processing, Senior, Claims, Retail, Healthcare, Medical

Job DescriptionJob DescriptionJob Title: Shipping Specialist - JDM Automotive PartsCompany: JDM Ohio DirectLocation: Columbus, OH 43209About Us: JDM Ohio Direct is a premier supplier of rare Japanese Domestic Market (JDM) automotive parts, specializing in authentic Honda parts imported directly from Japan. With a dedication to quality and authenticity, we...

Help Desk SpecialistColumbus, OHCompetitive Pay and BenefitsThe Help Desk Specialist will be expected to troubleshoot, diagnose, and resolve complex hardware and software problems. To perform this job successfully, an individual must be able to perform each of the essential duties listed below satisfactorily.Help Desk Specialist Responsibilities:Receive all...

Help Desk SpecialistColumbus, OHCompetitive Pay and BenefitsThe Help Desk Specialist will be expected to troubleshoot, diagnose, and resolve complex hardware and software problems. To perform this job successfully, an individual must be able to perform each of the essential duties listed below satisfactorily.Help Desk Specialist Responsibilities:Receive all...

Title: Utilization Management Representative III Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Utilization Management Representative III will be responsible for coordinating cases for precertification and prior authorization review. How you will make...

Accounts Receivable Specialist Are you a meticulous and organized individual with a keen interest in numbers and financial processes? We are actively seeking a talented and dedicated Accounts Receivable Specialist to join our team! As an integral part of our accounting department, you will play a vital role in overseeing the financial transactions of our...

Accounts Receivable Specialist Are you a meticulous and organized individual with a keen interest in numbers and financial processes? We are actively seeking a talented and dedicated Accounts Receivable Specialist to join our team! As an integral part of our accounting department, you will play a vital role in overseeing the financial transactions of our...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX ) Elevance Health eCOB Specialist II in COLUMBUS , Ohio eCOB Specialist II Location: Hybrid, within 50 miles of Elevance Health PulsePoint location. Hours:...

Payroll Specialist Columbus, OH As a Payroll Specialist you will play a crucial role in ensuring accurate and timely processing of payroll for employees. You will be responsible for various aspects of payroll administration, including but not limited to processing employee timesheets, calculating wages, and ensuring compliance with relevant regulations. This...

Payroll Specialist Columbus, OH As a Payroll Specialist you will play a crucial role in ensuring accurate and timely processing of payroll for employees. You will be responsible for various aspects of payroll administration, including but not limited to processing employee timesheets, calculating wages, and ensuring compliance with relevant regulations. This...

Compensation Type: HourlyCompensation: $18.50Job SummaryThe Student Services Specialist in New Student Assessment serves as a primary facilitator of placement assessment administration. This role is a member of Admissions, Welcome, and Entry and will collaborate closely with key College departments including Academic Affairs, Accessibility and Testing...

Compensation Type: HourlyCompensation: $18.50Job SummaryThe Student Services Specialist in New Student Assessment serves as a primary facilitator of placement assessment administration. This role is a member of Admissions, Welcome, and Entry and will collaborate closely with key College departments including Academic Affairs, Accessibility and Testing...

eCOB Specialist II Location: Hybrid, within 50 miles of Elevance Health PulsePoint location. Hours: Monday-Friday, an 8-hour shift between the hours of 6am-6pm. An eCOB Specialist II is responsible for researching and investigating other coverage for all of the company's groups and members on multiple platforms. Fully proficient in all key areas; performs...

Coding Specialist / Full-time DaysSt. Luke’s Hospital has a new opportunity for an experienced Coding Specialist! Our hospital is one of the very few critical access hospitals in the country that earned 5 stars in patient satisfaction from CMS in 2020 and we need YOU to help us get to the next level! In this role, you will be part of a progressive team...