- 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
- Defense Logistics Agency (Whitehall, OH)
- …recruitment and placement, employee relations, labor relations, employee benefits , position classification, HR processing/quality control to customers around ... Conditions of Employment Qualifications To qualify for a Human Resources Specialist (Recruitment & Placement), your resume and supporting documentation must support:… 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
- GAP Solutions Inc (Columbus, OH)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... including but not limited to staffing, classification, processing, benefits , recruitment, compensation, SES programs, work life programs, policy and employee and… more
- Molina Healthcare (Cincinnati, OH)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing ... GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program.… more
- Avnet (Richfield, OH)
- …metrics. + Ensures that good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with consumer ... promoting a diverse and inclusive environment. We offer competitive compensation and benefit programs - from time away and flexible working arrangements to programs… more
- Intermountain Health (Columbus, OH)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... communication and presentation skills. AND Demonstrated knowledge of government benefits and regulations related to Medicare, Medicaid or the...which is why we provide our caregivers a generous benefits package that covers a wide range of programs… more
- Acosta Group (Cleveland, OH)
- …assigned to the demo program. * Can effectively communicate the features and benefits of the product. * Ability to prepare and serve food samples including ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- EMCOR Group (Cincinnati, OH)
- …+ Assist Fleet Manager with vehicle accidents and tracking of accidents and claims . + Assist Fleet Manager with GPS system, tracking and running location reports. ... services, and energy infrastructure, we offer employees a competitive salary and benefits package and we are always looking for individuals with the talent… more
- ProMedica Health System (Toledo, OH)
- …practices, including regulatory changes or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and payer guidelines and ... Policy, CP 3.60. Compensation range: $41,496 - $84,240 We offer a competitive benefits package with coverage effective day one of employment which includes medical,… more