Certification Specialist - Utilization Management jobs in United States
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Kettering Health · 19 hours ago

Certification Specialist - Utilization Management

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 support certification reviews, follow up with insurance companies, and collaborate with various departments to manage patient accounts effectively.

FitnessHealth CareHospitalMedical
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H1B Sponsor Likelynote

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

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

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)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2021 (1)

Funding

Current Stage
Late Stage
Total Funding
$1.39M
Key Investors
SAMHSAParkinson's Foundation
2024-10-11Grant· $1.39M
2023-07-25Grant

Leadership Team

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Fred Manchur
Chief Executive Officer
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Clifton Patten
CFO
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Company data provided by crunchbase