Clinical documentation specialist Jobs in Cleveland, OH

Last updated: 12 hours ago

DME Documentation & Prior Auth Specialist

Medical Service CompanyIndianapolis IN, Cleveland OH, Troy MI

$16.50 hourly

DME Documentation & Prior Auth Specialist.Indianapolis IN, Cleveland OH, Troy MI.MEDICAL SERVICE COMPANY is a family owned and operated durable medical equipment and. MSC is a 12 -Time recipient of ...Show moreLast updated: 30+ days ago

Sr. Clinical Specialist

AbbottCleveland, Ohio, United States

In Abbott’s Electrophysiology (EP) business, we’re advancing the treatment of heart disease through breakthrough medical technologies in atrial fibrillation, allowing people to restore their health...Show moreLast updated: 22 days ago

Clinical Informatics Specialist

Oak Street HealthCleveland, Cleveland, Ohio

Full-time

Medical Scribe (Full-time in Primary Care Setting).The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus o...Show moreLast updated: 1 day ago

New!

Clinical Researcj Enrollment Specialist

Kelly Services, Inc.Cleveland, Ohio, US

$19.41 hourly

Temporary

PLEASE NOTE : Must be authorized to work lawfully in the United States for any employer without sponsorship.For immediate consideration, please apply. Kelly® Science & Clinical is seeking a Clin...Show moreLast updated: 12 hours ago

Claims Clinical Specialist – Medical Review Team

Genworth FinancialOhio

$124,600.00 yearly

Remote

Full-time

At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago

Promoted

Clinical Research Regulatory Specialist II, Peds Hematology / Onc (Hybrid)

University HospitalsCleveland, OH, United States

Coordinate and manage the regulatory operations for clinical research studies conducted by principal investigator(s) at University Hospitals Case Medical Center. Complete regulatory documentation re...Show moreLast updated: 8 days ago

Promoted
New!

CLINICAL SPECIALIST, SUD RESIDENTIAL

Unison HealthOH, United States

Full-time

Education / Experience / Other Requirements : .Minimum of two years of clinical experience working with SUD population.Master's degree and LPC or LSW required. Position will require flexibility in schedul...Show moreLast updated: 13 hours ago

Promoted

Quality Engineer / Documentation Specialist

ActalentCleveland, OH, United States

$28.00–$37.00 hourly

Full-time

The Quality Document Specialist is responsible for managing document management and maintaining the Quality Management System (QMS) through SharePoint and internal systems.This role involves genera...Show moreLast updated: 7 days ago

CLINICAL SPECIALIST - PHARMACY

Southwest GeneralMiddleburg Heights, Ohio, United States, 44130

Full-time

Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio.One of the last standing community hospitals in Northeast Ohio, we partner with University Hospit...Show moreLast updated: 8 days ago

Promoted

Clinical Research Assistant / Enrollment Specialist

Kelly ServicesCleveland, OH, United States

$19.41 hourly

Temporary

Promoted

Clinical Oncology Specialist- West Cleveland

NateraCleveland, OH, US

$110,000.00–$150,000.00 yearly

Full-time

The Clinical Oncology Specialist (COS) position is a clinical sales role utilizing clinical oncology, pathology, customer service and reimbursement experience and expertise to support the sale of N...Show moreLast updated: 14 days ago

Clinical Evidence Specialist

AgilitiCleveland

$85,726.90–$160,999.30 yearly

Full-time

The Clinical Evidence Specialist is a key member of the Clinical Affairs team and drives clinical evidence development, key opinion leader development, continuing education program development and ...Show moreLast updated: 30+ days ago

Clinical Specialist- RN, Mid-Atlantic (Field)

BDCleveland,USA OH

Full-time

BD is one of the largest global medical technology companies in the world.Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination and passion of all of us—fro...Show moreLast updated: 30+ days ago

Clinical Specialist, Pain Therapies - Cleveland, Ohio.

MedtronicCleveland, Ohio, US

Bring your talents to an industry leader in medical technology and healthcare solutions – we’re a market leader and growing every day. You can be proud to sell medical technologies that are rooted i...Show moreLast updated: 30+ days ago

Promoted
New!

