• Sr Specialist , Provider Contracts (Remote)

    Molina Healthcare (Cincinnati, OH)
    …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete… more
    Molina Healthcare (08/23/25)
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  • Physician Office Specialist

    OhioHealth (Hilliard, OH)
    …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... plans, ensuring accuracy of information placed in information systems and billing systems. Works electronic medical record work queues to correct registration… more
    OhioHealth (08/19/25)
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  • Specialist , Provider Network…

    Molina Healthcare (Columbus, OH)
    Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
    Molina Healthcare (08/14/25)
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  • Pharmacy Quality Assurance Specialist

    Elevance Health (Mason, OH)
    …by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and ... defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist ** **Location:** This role requires associates to be in-office **1** day… more
    Elevance Health (08/02/25)
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  • Specialist , Provider Contracts HP - Ohio…

    Molina Healthcare (Cleveland, OH)
    …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete… more
    Molina Healthcare (08/24/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Columbus, OH)
    …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of responsibilities ... as dictated below with guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ;… more
    Cardinal Health (08/24/25)
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  • DRG Coding Auditor

    Elevance Health (Mason, OH)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims more
    Elevance Health (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (08/08/25)
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  • Patient Registration

    Robert Half Office Team (Mason, OH)
    Description We are looking for a dedicated and detail-oriented Patient Registration specialist to join our client's practice near Blue Ash, Ohio. In this role, you ... records with precision and confidentiality. * Handle payment processing and insurance claims efficiently. * Manage inventory by ordering supplies and ensuring stock… more
    Robert Half Office Team (08/19/25)
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