- Humana (Columbus, OH)
- …rates for complex accounts + Experience analyzing a wide variety of health or claims related data + Industry Related course work is preferred but not required. + ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Walgreens (Kent, OH)
- …party processing, filling, and dispensing prescriptions. + Assists pharmacists and other healthcare providers in delivering patient care and services that are within ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- OhioHealth (Columbus, OH)
- …Job Description:** **SPECIALIZED KNOWLEDGE** Must have in-depth knowledge of healthcare revenue cycle operations-including billing, coding, claims , and ... you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully… more
- CenterWell (Columbus, OH)
- …CMS, PQA, HEDIS and NCQA. Applying those technical specifications to transactional claims to generate member level reporting for business owners. Developing study ... make an impact** **Required Qualifications** + Bachelor's degree in Mathematics, Statistics, Healthcare , Informatics, Computer Science or related field + 5 or more… more
- CVS Health (OH)
- …high level of customer service, responding promptly, and following established claims protocols and guidelines when interacting with our internal business partners. ... **Required Qualifications** + 1-2 years experience in healthcare document drafting. + 1-2 years of customer service experience **Preferred Qualifications** + 3 years… more
- CVS Health (OH)
- …position is open in a data engineering team that is responsible for processing Claims , Revenue, and Medicare Specific files and data from 30+ payors into our Data ... data streaming technologies (eg, Kafka). **Preferred Qualifications** + Familiarity with healthcare data and healthcare insurance feeds + Familiarity with… more
- Elevance Health (Mason, OH)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Bon Secours Mercy Health (Defiance, OH)
- …At Bon Secours Mercy Health, we understand the many complexities of life and healthcare , which is why our team strives to create a better, easier experience. Our ... + Gets employees back to work quickly and safely + Helps complete worker's compensation claims + Reduces the risk of future issues + Take advantage of a wider… more
- Elevance Health (Toledo, OH)
- …person-centered care plans. May also assist in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a high school diploma ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Highmark Health (Columbus, OH)
- …years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in an ... Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider… more
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