Medical Review Nurse (RN)
Columbus, OH · On-site
New
Columbus, OH · On-site
$100K - $125K/yr
Columbus, OH · On-site
$19.50 - $23/hr
Columbus, OH · On-site
$115K - $130K/yr
Columbus, OH · On-site
$61K - $79K/yr
Columbus, OH · On-site +1
$126K/yr
Columbus, OH · On-site
$17.50 - $23.25/hr
Columbus, OH · On-site
$18 - $24/hr
Columbus, OH · On-site
$17.50 - $23.25/hr
Columbus, OH · On-site
$115K - $207K/yr
Columbus, OH · On-site
$16.25 - $19.75/hr
Columbus, OH · On-site
$16.25 - $19.75/hr
Hebron, OH · On-site
$90 - $130/hr
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As a medical claims analyst, your responsibilities revolve around healthcare reimbursement, where you audit medical claims to ensure company reimbursement payments are accurate and reprice claims according to hospital payment schedules and Medicare reimbursement, which can be done manually or using computer software. You monitor electronic claims utilizing a processing system and provide detailed reporting on data such as claims volume, savings, and billed charges. You are expected to provide excellent customer service when working with customers and hospitals to resolve insurance claim issues, answer questions, and provide solutions to other problems related to medical claims. Other duties include abiding by all healthcare industry policies and regulations, staying updated on changing laws, and collaborating with the claims team to identify process gaps and improve your procedures.
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