- Highmark Health (Columbus, OH)
- …**Required** + 5 - 7 years in a relevant operational area (eg customer service, claims , enrollment and billing , etc.) to include 3 - 5 years of technical ... BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively… more
- AmeriHealth Caritas (Columbus, OH)
- …+ Independent project management, training and mentoring, executive-level interaction, claims processing/ billing knowledge, payment methodologies, and network ... management ; **Our Comprehensive Benefits Package** Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on day one, 401(k)… more
- Morley (Columbus, OH)
- …as some queues are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance industry ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- Norstella (Columbus, OH)
- …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more
- Premier Health (Moraine, OH)
- **Centralized Billing Office** **FT/ DAYS/ 80 hours per pay** **Summaryof Position** The Medical Billing Specialist works to ensure timely and accurate ... reimbursement on medical claims for physician services rendered. This position is part...services rendered. This position is part of a centralized billing office and provides medical billing services… more
- Molina Healthcare (Columbus, OH)
- … Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Cleveland Clinic (Independence, OH)
- …most respected healthcare organizations in the world. As a Corporate Compliance Coding/ Billing Specialist, you will support the Office of Corporate Compliance by ... System (CCHS) Compliance Program. In this role, you will conduct billing and coding compliance reviews, monitor regulatory guidelines, and address coding-related… more
- Bridgestone Americas (Akron, OH)
- …& Audit **Position Summary** Bridgestone is looking for a highly motivated and detail-oriented Claims Adjuster to join our dynamic claims team. In this key role, ... responsible for investigating, evaluating, negotiating, and settling complex bodily injury claims that stem from auto accidents, premises liability, and other… more
- Molina Healthcare (Cleveland, OH)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims . Procures all medical records ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls...claim records. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in… more
- Trinity Health (Columbus, OH)
- …Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** Delegated Claims Auditor executes, in an accurate and timely manner, in accordance ... You Will Do:** + Maintain current knowledge of the claims operating system + Sort and organize incoming mail...computer and data entry skills. + Knowledge of medical billing forms (UB and 1500). **Position Highlights and Benefits:**… more