- Molina Healthcare (Akron, OH)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5… more
- Kyndryl (Columbus, OH)
- …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more
- Molina Healthcare (OH)
- …Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education** ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more
- Molina Healthcare (Cincinnati, OH)
- …release notes to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and files that support ... or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, performing… more
- Molina Healthcare (Akron, OH)
- …vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Columbus, OH)
- …and business leaders to enable enterprise wide capabilities. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and Processing. + Develop and enforce operating procedures… more
- The Cigna Group (Independence, OH)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- Cognizant (Columbus, OH)
- **Facets Healthcare Developer** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00065752001** **About the role** As a **Senior Developer** , you will ... make an impact by designing, developing, and deploying robust solutions for healthcare platforms. You will be a valued member of the delivery team and work… more
- The Cigna Group (Cleveland, OH)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more