- 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
- Carrington (Columbus, OH)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Cleveland Clinic (Independence, OH)
- …healthcare organizations in the world. As a Corporate Compliance Coding/Billing Specialist , you will support the Office of Corporate Compliance by maintaining ... regulations, and identifying revenue cycle compliance risks-such as potential False Claims Act exposures-to protect the organization. This role offers professional… more
- Molina Healthcare (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
- Molina Healthcare (OH)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed… more
- ASRC Industrial Services (Cincinnati, OH)
- …Regional Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC, EQM is a ... Summary** _Location: Cincinnati, OH_ EQM is seeking a junior-level Environmental Compliance Specialist - Project Manager to join our Cincinnati team. This role… more
- ASRC Industrial Services (Cincinnati, OH)
- …Regional Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC, EQM is a ... _Location: Cincinnati, OH_ EQM is seeking an entry-level Environmental Compliance Specialist to join our Cincinnati team. This role blends technical expertise… more
- Nestle (Solon, OH)
- …market. **How will you interface across departments?** The TAG Product Development Specialist is a leader who collaborates with cross-functional groups and external ... practical application of HACCP/Food Safety fundamentals, new material onboarding, allergen/ claims validation and process capability. 5. Continuous improvement of… more
- Republic Finance, LLC (Avon Lake, OH)
- …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent… more
- Republic Finance, LLC (Avon Lake, OH)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more