- NTT DATA North America (Columbus, OH)
- …methodology/ fee schedule **Job Requirements and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate** to work for our end client and their team. **Long Term… more
- Humana (Columbus, OH)
- …+ 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system navigation, payment workflows, ... This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a… more
- Molina Healthcare (Columbus, OH)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... equivalent combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is… more
- IQVIA (Columbia, OH)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- Molina Healthcare (Cincinnati, OH)
- …**Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent ... combination of education and experience **Preferred Experience** 5-7 years claims processing preferred To all current Molina employees: If you are interested in… more
- Cognizant (Columbus, OH)
- …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must ... Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication… more
- Molina Healthcare (Dayton, OH)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Molina Healthcare (Cleveland, OH)
- …to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims… more
- Elevance Health (Mason, OH)
- …+ Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide ... ** Claims Auditor I** **Virtual:** This role enables associates...and stop loss submission, including decision methodology, system or processing errors, and monetary discrepancies. + Provide feedback on… more
- Cognizant (Columbus, OH)
- …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
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