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Kettering Health · 1 day ago

Certification Specialist - Utilization Management

United States

Full-time

Remote

New Grad, Entry Level

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. They are seeking a Certification Specialist to review certifications at their hospitals, facilitate peer reviews, and work closely with various disciplines to manage patient accounts.

FitnessHealth CareHospitalMedical

H1B Sponsor Likely

Responsibilities

Certification review at Kettering Health Network hospitals. This includes any and all follow-up with insurance companies - approvals, denials, requests for additional information

Assist in facilitating peer to peer reviews, and verification of discharge

Works closely with other disciplines - specifically Insurance Verification, Patient Access, Denials Management, Case Management and Social Services

Routinely works with large volume of patient accounts

Qualification

Associate Degree

Required

Minimal high school graduate

Preferred

Associate Degree preferred

Company

Kettering Health

Glassdoor3.9

Kettering Health is a healthcare company that provides faith-based community care to patients.

Founded in 1964

Dayton, Ohio, USA

10001+ employees

http://ketteringhealth.org

H1B Sponsorship

Kettering Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2021 (1)