- Morley (Columbus, OH)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist : careers.morleycompanies.com | chat hours: 8 am - 5 pm Eastern time ... | TA will respond to after-hours questions the next business day. **Skills for Success** **_Required Skills_** + Excellent...time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health… more
- City of Cincinnati (Cincinnati, OH)
- …business law, economics, finance, human resources, psychology, sociology, business administration, public administration, information processing , accounting, ... Administrative Specialist (OPEN)(N/C) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5087473) Apply Administrative Specialist … more
- Molina Healthcare (Columbus, OH)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system...coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for… more
- Molina Healthcare (Columbus, OH)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... **JOB DESCRIPTION** **This role will have standard EST business hours.** **Job Summary** Provider Network Administration is...claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it… more
- Leaffilter (Hudson, OH)
- …as VetConnect, DEI Committee, Women's Committee. Position Summary: The Workers' Compensation Specialist manages claims from intake to resolution, serving as a ... and other relevant parties to facilitate information exchange and expedite claim processing . Track, compile, and analyze data on claims frequency, severity,… more
- Molina Healthcare (Cincinnati, OH)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Otsuka America Pharmaceutical Inc. (Akron, OH)
- …LTC Specialist will report directly to the respective Area Business Lead coordinating with other local Neuroscience Specialists and cross functional colleagues ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more
- Molina Healthcare (Cleveland, OH)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
- OhioHealth (Columbus, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... 2. Responsible for electronic and manual insurance verification and processing of insurance paperwork. When necessary obtains pre-authorization from insurance… more
- Kelly Services (Beachwood, OH)
- …contract opportunity with one of our leading clients! **Title:** Regulatory Affairs Specialist **Location:** Cleveland, OH / Beachwood, OH **Duration:** 12 months + ... regulatory requirements (including product testing, clinical data, etc.), product claims and country regulatory dependencies to ensure optimized sequencing for… more
