Top 49 claims processing assistant Jobs in columbus

Assistant Medical Director
Medical Mutual of Ohio —Ohio
- Remote
- Medicine
- 5 years
- Word processing
- Health savings account
- Disability insurance
Sales Assistant
Kentex Corporation —Columbus, OH
- From $35,000 a year
- Full-time
- Microsoft Excel
- Writing skills
- No experience needed
- Paid holidays
- Health insurance
Quick Apply
Assistant Superintendent - Multifamily Construction
Michael Page —Columbus, OH
- $75,000 - $95,000 a year
- Construction site
- Mid-level
- Residential
- Paid training
- Paid holidays
9d
Manager, Business Office
SUN Behavioral Columbus —Columbus, OH
- Full-time
- 5 years
- Writing skills
- Mid-level
3d
Assistant Branch Manager - Sales Manager Trainee
Republic Finance, LLC —Groveport, OH
- $45,000 a year
- Full-time
- Pass drug screening
- Office
- Windows
- Paid training
- Paid holidays
Front Office Assistant
Hoffman Dental —Columbus, OH
- From $23 an hour
- Full-time
- Dental office
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Front Office Assistant
Stoner Periodontic & Implant Specialists - Dublin —Dublin, OH
- $22.00 - $24.50 an hour
- Full-time
- Dental office
- HIPAA
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Entry Level Medical Billing Administrative Assistant
ENGAGE Healthcare Business Services —Columbus, OH
- $14.25 an hour
- Part-time
- Computer literacy
- No experience needed
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
4d
Receptionist/Office Assistant
Elevate Insurance —Columbus, OH
- $15 - $17 an hour
- Full-time
- Bilingual
- Google Workspace
- Office
- Paid time off
- Professional development assistance
Quick Apply
Human Resources Assistant (OA)
US Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys —Columbus, OH
- $42,507 - $68,452 a year
- Part-time
- Background check
- Writing skills
- Pass drug screening
- Paid holidays
- Life insurance
10d
Senior Executive Administrative Assistant
JPMorganChase —Columbus, OH
- $41.11 - $72.12 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Tuition reimbursement
Office Administrative Assistant
Mauser Packaging Solutions —Columbus, OH
- Full-time
- Computer literacy
- Office
- Administrative experience
Life Enrichment Assistant (FT/PT)
Danbury Westerville —Westerville, OH
- $18 an hour
- Part-time
- Entry level
- Health savings account
- AD&D insurance
Quick Apply
Business Office Manager
Columbus Alzheimer's Care Center —Columbus, OH
- $58,000 - $62,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Loan repayment program
- Health insurance
Quick Apply
Assistant Director - Product Management, Personal Insurance
The Hartford —Columbus, OH
- $107,600 - $161,400 a year
- Full-time
- Hybrid work
- Office
- SQL
- Analysis skills
8d
Project & Procurement Coordinator
Safelite Group —Columbus, OH
- Full-time
- Hybrid work
- Microsoft Word
- Oracle
- Mid-level
- Paid holidays
- Health insurance
3d
Front Office / Dental Assistant
Affordable Care, LLC —Columbus, OH
- Full-time
- Dental office
- HIPAA
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Office / HR Administrator
Embark Recruiting Solutions —Columbus, OH
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Construction site
Quick Apply
14d
Assistant Manager Columbus VA
PARKING VETERANS INC —Columbus, OH
- Part-time
- Mid-level
- High school diploma or GED
- Math
Quick Apply
Veterinary Receptionist
Petlovers Animal Hospital —Reynoldsburg, OH
- $15 - $18 an hour
- Part-time
- Anatomy knowledge
- Data entry
- Organizational skills
- Employee discount
- Flexible schedule
Quick Apply
1d

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Assistant Medical Director

Medical Mutual of Ohio -
Ohio

Apply Now

Job Details

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Gym membership

Qualifications

BC/BE
Patient care

Full Job Description

**Medical Mutual employees must submit their applications through MySource.

**This is a remote-based role, and we are currently seeking candidates located in Ohio.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Job Summary:

Provides clinical expertise to promote the delivery of high quality, cost effective, (member centric) medical care. Contributes to the achievement of clinical excellence; quality ratings improvement, appropriate inpatient and outpatient utilization, affordability, compliance, growth and focused improvement, and that initiatives are consistently implemented and successfully executed to achieve goals.

Responsibilities:

Provides clinical expertise to the utilization review process and determinations.
Provides pre-determination reviews and reviews of claims determinations, providing clinical, coding and reimbursement expertise.
Ensures compliance with clinical goals through monitoring of care management performance.
Ensures the appropriate and most cost-effective medical care is received.
Recommends changes and enhancements to current managed care, review guidelines, and clinical criteria based on clinical knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols.
Assists in development and interpretation of medical policy, including medical necessity criteria, clinical practice guidelines, and new technology assessments.
Provides guidance to case management team in the coordination of quality care.
Performs other duties as assigned.

Qualifications:

Education and Experience:

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school.
Minimum of 5 years of established (clinical) care practice experience required.
Physician reviewer experience in the insurance industry preferred.

Professional Certification(s):

Board Certification, in nationally recognized specialty (ABMS or AOA) is required.
Active unrestricted license to practice medicine in U.S state of residency.

Technical Skills and Knowledge:

Foundational windows-based computer skills, including typing, word processing, presentation, and internet research skills.
Strong understanding of integration of evidence-based medicine and managed care principles.
Knowledge of health plan claims adjudication and utilization review processes preferred.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
Discounts at many places in and around town, just for being a Medical Mutual team member.
The opportunity to earn cash rewards for shopping with our customers.
Business casual attire, including jeans.

Excellent Benefits and Compensation:

Employee bonus program.
401(k) with company match up to 4% and an additional company contribution.
Health Savings Account with a company matching contribution.
Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

Career development programs and classes.
Mentoring and coaching to help you advance in your career.
Tuition reimbursement up to $5,250 per year, the IRS maximum.
Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

#LI-CS1 #LI-REMOTE

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

claims processing assistant jobs in columbus

Assistant Medical Director

Sales Assistant

Assistant Superintendent - Multifamily Construction

Manager, Business Office

Assistant Branch Manager - Sales Manager Trainee

Front Office Assistant

Front Office Assistant

Entry Level Medical Billing Administrative Assistant

Receptionist/Office Assistant

Human Resources Assistant (OA)

Senior Executive Administrative Assistant

Office Administrative Assistant

Life Enrichment Assistant (FT/PT)

Business Office Manager

Assistant Director - Product Management, Personal Insurance

Project & Procurement Coordinator

Front Office / Dental Assistant

Office / HR Administrator

Assistant Manager Columbus VA

Veterinary Receptionist

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