- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Columbus, OH)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Columbus, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Columbus, OH)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Cardinal Health (Columbus, OH)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Westerville, OH)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Cardinal Health (Columbus, OH)
- …orders from licensed prescribers and transfer prescriptions between dispensing pharmacies + Review patient insurance coverage status and adjudicate claims for ... moderate degree of supervision + Work typically involves regular review of output by work lead or supervisor + Refers complex unusual problems to supervisor … more
- Walgreens (Columbus, OH)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- AMP Public Power Partners (Columbus, OH)
- …work and in-office reporting), with the coordination and approval of the appropriate supervisor for candidates in the greater Columbus, OH area. This position has ... within the greater Columbus area with proper approval from the hiring supervisor . Position Title: Transmission Project Manager Reports To: Director of Transmission… more
- CVS Health (New Albany, OH)
- …coverage policies. + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- Trinity Health (Westerville, OH)
- …Support new process implementations and identify and escalate any workflow issues to your supervisor for review . + Stay Current - Maintain an up-to-date working ... and billing support. The technician will also process insurance claims , resolve third-party rejections, and coordinate refills and prior authorizations… more
- Cardinal Health (Columbus, OH)
- …Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a ... receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems....other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (Columbus, OH)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more