Top 23 Claims lead Jobs in Dublin, Oh

Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
- Full-time
- 5 years
- Mid-level
- High school diploma or GED
Lead Reimbursement Analyst
Gifthealth Inc —Columbus, OH
- $31.47 - $39.34 an hour
- Weekends as needed
- Remote
- Research
- Analysis skills
- Supervising experience
Quick Apply
9d
Service Foreman - Lead Diesel Technician/Mechanic
CSM Companies, Inc —Columbus, OH
- Extended hours
- 5 years
- Windows
- Trade school
Quick Apply
Workforce Absence Team Lead Sr
Sedgwick —Dublin, OH
- Computer literacy
- Writing skills
- Bachelor's degree
1d
Lead Director, Stop Loss Relationship Management
CVS Health —Columbus, OH
- $100,000 - $231,540 a year
- Full-time
- Bachelor's degree
- Fair chance
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Workforce Absence Team Lead - Coding Team
Sedgwick —Dublin, OH
- Full-time
- 6 years
- Computer literacy
- Writing skills
Field Service Lead – Columbus, OH
Solventum —Columbus, OH
- $55,520 - $76,340 a year
- Extended hours
- 5 years
- Writing skills
- Mid-level
- Health savings account
- Disability insurance
(USA) Member Team Lead
Sam's Club —Dublin, OH
- $22 - $30 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
14d
Patient Revenue Cycle Lead Coordinator
The Ohio State University —Columbus, OH
- $19.28 - $25.19 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
Lead Right of Way Agent - #4931
Contract Land Staff —Columbus, OH
- Computer literacy
- Writing skills
- Basic math
2d
Data Scientist II - Lead Population Health Analyst (PFK)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Computer Science
- Ability to climb stairs
- Analysis skills
Data Center Repair Lead
EOS —New Albany, OH
- Rotating shift
- 5 years
- Driver's License
- Supervising experience
- Paid holidays
- Health insurance
Quick Apply
6d
Area Sales Leader
Brown & Brown —Dublin, OH
- $65,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
- Employee stock purchase plan
- Paid holidays
2d
Lead Data Scientist: Claims and Service DS Knowledge & Development Solutions
Liberty Mutual —Columbus, OH
- $120,000 - $257,000 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Master's degree
3d
Accenture Life Insurance and Annuity Industry (ALIP) Integration Architect Lead
Accenture —Columbus, OH
- $122,700 - $338,300 a year
- Full-time
- Azure
- Management
- Computer Science
- Paid holidays
- Disability insurance
Lead Event Specialist Part Time
Product Connections —Hilliard, OH
- $16.50 an hour
- Part-time
- Serving
- Computer literacy
- Mid-level
Quick Apply
Guidewire ClaimCenter Cloud Integration Lead
LTM —Columbus, OH
- $140,000 - $150,000 a year
- 5 years
- English
- SQL
- Paid parental leave
- Paid holidays
Quick Apply
Guidewire PolicyCenter Developer Technical Lead
LTM —Columbus, OH
- $130,000 - $140,000 a year
- 5 years
- SQL
- Senior level
- Paid parental leave
- Paid holidays
Quick Apply
8d
Network Operations Lead (GCP)
EOS —Columbus, OH
- Rotating shift
- 5 years
- Driver's License
- Continuous improvement
- Paid holidays
- Health insurance
Quick Apply

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5d
Account Manager- Equipment Rental
Vandalia Rental —Columbus, OH
Valid driver's license with acceptable driving record. Great presentation skills and don’t mind getting out in front. 2+ years of outside sales experience.
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Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
Lead Reimbursement Analyst
Gifthealth Inc —Columbus, OH
Operational Support Monitor and communicate updates related to payer policies, coverage changes, and prior authorization requirements; assist in testing and…
$31.47 - $39.34 an hour
Quick Apply
9d

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Credentialing Coordinator, Lead

Orthopedic One -
Westerville, OH

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Job Details

Full-time

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

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Refine Your Search

claims lead jobs in dublin, oh

Credentialing Coordinator, Lead

Lead Reimbursement Analyst

Service Foreman - Lead Diesel Technician/Mechanic

Workforce Absence Team Lead Sr

Lead Director, Stop Loss Relationship Management

Workforce Absence Team Lead - Coding Team

Field Service Lead – Columbus, OH

(USA) Member Team Lead

Patient Revenue Cycle Lead Coordinator

Lead Right of Way Agent - #4931

Data Scientist II - Lead Population Health Analyst (PFK)

Data Center Repair Lead

Area Sales Leader

Lead Data Scientist: Claims and Service DS Knowledge & Development Solutions

Accenture Life Insurance and Annuity Industry (ALIP) Integration Architect Lead

Lead Event Specialist Part Time

Guidewire ClaimCenter Cloud Integration Lead

Guidewire PolicyCenter Developer Technical Lead

Network Operations Lead (GCP)

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I want to receive the latest job alert for claims lead in dublin, oh

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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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