Pharmacy Revenue Integrity & Claims Auditor
Wexner Medical Center
The Ohio State University Outpatient Pharmacy seeks a Revenue Integrity Specialist to optimize the payment cycle for retail and specialty pharmacy claims across eight OSU sites in Columbus. You will ensure accurate claim workflow, review payments for accuracy, and align collections with payer contracts to maximize reimbursement. In this role you will support claims reconciliation, filing, audit responses, and reimbursement challenges, contributing to scalable process improvements and defending #J-18808-Ljbffr Wexner Medical Center
- ...A leading healthcare institution is hiring a Pharmacy Audit and Reconciliation Coordinator to manage the pharmacy claims workflow and drive revenue cycle improvements. This role requires a combination of technical skills in billing and experience as a pharmacy technician...Claims
- The Ohio State University Outpatient Pharmacy is seeking a Pharmacy Audit and Reconciliation Coordinator to optimize the payment cycle for retail and specialty pharmacy claims. You will ensure accurate workflow of pharmacy accounts, review payments for accuracy, and align...Claims
- AndHealth is seeking a Pharmacy Program Optimization Analyst in Columbus, OH, to maximize the... ...programs. The role focuses on optimizing claim capture, data analysis, and collaboration... ...to drive program performance and revenue capture across multiple #J-18808-Ljbffr...Claims
- Ohio State University Physicians in Columbus is seeking a Revenue Cycle Representative to handle insurance billing, claims processing, and denials management, contributing to accurate reimbursement and a smooth revenue cycle. The role requires a high school diploma with...Claims
$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates... ...promotes productivity, supports work-life integration, and ensures essential face-to-face... ...review of Diagnosis Related Group (DRG) paid claims. How you'll make a difference:...ClaimsFull timeWork at officeLocal area$18.2 - $27.29 per hour
...State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare,... ...on your employment status. Responsibilities The Revenue Cycle Representative uses knowledge of invoices, claims, insurance billing, collections and medical terminology...ClaimsFlexible hours- ...Manager Department: James | Pharmacy Administration Scope of Position... ...and analysis along the revenue cycle. Primary focus will be... ...use a work proficiently in the Integrated Health Information Systems (IHIS... ...follow-up on rejected and denied claims using evidence‑based support...ClaimsShift workDay shift
- ...Workday to use the internal job search and application process. Scope of Position The Revenue Integrity Specialist optimizes the payment cycle for retail and specialty pharmacy claims. This role ensures accurate workflow of pharmacy accounts, reviews payments for...Claims
- ...Revenue Cycle Manager The Revenue Cycle Manager is responsible for leading all revenue... ...diverse backgrounds and experiences. Integrates principles of Trauma Informed Care in... ...educational funding billing. Ensures claims are submitted accurately and within payer...ClaimsContract workWork at office
- ...transfer to your application. Job Title: Pharmacy Audit and Reconciliation Coordinator... ...Outpatient Pharmacy Scope of Position The Revenue Integrity Specialist optimizes the payment cycle for retail and specialty pharmacy claims. This role ensures accurate workflow of...ClaimsShift work
- ...communities. Job Description Summary The Revenue Cycle Project Manager is responsible for... ...of new sites and services, and the integration of professional and vendor solutions. Utilizing... ...patient access, billing, coding, claims management, and reimbursement processes....ClaimsLocal areaRemote workShift work
$71.1k - $97.8k
...a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records... ...experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...our communities. Job Description Summary Revenue Cycle Optimization Specialists serve as... ...cycle operations—including billing, coding, claims, and reimbursement—paired with expertise... ...understand clinical and financial data integration. Familiarity with regulatory compliance...ClaimsLocal areaRemote workShift work
- ...exposure to medical billing, hospital billing, clinical research, revenue cycle, coding, or a closely related function. Candidates should also have: Hands-on experience reviewing medical bills, claims, charges, or coding information. Working knowledge of medical...ClaimsTemporary work3 days per week
- Ohio State University seeks a Patient Revenue Cycle Lead Coordinator to oversee Revenue Cycle activities within the College of Dentistry... ...include managing billing, follow-up, denial management, and claims processing while ensuring effective communication with leadership...ClaimsWork at office
