- Elevance Health (Mason, OH)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Premier Health (Moraine, OH)
- …needed to insure accurate and timely processing of all third party billing ( claims ). The Coder/Medical Billing Specialist 's responsibilities may also include all ... to company billing and collection policies. **Natureand Scope** The Coder/Medical Billing Specialist is responsible to assign and report these more specified codes… more
- Aston Carter (Chagrin Falls, OH)
- Job Title: Order Fulfillment Specialist Job Description The Order Fulfillment Specialist plays a crucial role in ensuring adherence to audit procedures for price ... blocks on other associates' entries. + Create credits for claims approved to be processed out of CRM from...approved to be processed out of CRM from the Claims Team. + Enter credit orders in SAP with… more
- Adecco US, Inc. (Akron, OH)
- …order inquiries and account issues** , including refunds, changes, and claim processing, while maintaining company policies and quality standards. + **Document ... day, evening, or weekend options + **Weekly paycheck** + **Dedicated Onboarding Specialist & Recruiter** + **Access to Adecco's Aspire Academy** with thousands of… more
- Parker Hannifin Corporation (Cleveland, OH)
- …Development Program (LDP/Program) with the general duties of a Parker Sourcing Specialist , Buyer/Planner and Logistics Analyst. The SCM LDA's primary duties will ... the LDA will perform direct responsibilities related to a sourcing specialist , buyer/planner and logistic coordinator assignment, including, but not limited to:… more
- Highmark Health (Columbus, OH)
- …work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means ... leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights… more
- Adecco US, Inc. (Columbus, OH)
- …coverage. + Support providers with Benefit Investigations, Prior Authorizations, Claims Assistance, and Appeals. + Deliver reimbursement support, account management, ... billing/coding updates, claims submissions, and assistance with co-pay/patient support programs. +...with 80% travel) + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more
- Morley (Columbus, OH)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist : careers.morleycompanies.com | chat hours: 8 am - 5 pm Eastern time ... time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Molina Healthcare (Cincinnati, OH)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Molina Healthcare (Dayton, OH)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** Bachelor's Degree in related field **Preferred… more