- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Appeals Coordinator **Job Description** + Maintains a caseload and monitors day to ... medical necessity reviews. + Enters all data related to appeals and case reviews into a database. + Prepares...into a database. + Prepares and presents information on appeals to panels second-level multi-disciplinary committee. + Participates in… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** **Database Coordinator for the Foundation** **Position Purpose:** The Database Coordinator supports ... information + Consolidates information from the database and prepares for fundraising appeals . + Executes queries, runs reports, exports data and uploads files. +… more
- Cardinal Health (Columbus, OH)
- …to Cardinal Health_** The Sr. Coord, Individualized Care (Reimbursement Coordinator ) supports patient access to therapy through Reimbursement Support Services ... * Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be… more
- Cardinal Health (Columbus, OH)
- …documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred + Knowledge of Medicare, Medicaid and Commercially insured ... payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to… more
- Cardinal Health (Columbus, OH)
- …Events and follow process for timely submission. Review all requests for appeals and ensure supporting documentation is present. Support team with call overflow ... when needed. Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome. Effectively be able to multitask daily tasks and workload. + **TRAINING AND WORK SCHEDULES** : Your new hire training will take place… more
- Central Ohio Transit Authority (Columbus, OH)
- …personnel in pre-trial preparation; reviews and manages claims and collections; prepares appeals and performs the necessary research on motions with the objective of ... are safe and accessible for individuals under the ADA; + Checks the ADA Coordinator email daily and responds to relevant customer complaints that appear within the… more