Top 260 Appeals Jobs in Columbus

Central Auth Coord - HHH
Ohio Living —Westerville, OH
- Weekends as needed
- Microsoft Excel
- English
- Mid-level
Quick Apply
13d
Medical AR Specialist
Columbus Oncology & Hematology —Dublin, OH
- Full-time
- Hybrid work
- Private practice
- Medical office experience
- Research
Quick Apply
Customer Service Assistant 2
State of Ohio - Unemployment Compensation Review Commission —Columbus, OH
- $23.65 - $27.56 an hour
- Online Application
- Background check
- Word processing
- Research
- Paid holidays
- Health insurance
4d
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
- $24 - $32 an hour
- Full-time
- Nursing
- Adults
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Insurance Claims Coordinator
Central Ohio Primary Care Physicians,Inc —Westerville, OH
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick Apply
7d
Appeals and Grievances Specialist
Sidecar Health —Columbus, OH
- $65,000 - $75,000 a year
- Remote
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
4d
Administrative Professional 2 (Intermittent)
State of Ohio - Unemployment Compensation Review Commission —Columbus, OH
- $23.65 an hour
- Part-time
- Background check
- Mid-level
- Office
- Paid holidays
- Health insurance
4d
Customer Service Assistant 2 (Intermittent)
State of Ohio - Unemployment Compensation Review Commission —Columbus, OH
- $23.65 an hour
- Part-time
- Background check
- Word processing
- Research
- Paid holidays
- Health insurance
4d
Administrative Professional 2 - Licensing - 20062610
State of Ohio - Commerce —Reynoldsburg, OH
- $23.65 an hour
- Full-time
- Mid-level
- Office
- Administrative experience
- Paid holidays
- Health insurance
2d
Administrative Professional 2 - OCILB - 20061683
State of Ohio - Commerce —Reynoldsburg, OH
- $23.65 an hour
- Full-time
- Customer service
- Mid-level
- Office
- Paid holidays
- Health insurance
4d
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
- Hybrid work
- Microsoft Excel
- HIPAA
- English
Quick Apply
5d
Program Manager Supported Living DODD
Cap City Supported Living —Columbus, OH
- $50,000 a year
- Full-time
- Mid-level
Quick Apply
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
- $18.13 - $21.78 an hour
- Weekends as needed
- Mid-level
- Driver's License
- Driving
- Dental insurance
- 401(k)
Quick Apply
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
- Full-time
- Remote
- Computer literacy
- Mid-level
- Microsoft Office
Quick Apply
Patient Navigator (Northeast Region)
Genentech —Columbus, OH
- $75,200 - $139,700 a year
- Online Application
- Mid-level
- 3 years
- Bachelor's degree
7d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- CPR Certification
- BLS Certification
- High school diploma or GED
Epic Denials Management Operator
Deloitte —Columbus, OH
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Senior Revenue Recovery Specialist
Ensemble RCM LLC —Columbus, OH
- $22.45 - $24.70 an hour
- Full-time
- Customer service
- 5 years
- Office
- Tuition reimbursement
8d
Revenue Cycle Manager
ST VINCENT FAMILY SERVICES —Columbus, OH
- Full-time
- Microsoft Excel
- Microsoft Access
- Writing skills
Quick Apply
Epic Denials Management Coordinator
Deloitte —Columbus, OH
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree

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Central Auth Coord - HHH

Ohio Living -
Westerville, OH

Quick Apply

Job Details

Full-time
13 days ago

Qualifications

Microsoft Excel
English
Windows
High school diploma or GED
Productivity software

Full Job Description

It's fun to work in a company where people truly BELIEVE in what they're doing!

Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care.

