Top 52 Claims supervisor remote Jobs in Columbus

Pharmacy Billing Representative- Remote
CITYWIDE RX LLC —Columbus, OH
- Weekends as needed
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply
3d
File Supervisor
US Veterans Health Administration —Columbus, OH
- $47,383 - $61,598 a year
- Part-time
- Hybrid work
- Background check
- Psychiatry
- Pass drug screening
5d
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
4d
Lead Reimbursement Analyst
Gifthealth Inc —Columbus, OH
- $31.47 - $39.34 an hour
- Weekends as needed
- Remote
- Research
- Analysis skills
- Supervising experience
Quick Apply
6d
Tax Supervisor - Worthington
Regional Income Tax Agency —Worthington, OH
- From $61,921.60 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Mid-level
- Health savings account
- Health insurance
Quick Apply
6d
Remote Field Service Technician
DEUTZ —Columbus, OH
- $34 - $43 an hour
- Full-time
- 5 years
- Writing skills
- Basic math
- Health savings account
- Health insurance
Quick Apply
Patient Accounts Representative - Hospital Prof Billing
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Microsoft Word
- Microsoft Outlook
- Writing skills
Property Adjuster II
Erie Insurance —Columbus, OH
- $63,130 - $100,843 a year
- Full-time
- Clean driving record
- Customer service
- Adults
- Disability insurance
- Health insurance
Coding Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Research
- Mid-level
- Ability to climb stairs
Homecare - Revenue Cycle Manager – Remote
PurposeCare —Columbus, OH
- $80,000 - $95,000 a year
- On call
- Travel
- Home Health
- Organizational skills
Quick Apply
Supervisor Coding
OhioHealth —Columbus, OH
- Full-time
- Mid-level
- Organizational skills
- Computer skills
Critical Operations Technician I
QTS Data Centers —New Albany, OH
- Email
- Microsoft Outlook
- Computer literacy
- Writing skills
- Wellness program
- Health savings account
12d
Medical Billing Specialist
Central Ohio Urology Group —Columbus, OH
- $17 - $23 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Microsoft Office
- Health savings account
- Health insurance
Quick Apply
Project Manager – Revenue Cycle Vendor Management
OhioHealth —Columbus, OH
- Full-time
- Research
- Finance
- Bachelor's degree
Lead Field Technician
MasTec Advanced Technologies —Columbus, OH
- $24.50 an hour
- Overtime
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid jury duty
- AD&D insurance
12d
Lead Field Technician
MasTec Inc —Columbus, OH
- $16.49 - $26.01 an hour
- Overtime
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid jury duty
- AD&D insurance
12d
Construction Superintendent-Environmental/Heavy Civil
GHD —Columbus, OH
- 7 years
- Construction site
- Writing skills
Field Service Technician - Electrical
INTERMOUNTAIN ELECTRONICS INC —Columbus, OH
- Overtime
- Microsoft Outlook
- Mid-level
- Math
- Paid parental leave
- Health savings account
Quick Apply
Billing Supervisor
Ensemble RCM LLC —Columbus, OH
- $52,100 - $65,125 a year
- Full-time
- Mid-level
- Office
- Travel
- Tuition reimbursement
Senior Billing Specialist
Ensemble RCM LLC —Columbus, OH
- $18.65 - $20.50 an hour
- Full-time
- No high school diploma
- Mid-level
- Office
- Tuition reimbursement
6d

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claims supervisor remote jobs near columbus

Pharmacy Billing Representative- Remote

CITYWIDE RX LLC
Columbus, OH

Quick Apply

Job Details

Full-time
3 days ago

Benefits

Paid training
Paid holidays
Disability insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Phone communication
High school diploma or GED
Medical billing and coding communication with insurance companies
Computer skills
Client interaction via phone calls

Full Job Description

Build Your Career with Us!

Competitive Pay • Stable Schedules • Career Growth • Multiple Shifts Available

SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities.

We are currently seeking a Third-Party Rejections Specialist to join our team. This role is focused specifically on hands-on third-party insurance rejection experience. If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want to hear from you!

Candidates must reside in Ohio, Virginia, or Kentucky.

What You'll Do

Perform duties and responsibilities assigned by the Billing Supervisor.
Research and verify patient eligibility and insurance coverage with state and private insurance providers.
Research, analyze, and resolve third-party insurance rejections in accordance with daily rejection reports.
Maintain and update patient billing, insurance, and coverage information in the system.
Submit and follow up on prior authorizations for state insurance programs.
Communicate directly with insurance companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.
Investigate and resolve pending billing and insurance issues.
Work with client facility staff and other applicable healthcare organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, when necessary.
Maintain accurate documentation and ensure billing information is current and complete.
Work independently while collaborating with the billing team to meet daily goals and deadlines.
Handle multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail.

Qualifications

Who We're Looking For

We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.

If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with direct third-party pharmacy rejection experience.

Required:

High school diploma or equivalent.
Direct, hands-on experience working with third-party pharmacy insurance rejections is required.
Experience must be in actual third-party rejection processing/resolution.
Strong computer skills and ability to learn and navigate multiple systems.
Excellent attention to detail and problem-solving skills.
Professional and courteous telephone communication skills.
Ability to work independently and as part of a team.
Ability to multitask and prioritize work in a fast-paced environment.
Strong organizational skills and follow-through.

Preferred:

Previous pharmacy experience.
Long-Term Care Pharmacy experience.
Experience with New York pharmacy billing claims.
Frameworks/ECM experience.
Experience working directly with insurance providers to resolve pharmacy claim rejections.

Schedule

We are hiring for multiple shifts!

Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred.

Available shifts may include:

8:00 AM – 4:00 PM
9:00 AM – 5:00 PM
11:00 AM – 7:00 PM
12:00 PM – 8:00 PM
3:00 PM – 11:00 PM
4:00 PM – 12:00 AM

What We Offer

Competitive pay based on experience.
Stable and consistent scheduling.
Opportunities for career growth.
Health, dental, and vision insurance.
Group life insurance and short-term disability.
Paid time off and paid holidays.
401(k) with company match.
Paid training and development opportunities.
Collaborative and supportive work environment.

Ready to Join the SpecialtyRx Team?

Apply today through our careers portal:

Apply Here – SpecialtyRx Careers

We look forward to reviewing your application and connecting with qualified candidates to schedule an interview.

EEO Statement

SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Quick Apply

Refine Your Search

claims supervisor remote jobs in columbus

Pharmacy Billing Representative- Remote

File Supervisor

Medical Support Assistant (Advanced)

Lead Reimbursement Analyst

Tax Supervisor - Worthington

Remote Field Service Technician

Patient Accounts Representative - Hospital Prof Billing

Property Adjuster II

Coding Specialist

Homecare - Revenue Cycle Manager – Remote

Supervisor Coding

Critical Operations Technician I

Medical Billing Specialist

Project Manager – Revenue Cycle Vendor Management

Lead Field Technician

Lead Field Technician

Construction Superintendent-Environmental/Heavy Civil

Field Service Technician - Electrical

Billing Supervisor

Senior Billing Specialist

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