• Field Reimbursement Manager

    Adecco US, Inc. (Columbus, OH)
    …by the client. + **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay or patient ... **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:**...Temp-to-hire **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for… more
    Adecco US, Inc. (08/08/25)
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  • Practice Manager II - Anderson Cardiology

    Bon Secours Mercy Health (Cincinnati, OH)
    …care sites and clinicians are recognized for clinical and operational excellence. Practice Manager II **JOB SUMMARY** The Practice Manager 2 anticipates, plans, ... cycle processes, including work queues, copays, daily cash drawer, bank deposits, coding compliance, etc. Meets with Practice Administrator and MHP COO to review… more
    Bon Secours Mercy Health (07/28/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Columbus, OH)
    …also reported quarterly to client. . Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, ... Adecco is hiring immediately for a **Field Reimbursement Manager ** with a local client. **Hybrid (must reside...and tracked for reporting purposes daily with reporting to manager weekly. . Educate on Benefit Investigation, Prior Authorization… more
    Adecco US, Inc. (07/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/09/25)
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  • Healthcare Process Risk Manager (Internal…

    Grant Thornton (Cleveland, OH)
    …projects related to revenue cycle optimization, including patient access, revenue integrity, coding , claims processing, billing , and reimbursement, with a focus ... As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business risks.… more
    Grant Thornton (08/08/25)
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  • Program Manager III -- Value Based…

    Cleveland Clinic (Cleveland, OH)
    …working knowledge of health care business basicsincluding, physician practice workflows, provider billing , risk coding , and payor contracting + Experience in ... most respected healthcare organizations in the world. The Value Based Performance Program Manager serves as a key member of Value Based Performance Team for assigned… more
    Cleveland Clinic (08/08/25)
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  • Compliance Auditor - Physician - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …**Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development ... to four years of in-depth experience within healthcare operations, healthcare auditing, or coding / billing either from a consulting perspective or as an employee/… more
    Bon Secours Mercy Health (08/08/25)
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  • Manager , Special Investigation

    CVS Health (Columbus, OH)
    …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... Aetna's policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 -… more
    CVS Health (08/01/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, OH)
    …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the ... Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**… more
    Molina Healthcare (08/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention… more
    Elevance Health (08/08/25)
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