- Cleveland-Cliffs Inc. (West Chester, OH)
- Cleveland-Cliffs Steel has an immediate opportunity for an Associate Disability Specialist in West Chester, Ohio. The Associate Disability Specialist ... and business partners through written, oral, electronic and in-person communication. + Claim intake and associated tasks. + Maintain employee privacy and documents… more
- Molina Healthcare (OH)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... or equivalency **REQUIRED EXPERIENCE:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized ... handle customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Zurich NA (Columbus, OH)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Molina Healthcare (Columbus, OH)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- Trinity Health (Columbus, OH)
- …+ In conjunction with the 3rd party vendor, create/maintain DLT's for claims processing staff **Minimum Qualifications** + .Education: Associate or Bachelor's ... **Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims that do… more
- OhioHealth (Hilliard, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... system, screens calls for office associates, directing to appropriate office associate , ensures appropriate phone coverage using a computerized system. 5. Provides… more
- Walgreens (Cincinnati, OH)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Molina Healthcare (Columbus, OH)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... participates in special projects as requested. **JOB QUALIFICATIONS** **Required Education** Associate degree in Business or equivalent combination of education and… more
- Robert Half Accountemps (Cincinnati, OH)
- Description We are looking for a skilled Medical Payment Poster Specialist to join our client's team near Cincinnati, Ohio. In this long-term contract position, you ... and manual checks to patient accounts. * Ensure daily claim batching and deposits are completed and reconciled with...required. Requirements * High school diploma or equivalent required; associate degree preferred. * Minimum of 2 years of… more