Certification Specialist - Utilization Management
Kettering Health
Miamisburg, OH
Information Technology
Job Details
Support Services| Remote| Full Time| Days
Responsibilities
Responsibilities & Requirements
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Support Services| Remote| Full Time| Days
Responsibilities
Responsibilities & Requirements
- 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.
- Minimal high school graduate.
- Associate Degree preferred
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.