Top 11 Denials management team lead Jobs in Columbus

Insurance Authorization Senior Associate
BAYADA Home Health Care —Columbus, OH
- $50,000 - $65,000 a year
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
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4d
Director, Physical Security | NUCLEAR DEVELOPMENT
AEP Service Corporation —Columbus, OH
- $189,000 - $245,080 a year
- Full-time
- 5 years
- Master's degree
- Continuous improvement
- Health insurance
- 401(k)
4d
Revenue Cycle Manager (Financial Manager) - 20039248
State of Ohio - Behavioral Health —Columbus, OH
- $43.09 an hour
- Online Application
- Background check
- Office
- Finance
- Paid holidays
- Health insurance
Billing Manager
Janz Medical Supply —Columbus, OH
- $70,000 - $80,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
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11d
Health Provider Revenue Cycle Manager
Accenture —Columbus, OH
- $87,400 - $293,800 a year
- Full-time
- Oracle
- HIPAA
- Bachelor's degree
- Paid holidays
- Disability insurance
Patient Revenue Cycle Lead Coordinator
The Ohio State University —Columbus, OH
- $19.28 - $25.19 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
Chief Clinical Officer, Mount Carmel Health System
Trinity Health —Columbus, OH
- Full-time
- Medicine
- Hospital
- BC/BE
13d
Chief Financial Officer (CFO) Ohio Hospital for Psychiatry
Ohio Hospital for Psychiatry —Columbus, OH
- $140,000 - $175,000 a year
- Full-time
- CPA
- Psychiatry
- Inpatient
- Health insurance
- Dental insurance
Case Manager (RN, LSW, MSW, PT, OT, SLP) - Full-time
OhioHealth Neuro Transitional Center —Dublin, OH
- $70,000 - $98,000 a year
- Full-time
- RN License
- BLS Certification
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
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Senior Denials Prevention Process Improvement Advisor
Ensemble RCM LLC —Columbus, OH
- $69,000 - $104,100 a year
- Full-time
- Research
- Office
- Master's degree
- Tuition reimbursement
4d

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Director, Physical Security | NUCLEAR DEVELOPMENT
AEP Service Corporation —Columbus, OH
Support site selection, site layout, facility design, security-by-design reviews, construction planning, commissioning planning, and operational readiness…
$189,000 - $245,080 a year
4d

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Insurance Authorization Senior Associate
BAYADA Home Health Care —Columbus, OH
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. Four (4) year college degree.
$50,000 - $65,000 a year
Quick Apply
4d
Director, Physical Security | NUCLEAR DEVELOPMENT
AEP Service Corporation —Columbus, OH
Support site selection, site layout, facility design, security-by-design reviews, construction planning, commissioning planning, and operational readiness…
$189,000 - $245,080 a year
4d

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Insurance Authorization Senior Associate

BAYADA Home Health Care -
Columbus, OH

Quick Apply

Job Details

$50,000 - $65,000 a year
4 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Employee relationship building
Bachelor's degree
Productivity software
Technical Proficiency

Full Job Description

Remote role but must be willing to work 8:30-5pm Eastern time.

POSITION SUMMARY:

The Senior Associate, Authorization is a position responsible for ensuring that patient care services are ready to bill accurately in a timely manner. The primary responsibility of the role is to obtain authorization for care from insurance carriers and provide denial support. This position will serve as a liaison between the service office providers, insurance carriers, and revenue cycle management functions. A high level of customer service and support is required to obtain insurance authorization and effectively communicate clients' coverage. The Senior Associate will also provide mentorship and educational support to team members.

MINIMUM QUALIFICATIONS:

Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
Four (4) year college degree.
Two (2) to four (4) years of relevant work experience with growing responsibilities.
Prior healthcare and/or home care experience preferred.
Proficient knowledge of insurance benefits and contracts.
Demonstrated record of strong interpersonal skills and building relationships.
Ability to work independently, motivate, be self-motivated, and flexible.
Strong customer service skills and demonstrated commitment to quality in all customer encounters.
Demonstrated record of meeting and exceeding goal achievements.
Proven ability to multitask and manage competing priorities.
Good analytical skills with the ability to problem solve and exhibit good judgement.
Proficient PC skills and technical ability to navigate required systems to perform job duties.

PRIMARY RESPONSIBILITIES:

Demonstrate and communicate the core values of BAYADA and The BAYADA Way.
Develop working knowledge of BAYADA's mission, services, people, organization, policies and procedures.
Provide backup support for routine and escalated support questions.
Consistently attains and/or exceeds metrics that support BAYADA's goals and objectives and measure effectiveness.
Prepare reports and presentations using Microsoft Office (Word, Excel, PowerPoint etc.).
Leads annual audits and compliance reviews in partnership with management, as needed.
Actively seeks to learn various aspects of the organization and healthcare through internal and external educational opportunities.
Drives authorization and eligibility workflow within appropriate system/s (initial, reauthorization, EVV compliance).
Excel at building trusting relationships and collaborates with immediate team members and external teams.
Manage the creation of user documentation, process diagrams and training materials.
Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff.
Perform related duties, or as required or requested by supervisor.

AUTHORIZATION RESPONSIBILITIES:

Manage a caseload and provide customer support for dedicated service offices.
Perform utilization management (review plan of care and utilization requests) to ensure proper number of days are requested.
Respond timely to requests and/or escalate review of denied requests.
Communicate with insurance companies via portals, phone or other third-party systems to request support supplies and referral management.
Provide any support to revenue cycle teams regarding authorization discrepancies or payor requirement.
Submit appeals to insurance companies.
Review and interpret authorization for services rendered to mitigate claim/EDI errors and denials.
Obtain denial letters from primary insurance companies when a secondary carrier is being billed yearly or as needed.

OTHER RESPONSIBILITIES:

Provide additional support and education to service offices on an as needed basis.
Progressively assume additional responsibilities beyond general scope of work.
Provide expertise, guidance, and mentorship to associate level team members.
Engage in ongoing dialogue with manager and/or director about the effectiveness of systems and performance improvement.

BAYADA believes that our employees are our greatest asset:

Base Salary: $50,000 - $65,000 / year depending on qualifications
BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
To learn more about BAYADA Benefits, click here

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

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denials management team lead jobs in columbus

Insurance Authorization Senior Associate

Director, Physical Security | NUCLEAR DEVELOPMENT

Revenue Cycle Manager (Financial Manager) - 20039248

Billing Manager

Health Provider Revenue Cycle Manager

Patient Revenue Cycle Lead Coordinator

Chief Clinical Officer, Mount Carmel Health System

Chief Financial Officer (CFO) Ohio Hospital for Psychiatry

Case Manager (RN, LSW, MSW, PT, OT, SLP) - Full-time

Senior Denials Prevention Process Improvement Advisor

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