- ...Contract IT Auditor / Risk Assessor Location: Remote - must work during Eastern Standard Time business hours Engagement: Contract... ..., audit-ready testing documentation. Identify unsupported claims, control gaps, and meaningful risk issues. Move approved...ClaimsContract workFor contractorsWork at officeLocal areaImmediate startRemote work
- ...Every employee is valued and considered an integral part of our success. Our benefits include... ...Receivable Specialist to join our Revenue Cycle team. This position is ideal for... ...revenue cycle and knows how to resolve unpaid claims. Medical billing, insurance follow-up, or...ClaimsPrivate practice
$23 per hour
...We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy. As our company continues to grow, we strive... ...The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims...ClaimsFull timeTemporary workWork experience placementRemote workRelocation packageFlexible hoursShift work- ...prescriptions by performing data entry, adjudication of insurance claims, filling and providing medications to patients at pick-up... ...the dispensation of prescriptions, as necessary Reports to : Pharmacy Manager Supervises: N/A Dress Requirement : Scrubs in accordance...ClaimsFull timeTraineeshipWork at officeMonday to Friday
- ...with approximately $3.1billion in annual revenue. This role provides executive leadership... ...related functions, including insurance, claims, contract risk and compliance, and loss... ...insurance requirements across all projects. Integrate risk evaluation into all project phases,...ClaimsContract workFor contractorsFor subcontractorWork at office
$24 per hour
Location: Columbus, OH Job Id: 5259 # of Openings: 4 Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for... ...and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate...ClaimsFull timeTemporary workWork experience placementRemote workRelocation packageMonday to FridayFlexible hoursShift work$88k - $132k
...platform administration and providing daily system support for Billing, Collections, and Revenue Accounting teams. This role partners closely with IT to ensure data quality, integrity, and seamless integration across Salesforce CPQ, Zuora, and downstream financial...Remote workHome office- ...primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI... ...Medical Billing Specialist reports to the Revenue Cycle Manager and is responsible for various... ...of coordination of benefits, claims processing, and follow up. Utilizing a computer...ClaimsHourly payWork at office
- ...-functional requirements, and usability requirement s for pharmacy and medication use applications based on the business needs... ...of testing methods e. g. , unit testing, volume testing, integration testing, claims parallel testing, device testing, etc. . Testing may occur...ClaimsLocal areaRemote workShift work
$20 - $25 per hour
...The Revenue Cycle Specialist will support the team by reviewing and managing billing activity related to clinical trial patients. This... ...account. Key Responsibilities Review patient charges and claims for clinical trial participants. Determine appropriate...ClaimsContract workTemporary work3 days per week- ...work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming... ...include working with operating budget, revenue responsibility, purchasing responsibility... ...pumps. 12. Accurately submits electronic claims for medications, as applicable. 13. Documents...ClaimsFull timeTemporary workFlexible hours
$19.28 - $25.19 per hour
Job Title Patient Revenue Cycle Lead Coordinator Department College of Dentistry (CoD) Revenue Cycle Services (RCS) - Patient Financial... ...charge review, billing, follow‑up, denial management, claims processing, cash reconciliation, banking interactions, 835 processing...ClaimsHourly payWork at officeMonday to Friday- ...OH is seeking a results-driven Business Office Manager to lead revenue cycle operations within our skilled nursing facilities. The role... ..., partnering with the billing team to ensure timely insurance claims and billing issue resolution. You will oversee daily business office...Daily paidWork at office
$44.9k - $60.2k
...our caring community The Consultative Pharmacy Technician 3 certified Pharmacy... ...assistance). Processing of select medication claim updates (lists) as requested by the clinical... ...that impact patient well-being. Our integrated care teams, which include physicians, nurses...ClaimsFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome office- Pharmacy Program Optimization Analyst Full Time Columbus, Ohio AndHealth is on a mission to radically improve access... ...for significant program enhancement and revenue capture across multiple pharmacy claim initiatives. What you’ll do in the role: Proactively...ClaimsFull timeContract workTemporary work
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