- OhioHealth (Columbus, OH)
- …and in our communities. **Job Description Summary:** Provides receptionist/clerical support assuring patient flow, comfort and satisfaction. Primary responsibilities ... (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned. The Office Specialist is well organized,… more
- Humana (Columbus, OH)
- …team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May… more
- AmeriHealth Caritas (Columbus, OH)
- …Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as part of the ... assistance in conducting investigations. + Performs necessary functions to support all aspects of SIU investigations and responsibilities to...waste, and abuse investigations and audits OR + An associate 's degree, with a minimum of four years of… more
- CVS Health (Columbus, OH)
- …accreditation requirements. + Apply clinical criteria and policies to member/provider claims and coordinate clinical resolutions with MD support . **Performance ... reports to the State in collaboration with Informatics. **Policy Development & Peer Support ** + Author and revise internal policies and contribute to peer review of… more
- Abbott (Columbus, OH)
- …and scientists. **The Opportunity** The Editorial Lead, reporting to the Associate Creative Director for Creative Operations, leads will oversee our editorial ... Supervise and mentor a small team of editors, providing guidance, feedback, and support to ensure consistent editorial excellence. + Review and edit content for… more
- Sysco (Northwood, OH)
- …the performance management process and work with functional leaders on their associate reviews and evaluations. Provide training and consultation, as necessary. + ... company policies and procedures. + Provide day-to-day direction and support to HR staff across Region as needed, including...compliance. Perform investigations and prepare written responses to EEOC claims , unemployment claims , etc. + Work with… more
- CenterWell (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Elevance Health (Cincinnati, OH)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of… more
- AmeriHealth Caritas (Dublin, OH)
- …are maintained across corporate, regional, and local operations. **Work Arrangement:** + Hybrid - The associate must be in the office at least 2 to 3 days per week ... Oversee provider contract data submission for accurate system configuration and claims payment. + Manage internal operations and coordinate corporate functions… more