- Sedgwick (Cincinnati, OH)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Fresh Encounter (Oak Harbor, OH)
- …+ Communicate with insurance carriers to obtain payment for prescription claims and answer patient's insurance-related questions + Prepare insurance claims ... and verify payments + Verify that the customer receives the correct prescription(s); ring purchases on the cash register and record them in logs where appropriate and when necessary. + Assure patient documentation is completed correctly as stated in policy… more
- Logan A/C & Heat Services (Columbus, OH)
- …your retirement savings + Profit sharing- Share in the company's success + Medical Claims Advocacy Team- Assistance with claims , billing, and more Logan Services ... Inc. offers Equal Employment Opportunity to all applicants. more
- Elevance Health (Mason, OH)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Logan A/C & Heat Services (Cincinnati, OH)
- …match- Build your retirement savings + Profit sharing- Share in the company's success + Medical Claims Advocacy Team- Assistance with claims , billing, and more ... Our culture is grounded in teamwork, respect, and personal growth. We believe in investing in our teams; development through ongoing training and supporting a healthy work-life balance. With a strong commitment to community and a collaborative work… more
- GovCIO (Columbus, OH)
- …Experience** + Experience working with the Department of Veterans' Affairs + Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and ... Payment Processing knowledge, Healthcare Eligibility Verification knowledge + Experience working with accessibility testing tools. **Clearance Required:** Ability to obtain/maintain Public Trust/Suitability clearance for the VA. **Company Overview** GovCIO is… more
- Holzer Health System (Bidwell, OH)
- The insurance clerk is responsible for working claims , processing edits, and doing their due diligence to ensure correct claim processing and payments from insurance ... payer policies, and specific payer coding guidelines; follow-up on unpaid claims , process insurance takebacks, overpayments, and refunds, and perform other duties… more
- Elevance Health (Mason, OH)
- …law._ The Provider Reimburse Admin Sr ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing policies ... with Federal and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. + May lead the… more
- Sedgwick (Columbus, OH)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Philadelphia Insurance Companies (Beachwood, OH)
- …Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more