- Cleveland Clinic (Cleveland, OH)
- …Information Technology/Computer Science, Health Sciences, Healthcare Admin or related field and six years of system implementation experience, including directing, ... future caregiver include: + EPIC Revenue Cycle certification (can be HB, PB or claims ) + Proficiency in revenue cycle building Our caregivers continue to create the… more
- WTW (Cleveland, OH)
- …phone and face to face with clients. + Champion the proper advocacy of claims . + Participate in stewardship meetings. + Support Client Management team in identifying ... **The Requirements** + Bachelor of Arts/Bachelor of Science degree in related field of study preferred + Valid State-relevant insurance license(s) only add this… more
- Ford Motor Company (Brook Park, OH)
- …Launch activities **You'll have ** + Bachelor's degree or equivalent experience in a relevant field + 5+ years of experience **Even better, you may have ** + Quality ... Data Cubes/Common Metrics + Balanced Single Agenda for Quality (BSAQ) + Early Claims Binning (ECB) + GSAR Warranty Tracking System + Quality Leadership System… more
- Elevance Health (Mason, OH)
- …care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... license in applicable state(s) required. + BA/BS or higher in a health related field or certification as a care manager preferred. + Knowledge of medical management… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …interest from sub-custodians. + Research causes for overdrafts and prepare claims to Investment Manager and/or Securities Lending agent as needed SUPERVISORY ... REQUIRED: + Bachelor's degree in business, finance, accounting or related field or equivalent work experience. + Reconcilement experience preferred. + Minimum… more
- Molina Healthcare (Cincinnati, OH)
- …Education** + Bachelor's degree or equivalent experience in a relevant field (eg, Health Informatics, Public Health, Computer Science, Statistics) **Required ... programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets… more
- Medical Mutual of Ohio (OH)
- …MMO. Identifies and implements short-term and long-term (eg, Out of Network Claims ) process improvements. . Develops innovative methods to improve provider and ... . Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field . . In lieu of Degree, may consider equivalent combination of… more
- Medical Mutual of Ohio (OH)
- …Experience** . Bachelors Degree in health care administration, public health, or related field . . 3 years' experience as a HEDIS Quality Improvement Analyst or ... . Ability to utilize certified HEDIS software. . Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data. . Advanced knowledge of NCQA… more
- Elevance Health (Mason, OH)
- …of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. **Minimum Requirements:** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of… more
- KPH Healthcare Services, Inc. (Brecksville, OH)
- …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... + Preferred: AS Degree or Higher in Business Administration or related field **Experience:** + Preferred: Hospital, Long-term Care or Retail pharmacy experience… more