- Army National Guard Units (Columbus, OH)
- Summary This National Guard position is for a FACILITY OPERATIONS SPECIALIST , Position Description Number D1272000 and is part of the OH JFHQ DIMR CFMO, Ohio Army ... located in geographically separated areas. Responsibilities As a FACILITY OPERATIONS SPECIALIST , GS-1640-9, you will perform the following duties: (1) Reviews… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- **Overview** **Job Summary:** The Revenue Cycle Management Specialist is to support the process of the company's billing function. **Responsibilities** **Job ... third party payersandobtainauthorizations as + Assist inthe preparationand submissionof claims for paymentfromthird party payers,andinvoices forpatientco-payments. + Support theresolutionofbilling… more
- OhioHealth (Columbus, OH)
- …practices regarding information needed or to obtain status of insurance claims . **Responsibilities And Duties:** Performs accurate review , analysis, and ... the appropriate party, works insurance edits/errors, follows-up on adjudication of claims , works payer rejections and denials. This position primarily communicates… more
- ProMedica Health System (Toledo, OH)
- …applications. 11. Post payments ,adjustments and denials to patient accounts. 12. Review accounts for outside collection or legal authorization. 13. Works with ... to resolve. 17. Maintains current payor knowledge for effective claims management and follow up of unresolved claims... claims management and follow up of unresolved claims . 18. Routinely reviews workflows for process improvement and… more
- Cleveland Clinic (Independence, OH)
- DME Intake Specialist Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work ... and guidelines ensuring accuracy and an outstanding patient experience. + Review insurance policies, and reviews and interprets clinical notes, clinical testing… more
- Open Mind Health (OH)
- POSITION DESCRIPTION BILLING SPECIALIST LOCATION: REMOTE REPORTS TO: CHIEF OPERATING OFFICER ABOUT OPEN MIND HEALTH We are a collaborative team of mind-body-spirit ... that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also...the spirit of Kaizen (continuous improvement). JOB RESPONSIBILITIES + Review completed encounters on an ongoing basis and submit… more
- Trinity Health (Columbus, OH)
- …within required Plan timeframes and according to Plan documentation policies + Review , investigate and advise providers regarding claims status and payment ... analysis, audit, provider relations and more. **About the job:** Provider Service Specialist responds in a timely and accurate manner to provider inquiries made… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Molina Healthcare (OH)
- …requests for appeal into information system and prepares documentation for further review . + Research issues utilizing systems and other available resources. + ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- GAP Solutions Inc (Columbus, OH)
- **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 ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more