- Molina Healthcare (Akron, OH)
- …have experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree and/or equivalent ... ABILITIES:** 4+ years experience in health care industry in related field ** PREFERRED EDUCATION:** Bachelor's degree in healthcare related field ** PREFERRED … more
- Highmark Health (Columbus, OH)
- …to work closely with the section's Accountant, Accounting Coordinators, Associate Analyst, providing, guidance, feedback, training, motivation, and support. This ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Highmark Health (Columbus, OH)
- …Analyst or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) ** Preferred ** + 1 - 3 years in ... recommends process improvements for efficiencies. May provide guidance to Associate level employees. **ESSENTIAL RESPONSIBILITIES** + Intake operational objectives… more
- Humana (Columbus, OH)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... health or post acute services such as inpatient rehabilitation. ** Preferred Qualifications** + **Internal Medicine, Family Practice, Geriatrics, Hospitalist,… more
- Cleveland Clinic (Independence, OH)
- …regulations, and identifying revenue cycle compliance risks-such as potential False Claims Act exposures-to protect the organization. This role offers professional ... experience requirement: high school diploma/GED and five years of relevant experience, associate 's degree and four years of relevant experience, RN and three years… more
- Humana (Columbus, OH)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care...(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Molina Healthcare (OH)
- …projects as assigned; and serves as a "mentor" to newly hired Associate Specialists. **Job Duties** + Processing Credentialing Applications * Evaluates credentialing ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing… more
- NiSource (Columbus, OH)
- …leadership, other occupational health services, and internal partners, such as Claims , Corporate Safety, and Worker's Compensation. The Occupational Health Nurse ... the below minimum qualifications to be initially considered for this position. Preferred qualifications are in addition to the minimum requirements and are… more
- US Foods (Twinsburg, OH)
- …(inbound documents, outbound documents, discrepancy reports, stock and damage claims , time sheets, requisitions, shipping labels, etc.) following standard ... support tracking warehouse performance, including shorts, mispicks, dump/damage, service level, associate over-time. + Other duties as assigned by manager. Inbound:… more
- NASCO (Columbus, OH)
- …Effective change management skills + Effective financial management skills ** Preferred Knowledge, Skills, and Abilities:** + Experience developing multi-customer, ... with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS… more