- Molina Healthcare (Akron, OH)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... in a fast paced, high volume environment **PREFERRED EDUCATION** : Associate 's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE**… more
- Humana (Columbus, OH)
- …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** This is a remote role and will ... of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner… more
- Molina Healthcare (Columbus, OH)
- **_ Remote and must live in Central Ohio _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
- Guardian Life (Columbus, OH)
- The **Client Manager Associate , Premier Market** will assume overall responsibility for managing a client book of business in the 2-99 life space. They will be ... internal partners. These partners include Underwriting, Sales Support, Service and Claims . This position will also directly work with Sales Representatives to… more
- CenterWell (Columbus, OH)
- …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Humana (Columbus, OH)
- …managers across the department. **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate ... skills to make an impact** **WORK STYLE:** Work at home/ remote with 15-20% travel required **WORK HOURS:** Regular business...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more