- OhioHealth (Columbus, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system, to include but not limited… more
- Walgreens (Toledo, 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
- Prime Therapeutics (Columbus, OH)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). ... drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business… more
- Molina Healthcare (Columbus, OH)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits , subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Trinity Health (Columbus, OH)
- …optimal reimbursement and regulatory adherence. **Position Purpose:** + Physician Coding Specialist II will assign the appropriate surgical and office procedural and ... codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position utilizes… more
- Elevance Health (Mason, OH)
- …Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong, clinical-first lens ... defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist ** **Location:** This role requires associates to be in-office **1** day… more
- Republic Finance, LLC (Avon Lake, OH)
- …monthly bonus that averages $8,000 annually! In addition, we offer amazing benefits and perks, including health, dental, and vision insurance with employer ... for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in...show our appreciation for our employees by offering great benefits and competitive pay and by rewarding performance. Job… more
- Republic Finance, LLC (Avon Lake, OH)
- …monthly bonus that averages $8,000 annually! In addition, we offer amazing benefits and perks, including health, dental, and vision insurance with employer ... industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in...show our appreciation for our employees by offering great benefits and competitive pay and by rewarding performance. Job… more
- ProMedica Health System (Toledo, OH)
- …collection functions for all payers including self-pay. 8. Verify insurance benefits , limits, and patient obligations. 9. Contact patients for necessary information ... to resolve. 17. Maintains current payor knowledge for effective claims management and follow up of unresolved claims...and carry moderately heavy materials. We offer a competitive benefits package with coverage effective day one of employment… more
- Molina Healthcare (Cleveland, OH)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more