CLINICAL SUPPORT SPECIALIST

PhilOH, United States

Full-time

Clinical Support Specialist | PHIL.Location : Scottsdale, AZ or Columbus, OH.Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering the first Software Therapy Deploy...Show moreLast updated: 13 hours ago

Pharmacy Clinical Specialist- Cardiology

Cleveland ClinicCleveland, OH, US

Full-time

Coordinates and provides the pharmaceutical care of patients for an assigned clinical unit and participates in patient care rounds with medical staff personnel. Performs pharmacotherapeutic monitori...Show moreLast updated: 30+ days ago

Clinical Services TBS Specialist

Bellefaire JCBShaker Heights, OH, US

$40,000.00 yearly

Quick Apply

This position now offers an annual starting salary of $40,000 for full-time employees! Bellefaire JCB is among the nation’s largest, most experienced child service agencies providing a ...Show moreLast updated: 30+ days ago

Clinical Pharmacy Specialist, Cardiology

Cleveland Medical CenterCleveland, OH, US

JOB DESCRIPTION & QUALIFICATIONS.UH Cleveland Medical Center is seeking to welcome a Cardiology Clinical Pharmacy Specialist to our growing clinical team!. This shared faculty (with Northeast Ohio M...Show moreLast updated: 30+ days ago

DME Documentation & Prior Auth Specialist

Medical Service CompanyIndianapolis IN, Cleveland OH, Troy MI

30+ days ago

Salary

$16.50 hourly

Job description

Position : DME Documentation & Prior Auth Specialist Location : Indianapolis IN, Cleveland OH, Troy MI

Job Id : 2017 # of Openings : 3 MEDICAL SERVICE COMPANY is a family owned and operated durable medical equipment and respiratory provider that's been in business for 70+ years!

MSC is a 12 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work - 2023! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In Addition, we are very proud to share that we have been awarded the distinguished honor of 2021 - HME Provider of the Year! We are hiring : FULL TIME WITH BENEFITS! APPLY TODAY!

Competitive Pay
Advancement Opportunities
Medical, Dental & Vision Insurance
HSA Account w / Company Contribution
Pet Insurance
Company provided Life and AD&D insurance
Short-Term and Long-Term Disability
Tuition Reimbursement Program
Employee Assistance Program (EAP)
Employee Referral Bonus Program
DEI&B Program
Social Recognition Program
Employee Engagement Opportunities
CALM App
401k (with a matching program) / Roth IRA
Company Discounts
Payactiv / On-Demand Pay
Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays

Medical Documentation Specialist , are responsible for managing medical documentation and navigating the prior authorization process to facilitate the seamless provision of DME services. Proactively securing the necessary documentation for ongoing coverage to prevent any delays in services or billing. Identifying and promptly requesting Prior Authorization as mandated by the payor. Actively participating in the monitoring and enhancement of processes related to the quality, appropriateness, and timeliness of reimbursement information requirements in our order processing activities. Responsibilities and Duties :

Retrieve and collect necessary medical documentation from healthcare providers, ensuring completeness and accuracy.

Establish and maintain effective communication with healthcare professionals, physicians, and other stakeholders to request and obtain required medical records.

Verify that obtained medical documentation meets regulatory and compliance standards. Ensure adherence to legal and ethical standards in handling sensitive medical information.

Effectively maintain medical records in the database, ensuring legibility and accurate placement within the relevant documentation section of the patient's account.

Collaborate with the DME team to understand specific documentation requirements for various equipment and ensure alignment with patient needs.

Manages all stopped orders for multiple price option needing additional documentation to continue billing

Manages all stopped orders related to out of network insurance plans.

Navigate the prior authorization process by liaising with healthcare providers, payers, and other stakeholders to secure necessary approvals for DME services.

Initiates authorization requests with insurance companies and government payers.

Monitors outstanding prior authorization requests and initiates follow up of authorizations in a timely manner.

Manages phone calls related to the above responsible areas.

Conduct quality assurance checks on medical documentation to identify discrepancies or missing information and take appropriate steps to rectify.

Stay informed about updates in medical documentation standards, regulations, and DME practices. Provide training and education to staff on documentation requirements.

Other duties as assigned.

Qualifications : Education : Graduate of an accredited high school or GED equivalent. Experience / Knowledge / Skills / Physical Requirements :

Experience in Prior Authorizations, medical documentation retrieval and management is preferred.

Knowledge of HIPAA regulations and other relevant healthcare compliance standards.

Excellent communication and interpersonal skills.

Strong organizational and multitasking abilities.

Detail-oriented with a high level of accuracy in handling medical records.

Proficiency in relevant software applications for documentation management.

Starting no less than $16.50 / hr