- Medical Mutual of Ohio (Brooklyn, OH)
- …collective experience, training, and education. + 5 years experience in health insurance claims and/or customer service or related operational area. Technical ... consider collective experience, training and education. + 2 years as a Benefit Administrator I-TPA or equivalent experience in health insurance in a contracts,… more
- Elevance Health (Mason, OH)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Elevance Health (Mason, OH)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Mason, OH)
- …Coding Education Associate** is responsible for the comprehensive analysis of claims data to generate refined and industry-relevant concepts that govern the ... in regulations and industry standards to recommend concepts. + Conducts analyses of claims data to bolster the creation of educational concepts. Launch of education… more
- Bath & Body Works (Columbus, OH)
- …processes while adhering to company policy. Responsibilities + Administer specific claims as determined by management + Maintain focus on claim administration ... manager. + Serve as a liaison between associate and third- party administrator and communicate to associate/managers as appropriate. + Display flexibility and… more
- BrightSpring Health Services (Cambridge, OH)
- …timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + Trains staff on ... must comply with state law. Exceptions must have written approval of the Administrator or designee + Valid driver's license from state of residence with a… more
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