- Sedgwick (Cincinnati, OH)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Bodily Injury + PIP) **PRIMARY PURPOSE** : To supervise a team… more
- Sedgwick (Columbus, OH)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To supervise a team of… more
- Sedgwick (Dublin, OH)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Elevance Health (Mason, OH)
- …claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Prepares correspondence to providers ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Cleveland Clinic (Akron, OH)
- …coordinating the daily appointment schedule. + Collect information from patients, process insurance claims and audit collections. + Receive incoming calls to the ... department and assist or direct callers to the appropriate personnel. + Handle phone calls to and from physician's offices and departments regarding patient information. + Receive and/or collect a variety of biological specimens, including verification of… more
- Cardinal Health (Columbus, OH)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and ... This position will also support the Director with transactional audit diligence and integration planning, as well as the...records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs,… more
- Crown Equipment Corporation (New Bremen, OH)
- …suppliers, service providers, brokers, and freight forwarders, to determine, maintain, and audit import claims prior to arrival and after completion. Provide ... review, interpret and prepare data for US Customs import claims . Interact with suppliers outside the United States to...year of hire. + Experienced in document review or audit in Trade Compliance, Manufacturing or Supply Chain. +… more
- ITW (Solon, OH)
- …process rebates and credits for management approval. + Investigate and review customer audit claims ; prepare for approval. + Distribute invoices, statements, and ... other financial documents. + Contact customers regarding delinquent accounts; document and escalate collection efforts as needed. + Close and review AR sub-ledger, aged AR, and credits issued. + Prepare month-end journal entries, reconciliations, and reports.… more
- Molina Healthcare (Cincinnati, OH)
- …Data Validation) team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of chart retrieval chase ... gain exposure to end-to-end RADV workflows and contribute to meaningful audit readiness efforts. **Knowledge/Skills/Abilities** + Assist with the identification and… more
- CRC Insurance Services, Inc. (OH)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more