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Certification Specialist - Utilization Management
Job in
Miamisburg, Montgomery County, Ohio, 45343, USA
Listed on 2026-02-08
Listing for:
Kettering Health
Full Time
position Listed on 2026-02-08
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Overview
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.
Details
:
Support Services | Remote | Full Time | Days
- 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.
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