Top 27 Claims compliance coordinator Jobs in Columbus

Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
- Full-time
- 5 years
- Mid-level
- High school diploma or GED
11d
Billing & Compliance Coordinator
Our Town Studios Inc —Columbus, OH
- $50,000 - $55,000 a year
- Clean driving record
- Mid-level
- Driver's License
- Paid holidays
- 401(k)
Quick Apply
Patient Accounting Coordinator 1
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Hybrid work
- Background check
- Computer literacy
- Pass drug screening
10d
Advanced Medical Support Assistant- Community Care
US Veterans Health Administration —Columbus, OH
- $51,747 - $67,271 a year
- Part-time
- Hybrid work
- Background check
- High school
- Pass drug screening
- Paid parental leave
- Paid holidays
7d
Project & Procurement Coordinator
Safelite Group —Columbus, OH
- Full-time
- Hybrid work
- Microsoft Word
- Oracle
- Mid-level
- Paid holidays
- Health insurance
Patient Accounting Coordinator 2
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Hybrid work
- Background check
- Customer service
- Pass drug screening
4d
Risk Management Administrative Coordinator
Schottenstein Property Group —Columbus, OH
- $20 - $24 an hour
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Human Resources Coordinator
ST VINCENT FAMILY SERVICES —Columbus, OH
- Weekends as needed
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Paid time off
- 401(k) matching
Quick Apply
Public Safety Administrative Coordinator
Steiner + Associates —Columbus, OH
- $55,000 - $60,000 a year
- Full-time
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid holidays
- Health insurance
4d
Risk Support Specialist
SCHOTTENSTEIN REALTY LLC —Columbus, OH
- Full-time
- Background check
- Microsoft Outlook
- Customer service
Quick Apply
11d
Scheduling Coordinator
ExamWorks —Dublin, OH
- $19.50 - $21.00 an hour
- Urgently hiring
- Medical office experience
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
9d
Local Non-CDL Driver- FT- 27.74 per hour
Ward Trucking LLC —Columbus, OH
- $27.74 an hour
- Full-time
- Clean driving record
- Customer service
- DOT physical examination
Buisness Operations Manager
WellSpring Counseling —Columbus, OH
- Office
- Senior level
- Employee assistance program
Quick Apply
Construction Project Manager - Food & Beverage (St. Louis or Columbus)
Burns & McDonnell —Columbus, OH
- $155,000 - $230,000 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Construction Project Manager - Mission Critical (Columbus)
Burns & McDonnell —Columbus, OH
- $155,000 - $230,000 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Construction Project Manager - Transmission & Distribution (Multiple Locations)
Burns & McDonnell —Columbus, OH
- $155,000 - $230,000 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Security Officer Patrol Coordinator Associate
Allied Universal —Grove City, OH
- $17.91 an hour
- Full-time
- 18 years or older
- Computer literacy
- Pass drug screening
- Paid training
- AD&D insurance
Quick Apply
11d
Local St Truck Driver CDL B - CAS - 29.95 per hr
Ward Trucking LLC —Columbus, OH
- $29.95 an hour
- Full-time
- CDL B
- Clean driving record
- Hazmat Endorsement
EHS COORDINATOR - 2ND SHIFT
JEFFERSON INDUSTRIES CORPORATION —West Jefferson, OH
- Full-time
- Computer literacy
- Bachelor of Science
- Basic math
- Paid holidays
- Disability insurance
Distribution Manager
GOSH Enterprises Inc. —Columbus, OH
- 5 years
- Analysis skills
- Bachelor's degree
- Health savings account
- Dental insurance
Quick Apply

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Credentialing Coordinator, Lead

Orthopedic One -
Westerville, OH

Apply Now

Job Details

Full-time
11 days ago

Qualifications

High school diploma or GED

Full Job Description

Position Summary: Responsible for maintaining provider credentials and the timely and accurate filing of the credentials for insurance and hospital contracting. Provides peer leadership to the Credentialing Coordinator team.

Responsibilities/Accountabilities:

Coordinates and leads the credentialing team in all physician and resource credentialing with all hospitals, medical boards, and credentialing vendor.

Demonstrates strong communication skills with hospital medical staff offices, insurance payers and physicians. Strong attention to details skills with a focus to meet targets for hospital credentialing meeting deadlines.

Communicates with providers to advise of renewal of licensure and certification updates.

Maintain PECOS and payer websites for physicians and advance practice providers.

Provides weekly and ongoing credentialing update communications to operations regarding changes to the credentialing status of new providers.

Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.

Provides guidance, education and workflow efficiencies for all aspects of credentialing, enrolling and privileging of Orthopedic One billable providers.

Communicates with payer provider representatives to ensure group contracts and fee schedules are maintained and kept up to date.

Assists with payer contract negotiations and ensures claims are adjudicated per our payer contracts.

Customer Service and Communications:

Communicates with patients, insurance carriers and other outside entities in a professional manner. Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc. Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.

Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload.

Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance.

Teamwork:

Works cooperatively with coworkers, providers, and management.

Shares knowledge and insights with co-workers in a constructive manner.

Willingly provides coverage to department, staying beyond scheduled ending time when clinic schedule demands it, volunteering to cover time off or unexpected absences, maintaining workflow in department without direct supervision.

Addresses conflicts with person directly before involving manager or uninvolved peers.

Is considerate of others with regard to taking breaks or meal periods, use of computer and telephone, and noise in department.

Policies and Procedures:

Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.

Provides assistance and support to leadership in implementing policies and procedures as necessary.

Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.

Education, Experience, and Certification/Licensure Required: High School Diploma or equivalent required. Candidates must have a minimum of five years of work experience with healthcare provider credentialing. Knowledge of revenue cycle functions and healthcare experience required.

#INDO2HR

Location: Orthopedic One · Patient Accounts
Schedule: Regular Full Time, Day Shift

Apply Now

Refine Your Search

claims compliance coordinator jobs in columbus

Credentialing Coordinator, Lead

Billing & Compliance Coordinator

Patient Accounting Coordinator 1

Advanced Medical Support Assistant- Community Care

Project & Procurement Coordinator

Patient Accounting Coordinator 2

Risk Management Administrative Coordinator

Human Resources Coordinator

Public Safety Administrative Coordinator

Risk Support Specialist

Scheduling Coordinator

Local Non-CDL Driver- FT- 27.74 per hour

Buisness Operations Manager

Construction Project Manager - Food & Beverage (St. Louis or Columbus)

Construction Project Manager - Mission Critical (Columbus)

Construction Project Manager - Transmission & Distribution (Multiple Locations)

Security Officer Patrol Coordinator Associate

Local St Truck Driver CDL B - CAS - 29.95 per hr

EHS COORDINATOR - 2ND SHIFT

Distribution Manager

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Education, Experience, and Certification/Licensure Required: High School Diploma or equivalent required. Candidates must have a minimum of five years of work experience with healthcare provider credentialing. Knowledge of revenue cycle functions and healthcare experience required.

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