Top 213 Medical claims manager Jobs in Columbus, Oh

Clinical Pharmacist
KabaFusion —Columbus, OH
- Full-time
- Microsoft Outlook
- Management
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Controller
Epcon Communities —Dublin, OH
- $130,000 - $160,000 a year
- Full-time
- Management
- CPA
- Bachelor of Science
- Paid holidays
- Disability insurance
Quick Apply
Senior Territory Sales Manager
MAPFRE —Columbus, OH
- $87,700 - $120,500 a year
- 7 years
- Marketing
- Analysis skills
- Profit sharing
- Health savings account
11d
Revenue Cycle Management Billing Manager
St. Vincent Family Center —Columbus, OH
- $51,601.82 - $60,000.00 a year
- Full-time
- Mid-level
- Analysis skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
6d
Patient Service Representative
quantum-health —Dublin, OH
- From $19 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Continuing education credits
- Paid holidays
HR Manager of Employee Relations
The Buckeye Ranch —Grove City, OH
- $66,601 - $83,500 a year
- Full-time
- Background check
- Management
- Pass drug screening
- Disability insurance
- Health insurance
Quick Apply
EHS COORDINATOR - 2ND SHIFT
JEFFERSON INDUSTRIES CORPORATION —West Jefferson, OH
- Full-time
- Computer literacy
- Bachelor of Science
- Basic math
- Paid holidays
- Disability insurance
Roofing Sales Representative - $85k Minimum Earnings
Division 1 Roofing & Exteriors —Columbus, OH
- $85,000 - $200,000 a year
- Full-time
- Residential
- Driver's License
- Driving
- Health insurance
- Dental insurance
Quick Apply
Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
- Full-time
- 5 years
- Mid-level
- High school diploma or GED
Contracts Analyst Senior
ENGIE —Columbus, OH
- $88,800 - $136,045 a year
- Full-time
- Hybrid work
- 5 years
- University
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
Employee Relations Specialist
Woda Cooper —Columbus, OH
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Superintendent - Healthcare Construction
Michael Page —Columbus, OH
- $110,000 - $135,000 a year
- Construction site
- 5 years
- Writing skills
- Fuel card
- Paid holidays
1d
Claims Analyst - REMOTE
Ryder System —Columbus, OH
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Senior Claims Representative - REMOTE
Ryder System —Columbus, OH
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
14d
Homecare - Revenue Cycle Manager – Remote
PurposeCare —Columbus, OH
- $80,000 - $95,000 a year
- On call
- Travel
- Home Health
- Organizational skills
Quick Apply
Physcian Office Specialist
OhioHealth —Columbus, OH
- Full-time
- High school diploma or GED
- Cleaning
- Communication skills
11d
Payment Specialist
Orthopedic One —Westerville, OH
- Full-time
- Hybrid work
- Computer literacy
- Basic math
- Windows
Liability Claims Manager
Central Insurance Company —Dublin, OH
- Full-time
- Hybrid work
- Writing skills
- Analysis skills
- Supervising experience
- Health insurance
14d
Medical Support Assistant (Advanced)
US Veterans Health Administration —Columbus, OH
- $51,747 - $67,271 a year
- Part-time
- Hybrid work
- Background check
- Surgery
- Pass drug screening
- Paid parental leave
- Paid holidays
5d
Sr. Client Manager - Employee Benefits
Gallagher Benefit Services —Dublin, OH
- $65,500 - $127,500 a year
- Full-time
- High school diploma or GED
- Supervising experience
- Bachelor's degree
- Paid parental leave
- Health savings account

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Clinical Pharmacist

KabaFusion
Columbus, OH

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Paid time off
401(k) 4% Match
Employee assistance program
401(k) matching
Life insurance
Referral program

Qualifications

Registered Pharmacist (RPh)
Collaborate with healthcare professionals
IV compounding
Staff supervision
Management
Sterile IV admixture procedures
Computer literacy
Bachelor of Pharmacy
Monitoring and managing IVs
Licensed Pharmacist (State-Specific)
Licensed Pharmacist
Managing pharmacy teams

Full Job Description

Come join an exciting and innovative company that puts the “care” back in healthcare!

At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

About Us:

What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion.

JOB SUMMARY:

Provides safe and appropriate pharmacy services to patients in the alternate care setting in accordance with policies and procedures, professional standards, and applicable regulatory and accrediting entities. Coordinates patient services. Assesses appropriateness of therapy, dispenses medications, supplies and medical equipment, documents patient progress toward goals, intervenes as clinically appropriate and provides education regarding appropriate medication administration and use. Additional dimensions may include working with operating budget, revenue responsibility, purchasing responsibility, etc.

Ensures company’s goals and objectives are aligned with the organization’s broader mission, vision, and driving strategies. Directly accountable and reports to the Pharmacy Manager or Director of Pharmacy or Operations based on branch leadership.

MAJOR DUTIES AND RESPONSIBILITIES:

1. Demonstrates ethical pharmacy practice and ensures compliance with all company policies and procedures, state and federal pharmacy rules and regulations, professional practice standards, and accrediting entities.

