- Otsuka America Pharmaceutical Inc. (Toledo, OH)
- …of everyday health. In its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... and healthcare providers, with a focus on customer-centricity. The Hospital Specialist will report directly to the respective Area Business Lead, coordinating… more
- GAP Solutions Inc (Columbus, OH)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics… more
- Molina Healthcare (OH)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... a "mentor" to newly hired Associate Specialists. **Job Duties** + Processing Credentialing Applications * Evaluates credentialing applications for accuracy and… more
- OhioHealth (Columbus, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... 2. Responsible for electronic and manual insurance verification and processing of insurance paperwork. When necessary obtains pre-authorization from insurance… more
- Molina Healthcare (Columbus, OH)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Cardinal Health (Columbus, OH)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... administration, customer and vendor pricing, rebates, billing (including dropships), processing charge backs and vendor invoices, developing and negotiating customer… more
- CVS Health (Columbus, OH)
- …and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Army National Guard Units (Columbus, OH)
- Summary This National Guard position is for a IT SPECIALIST (SYSADMIN), Position Description Number D1617P02 and is part of the OH G6, Ohio Army National Guard. The ... for information technology (IT) systems administration. Responsibilities As a IT SPECIALIST (SYSADMIN), GS-2210-12, you will perform the following duties: Serves as… more
- Trinity Health (Columbus, OH)
- …ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position ... optimal reimbursement and regulatory adherence. **Position Purpose:** + Physician Coding Specialist II will assign the appropriate surgical and office procedural and… more
- ProMedica Health System (Toledo, OH)
- …work with management to resolve. 17. Maintains current payor knowledge for effective claims management and follow up of unresolved claims . 18. Routinely reviews ... of Professional charging processes * Experience with follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and… more