- KPH Healthcare Services, Inc. (Maumee, OH)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
- Premier Health (Moraine, OH)
- … Specialist is responsible for collecting and entering timely and accurate claim information. This position will submit claims utilizing insurance carrier ... Office** **FT/ DAYS/ 80 hours per pay** **Summaryof Position** The Medical Billing Specialist works to ensure timely and accurate reimbursement on medical claims … more
- Molina Healthcare (Cincinnati, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... in the completion of Block Transfer Filings + Facilitates and resolves claim and configuration issues with impacted departments. + Participates in other contracting… more
- Molina Healthcare (Akron, OH)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- CDM Smith (Cincinnati, OH)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- CVS Health (Columbus, OH)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… more
- CVS Health (Columbus, OH)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- CDM Smith (Cleveland, OH)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... **Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs… more
- Elevance Health (Mason, OH)
- **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments… more
- Cardinal Health (Columbus, OH)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent… more