- HUB International (Dublin, OH)
- …to clients regarding Health Care Reform + Lead and develop strategy based on claims data analytics + Listen and counsel on key compliance impacts including Health ... Care Reform (PPACA) + Stay informed on market trends and new product information + Drive wellness strategy and initiatives with clients + Manage projects as they pertain to company goals and vision + Develop in-market tools based on individual expertise for… more
- Prime Therapeutics (Columbus, OH)
- …multiple projects simultaneously **Preferred Qualifications** + Experience with large sets of claims data + In-depth knowledge of PBM industry + Financial analyses ... experience Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures… more
- Molina Healthcare (Dayton, OH)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review. + Prepares appropriate FWA referrals to regulatory agencies and law enforcement. + Documents appropriately all case… more
- Conduent (OH)
- …and based on business need. **About the Call Center Representative role:** Claims inquires or debit card denials. Questions regarding documentation that has been ... requested from the member. Assistance with website. Registration and forgotten usernames/passwords/lockouts. Members asking for assistance with placing Commuter Orders Member balance inquiries Member inquiries about eligible expenses Member inquiries regarding… more
- Iron Mountain (Columbus, OH)
- …and copyright issues, including prosecution work with external and regional counsel, IP claims , and licensing, as well as IP portfolio management and other IP ... work.** + **Thrive in a fast-paced environment and enjoy working collaboratively with a variety of internal stakeholders, including the digital business team, the digital solutions incubator working group, other commercial lawyers advising the business, global… more
- Cardinal Health (Columbus, OH)
- …Understand electronic claim interchange and the life cycle of primary and secondary claims . + Contribute to team efforts by accomplishing related results as needed. ... + Ensure that all processing and reporting deadlines are consistently achieved. + Oversee staff and processes concerning third-party insurance and data processing to ensure accurate billing and efficient account collection. + Occasionally, review patient… more
- Molina Healthcare (Columbus, OH)
- …Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS ... measure deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for all intervention outcome and for overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex as… more
- ZOLL Medical Corporation (Dayton, OH)
- …intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times ... Required/Preferred Education and Experience + Bachelor's Degree From four-year college or university required + 3-5 years sales experience in medical equipment sales or specialized/hospital based pharmaceutical sales or 5 years of successful sales experience,… more
- Prolink (Cincinnati, OH)
- …exciting opportunity to make an impact. **RESPONSIBILITIES** Manage unemployment claims , workers' compensation cases, subpoenas, and employee records requests, ... ensuring compliance with deadlines and legal standards. Serve as the first point of contact for HR and benefits inquiries, providing guidance and escalating complex issues when appropriate. Oversee the HR ticketing system, ensuring requests are tracked,… more
- Dal-Tile Corporation (Blue Ash, OH)
- …processing customer returns, and notifying management of damaged shipments for freight claims . + Operates crane forklift equipment. + Maintains clean and organized ... facility by sweeping, trash removal, restroom cleaning and general office maintenance, etc. + Maintains a safe working environment by obeying all safety rules as outlined in the Safety Program and by reporting all accidents, unsafe conditions and acts to… more