• Compliance Auditor - 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 (05/07/25)
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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 (06/26/25)
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  • Regional Account Operations Manager

    Sanofi Group (Columbus, OH)
    **Job Title:** Regional Account Operations Manager , Northeast **Location:** Remote **About the Job** This position reports to the Regional Accounts Leader and is ... for dissemination to sales on important payer trends, reimbursement changes, and billing requirements that will affect product utilization + Represent the Market… more
    Sanofi Group (06/18/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Columbus, OH)
    …+ Accountable for completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice mail, and responds as ... appropriate. + Directs information gathering as required supporting billing and collection activities. + Responsible for efficient utilization of medication,… more
    Fresenius Medical Center (06/14/25)
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  • Case Manager

    Cardinal Health (Columbus, OH)
    …insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years experience with Prior ... Authorization and Appeal submissions + Ability to work with high volume production teams with an emphasis on quality + Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook and preferred Excel… more
    Cardinal Health (06/20/25)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Akron, OH)
    …Flexible Spending Accounts. JOB DUTIES/RESPONSIBILITIES Claim validators must be proficient with all coding required on claims for SNF billing . To ensure the ... recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator… more
    CommuniCare Health Services Corporate (05/29/25)
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  • Medical Group Patient Access Coordinator

    Intermountain Health (Columbus, OH)
    …charge review, claim edit and follow up work queues, and entry of professional billing charges. **This is partial remote opportunity- Manager will do quarterly ... charges + Works with Clinic personnel, Patient Access, Coding and Billing teams to optimize and...Data Entry **Qualifications** **Required** + Experience working with practice manager software and Microsoft Office + Ability to work… more
    Intermountain Health (06/24/25)
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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 (06/18/25)
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  • Ambulatory Insurance Clerk Biller I

    Holzer Health System (Bidwell, OH)
    …as assigned by the Business Office Manager . Education, Work Experience and Licensure: * High school diploma * Experience in medical billing / coding preferred. ... in Athena. Prepare reviews/appeals as required; keep current on carrier specific billing guidelines, payer policies, and specific payer coding guidelines;… more
    Holzer Health System (04/02/25)
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