Top 8 Claims reviewer Jobs in Columbus

External Auditor 1
State of Ohio - Medicaid —Columbus, OH
- $28.76 an hour
- Full-time
- Computer Science
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
6d
Senior Accountant- Financial Reporting
Central Insurance Company —Dublin, OH
- Full-time
- Hybrid work
- Oracle
- Research
- Finance
- Health insurance
Board Certified-(M.D, D.O) Ohio Orthopedic Advisor-Certified for IME
Dane Street, LLC —Delaware, OH
- Medicine
- BC/BE
- Senior level
Quick Apply
Physician ED Claims Reviewer
Vytwo —United States
- Full-time
- Remote
- Mid-level
- 2 years
Quick Apply
Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
Quick Apply

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External Auditor 1
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Or completion of undergraduate core coursework in…
$28.76 an hour
6d
Environmental Health & Safety Manager
Robinson Investments, Ltd. —Bellefontaine, OH
Conducts regular workplace inspections and risk assessments to identify hazards, evaluate exposure, and implement effective mitigation strategies.
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External Auditor 1

State of Ohio - Medicaid -
Columbus, OH

Apply Now

Job Details

Full-time
$28.76 an hour
6 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance
Loan forgiveness
Life insurance

Qualifications

Accounting systems
Healthcare financial misconduct investigations
Customer communication
Confidential information handling
Computer Science
Audit report preparation
Finance
Spreadsheets
Medical billing compliance checks
Mid-level
Healthcare regulatory compliance investigations
Driver's License
Retrospective medical coding audits
Financial records review
Financial compliance audits
Health record chart audits
Data interpretation
Computer skills
Business Administration
1 year
Business
Accounting
Communication skills
Internal financial audits
Financial compliance

Full Job Description

What You Will Do At ODM:

Office: Legal Counsel

Bureau: Program Integrity

Working Title: External Auditor 1 (PN:20042146)

Job Overview:

The Ohio Department of Medicaid is seeking a candidate with an interest in auditing to be a part of our Provider Compliance unit. The Provider Compliance unit is part of Program Integrity (BPI) which focuses on fraud, waste and abuse related activities. This position is located in Franklin County and will require travel to provider sites. As an External Auditor 1, your responsibilities will include:

Conducting routine financial, compliance and operational audits
Operating accounting and auditing software (e.g. spreadsheets, word processors, databases)
Analyzing confidential records and information stored in the department’s various data systems
Working collaboratively with other BPI reviewers and/or ODM professionals to analyze provider payment claims and coding to identify potential of fraud, waste, and abuse
Analyzing health care providers records related to billing activities and the quality of care when conducting on site reviews
Preparing audit reports and recommendations for corrective actions plans
Maintaining favorable relations with internal and external customers

Why Work for the State of Ohio

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

Medical Coverage
Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
Childbirth, Adoption, and Foster Care leave
Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

3 yrs. exp. in auditing or accounting which must have included 18 mos. auditing exp. in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description.

Or completion of undergraduate core coursework in accounting, business administration, computer science or related field; 12 mos. exp. in auditing or accounting which must have included auditing.

Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Auditing

Technical Skills: Auditing; Accounting and Finance

Professional Skills: Attention to Detail, Analyzation, Collaboration, Critical Thinking, Goal Setting, Interpreting Data, Priority Setting, Results Oriented, Verbal Communication, Written Communication

Supplemental Information

Supplemental Information:

Compensation is as listed on the posting unless required by legislation or union contract.

Travel required, some with overnight stays. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.

Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.

ADA Statement

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Drug-Free Workplace

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

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Refine Your Search

claims reviewer jobs in columbus

External Auditor 1

Senior Accountant- Financial Reporting

Board Certified-(M.D, D.O) Ohio Orthopedic Advisor-Certified for IME

Physician ED Claims Reviewer

Epic Tapestry UM Analyst

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