- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
- Molina Healthcare (Cincinnati, OH)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- Molina Healthcare (Cincinnati, OH)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- Molina Healthcare (OH)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
- Molina Healthcare (Columbus, OH)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for… more
- OhioHealth (Columbus, OH)
- …to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims , works payer rejections and denials . This position primarily ... practices regarding information needed or to obtain status of insurance claims . **Responsibilities And Duties:** Performs accurate review, analysis, and correction… 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 ... also engage in timely follow-up to billing disputes, claim denials , and any other intervening issue that has the...that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also… more