• Manager , Medical Economics (Medicaid)…

    Molina Healthcare (Cleveland, OH)
    …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
    Molina Healthcare (08/27/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Akron, 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 (09/06/25)
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  • Optometric Technician

    Pearle Vision (Akron, OH)
    …* Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * ... Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of… more
    Pearle Vision (08/29/25)
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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 (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, 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 (09/06/25)
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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 (10/01/25)
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  • Provider Reimburse Admin Sr

    Elevance Health (Mason, OH)
    …education and experience, which would provide an equivalent background. + RN; Medical billing and coding certification strongly preferred. Please be advised that ... criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding conventions. Primary duties may include, but are not limited to: +… more
    Elevance Health (09/30/25)
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  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Independence, OH)
    …and requests payments for any overpayments. + Identifies aberrant patterns of billing and detects potential abuse. + Participates in developing and/or reviewing ... which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and Experiences:** +… more
    Elevance Health (09/24/25)
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  • Medical Center Representative

    Premier Health (Beavercreek, OH)
    …The Medical Center Representative is responsible for general clerical, receptionist, billing , referrals, patient registration and customer service for the operation ... MCR is responsible for daily scheduling, incoming calls, patient registration, billing /collection functions, and other duties as assigned. **Nature and Scope** The… more
    Premier Health (09/24/25)
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  • Medical Center Representative

    Premier Health (Beavercreek, OH)
    …The Medical Center Representative is responsible for general clerical, receptionist, billing , referrals, patient registration and customer service for the operation ... MCR is responsible for daily scheduling, incoming calls, patient registration, billing /collection functions, and other duties as assigned. **Nature and Scope** The… more
    Premier Health (09/20/25)
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