- 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
- CVS Health (Columbus, OH)
- …by the stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with ... This challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider… 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 (Akron, OH)
- …Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including ... Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility… 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 ... ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:**...is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for… more
- Molina Healthcare (Cincinnati, 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
- Trinity Health (Columbus, OH)
- …+ In conjunction with the 3rd party vendor, create/maintain DLT's for claims processing staff **Minimum Qualifications** + .Education: Associate or Bachelor's ... **Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims that do… more
- Elevance Health (Mason, OH)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... The ideal candidate has experience working in leading healthcare payer claims / revenue cycle management (RCM) organizations, with specific understanding in… more
- Cognizant (Columbus, OH)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a… more