The Central Authorization Coordinator coordinates and processes all new and extended cases within the workflow of the Central Authorization Department through verification of insurances, setting up patient demographic and billing information, and submitting all insurance authorizations required by the payer with accuracy and knowledge of third party payers in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

Essential Activities and Tasks

Authorization Verification and Management - 60%

Completes all workflow assigned authorization tasks within primary workflow software in a timely and accurate manner, relating to home health and hospice services.
Uploads and indexes all relevant documentation to client attachments within primary workflow software, specifically regarding authorization approval and updates.
Submits all required authorizations utilizing payer-based web portals or fax, as applicable.
Completes all necessary items required to finalize pending authorizations; subsequently updates primary workflow software with relevant changes to authorization status, frequency and dates.
Responds to all email and phone requests from sites in a timely and professional manner.
Escalates all known issues of concern to Division Manager of Accounts Receivable - HHH or Central Admissions Supervisor in a timely manner.
Completes all recertification on existing authorizations, as supported by continuation of services by physician orders.
Notifies site personnel of any existing issues relating to the validity and/or finalization of authorization of services rendered.
Reviews authorization workflow for newly opened admission or recertification, verifies patient homebound status when required. If patient is no longer homebound, determines if alternative insurance available that doesn’t require homebound status.
Completes coordination note of authorization activity to assure timely communication with locations and billing staff.
Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e. assuring alignment of patient orders, discipline visits and authorizations match requests).
Tracks all appeals and appeal decisions to assure authorization requests are reconciled with visits. Communicates appeal decisions with locations.
Updates pending authorizations by checking status of authorizations awaiting determination and contacting payors and verifying payor portals for results.
Re-verifies patient eligibility and patient benefits monthly to assure patients’ insurance plans are still active.
Responds to additional documentation requests from insurance plans for additional information required to provide necessary authorizations.
Validates accuracy of central intake data input of patient demographic information and selection of primary payor based upon coordination of benefits.
Works within electronic medical records software to process authorizations and denial appropriately and notifies location after authorization adjustments have been completed.

Appeal Tracking and Administration - 20%

Sends medical record appeal packets sent by therapy vendors, Director of Nursing, Regional Directors of Clinical Operations (RDCO) and administrative staff.
Enters all tracking information and appeal updates on the Additional Development Request (ADR) log.
Systematically reviews Retrospective Post Payment Medical Record Reviews for takeback adjustments and clears entries over 90 days old that have not been adjusted or resubmitted by entering payment amount on ADR log.
Communicates with Third Party Accounts Receivable Coordinators and RDCOs on all appeal correspondences and updates.

Data Entry - 20%

Creates facesheet, as needed, and verifies that all demographic and billing information is accurate and complete through validation of patient-supplied information from the referring facility.
Completes all Authorization related workflow tasks, as needed, for data integrity.
Ensures statement set-up is complete prior to month-end close.
Enters all authorization numbers for all services in billing systems in a timely and accurate manner.
Tracks all outpatient start and end of care episodes in the electronic medical records system.
May be responsible for therapy billing code entry.

All other duties as assigned.

Qualifications

Education

High school diploma or equivalent required.

Experience

Experience in insurance and billing required.
Experience in long-term care, hospital, or other related healthcare accounting preferred.
Experience with Medicare Advantage and Medicaid eligibility preferred.
Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.

Other Requirements

Must be able to read, write, speak, and understand the English language.

Working Conditions and Special Requirements

Sitting - Up to 8 hours/day
Standing - Up to 2 hours/day
Walking - Up to 2 hours/day
Lifting, transferring, pushing or pulling equipment/supplies - Up to 25 pounds
Driving - Up to 6 hours/day
Work weekends, evenings, and holidays - As needed for coverage
Risk Category for Exposure to Bloodborne Diseases - III

Quick Apply

Refine Your Search

appeals jobs in columbus

Central Auth Coord - HHH

Medical AR Specialist

Customer Service Assistant 2

UR Coordinator, Full Time

Insurance Claims Coordinator

Appeals and Grievances Specialist

Administrative Professional 2 (Intermittent)

Customer Service Assistant 2 (Intermittent)

Administrative Professional 2 - Licensing - 20062610

Administrative Professional 2 - OCILB - 20061683

Insurance Verification and Prior Auth Specialist

Program Manager Supported Living DODD

Prior Authorization Specialist

Medical Billing and Accounts Receivable Specialist

Patient Navigator (Northeast Region)

BH Insurance/Precert Specialist

Epic Denials Management Operator

Senior Revenue Recovery Specialist

Revenue Cycle Manager

Epic Denials Management Coordinator

I want to receive the latest job alert for appeals in columbus

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