2. Assesses patient's suitability for home care and appropriateness of prescribed therapy.

3. Ensures the patient database is complete and compiles the necessary information needed to design a patient-specific pharmacy plan of care with goals for therapy.

4. Recommends and writes patient-appropriate orders.

5. Assures documents that require the prescriber's or pharmacist's signature for billing are generated and obtained.

6. Assesses laboratory results and performs pharmacokinetic dosing.

7. Makes appropriate dosing recommendations and documents.

8. Initiates, creates and updates patient medication profiles.

9. Performs accurate prescription order entry to ensure medications are properly concentrated, without incompatibilities, stable and properly stored.

10. Dispenses medications and related supplies to cost-effectively meet patient needs and assures authorization for services is obtained prior to dispensing.

11. Accurately dispenses, programs, if applicable, and troubleshoots medication administration pumps.

12. Accurately submits electronic claims for medications, as applicable.

13. Documents all communication with physicians, nurses, dietitians, patients and caregivers in the patient's medical record.

14. Documents initial patient or caregiver discussion, education and counseling regarding prescribed therapy, medication use and information, infusion method, and after hours contact information.

15. Thoroughly and objectively documents the patient's course of therapy, compliance with therapy, laboratory results, and progress towards goals of therapy with therapy-appropriate frequency.

16. Ensures all compounding, clean room and anteroom activities adhere to all state and federal regulations, USP <797> standards and company policies and procedures by all pharmacy staff.

17. Ensures required documentation is completed on QA/QC records and compounding documents.

18. Completes company-required orientation and annual competencies and in services.

19. Provides concise, applicable and timely responses to requests for drug information.

20. Accurately maintains calendar for laboratory tests, compounding, delivery, and documentation updates

21. Obtains and processes patient clinical information to allow for processing refills and supplies at least 24 hours in advance of patient's need.

22. Plans work to ensure cost-effective delivery methods are utilized.

23. Oversees the work of pharmacy support personnel and ensures their job duties are completed in a timely manner.

24. Delegates non-clinical tasks to assigned support personnel.

25. Prepares for and actively participates in patient care conferences including Nutrition Support Rounds.

26. Participates in the on-call process and documents on call activities in the patient medical record, if appropriate, and communicates with relevant personnel.

27. Assists in the training and supervision of pharmacy support personnel, pharmacy interns and pharmacy-profession students.

28. May assume role in of the Pharmacist in Charge or general branch manager during temporary absences and/or vacancies as appropriate.

29. Performs other related duties as directed by supervisor.

SKILLS AND ABILITIES:

Excellent verbal and good written communication skills.
Advanced level of multi-tasking and problem-solving skills.
Moderate computer skills including MS Office, Windows Outlook, and Internet.
Moderate level of interpersonal skills to interact effectively and professionally with both internal and external customers.
Moderate mathematical skills to perform pharmaceutical calculations.
General knowledge of modern office procedures, filing, telephone techniques and office equipment.

EDUCATION AND/OR EXPERIENCE:

1. Bachelor of Science in Pharmacy (Doctor of Pharmacy or a Master’s of Science degree in Pharmacy desirable) from an accredited college of pharmacy.

2. Currently licensed as a registered pharmacist in state of employment.

3. A minimum of two years recent experience in an acute-care setting or one year recent experience in home infusion therapy

4. Experience and strong knowledge base in intravenous admixture services and intravenous therapy.

5. Must be capable of assuming responsibility for evaluating and monitoring drug therapy relative to the total needs/problems of the home care patient in collaboration with physicians, nurses and other healthcare professionals.

6. Must be able to work effectively with others to provide safe and effective drug therapy.

7. Must demonstrate ability to problem solve and supervise technical and other support staff.

8. Must be flexible with work schedule.

9. Good organizational and time-management skills.

10. Participation and membership in professional societies and organizations is desirable.

11. Excellent verbal and written communication skills.

12. Dependable in attendance and job performance.

What we offer:

Competitive compensation
Benefits start on your 1st day of employment
401k w 4% match – no waiting or vesting period
PTO / Floating Holidays / Paid Holidays
Company paid life insurance, short term disability
Employee Assistance programs to help with mental health / wellness
Learning & Development Programs
Perks… includes discounts on travel, cell phone, clothing and more…
Generous employee referral program

To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/

Quick Apply

Refine Your Search

medical claims manager jobs in columbus, oh

Clinical Pharmacist

Controller

Senior Territory Sales Manager

Revenue Cycle Management Billing Manager

Patient Service Representative

HR Manager of Employee Relations

EHS COORDINATOR - 2ND SHIFT

Roofing Sales Representative - $85k Minimum Earnings

Credentialing Coordinator, Lead

Contracts Analyst Senior

Employee Relations Specialist

Superintendent - Healthcare Construction

Claims Analyst - REMOTE

Senior Claims Representative - REMOTE

Homecare - Revenue Cycle Manager – Remote

Physcian Office Specialist

Payment Specialist

Liability Claims Manager

Medical Support Assistant (Advanced)

Sr. Client Manager - Employee Benefits

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