- Molina Healthcare (Akron, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete… more
- Adecco US, Inc. (Columbus, OH)
- …also reported quarterly to client. . Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, ... Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance… more
- Sedgwick (Columbus, OH)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... 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… more
- Owens & Minor (Columbus, OH)
- …SUMMARY** The collections representative follows-up with insurance companies to resolve unpaid claims . The anticipated hourly range for this position is $12.21 - ... carriers or customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. + Verifies payment information adjustments to… more
- Molina Healthcare (OH)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- Evolent (Columbus, OH)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Evolent (Columbus, OH)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care,… more
- HUB International (Cincinnati, OH)
- …HUB associates (including producers, a support team of Client Specialists, and claims & administrative professionals) with a focus on excellent customer service and ... carriers and work diligently to answer questions or resolve issues + Agency billing including new business, renewal, and endorsement invoicing + Assist with claim… more
- Aston Carter (Cincinnati, OH)
- …your deep understanding of contract requirements, you will ensure accurate billing and financial compliance while working closely with project managers, contractors, ... performance metrics. + Guide the team in preparing LEMs, invoices, and progress claims , ensuring adherence to approval processes and contract terms. + Provide timely… more
- Cardinal Health (Twinsburg, OH)
- …between dispensing pharmacies + Review patient insurance coverage status and adjudicate claims for patient orders + Enter prescriptions in pharmacy system + Maintain ... preferred + Active state or national certification in good standing + Insurance billing experience, preferred **_What is expected of you and others at this level_**… more