- 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
- Robert Half-Robert Half Corporate (Columbus, OH)
- **JOB REQUISITION** Operational Support Administrator **LOCATION** OH COLUMBUS **JOB DESCRIPTION** Robert Half is seeking an **Operational Support Administrator ... valued and fulfilled in their roles. **Join our community as an Operational Support Administrator and advance your career as you help us shape our future.** **What… more
- Elevance Health (Mason, OH)
- …Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.… 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
- WelbeHealth (Columbus, OH)
- …members needing a leave of absence. Working closely with our third-party administrator for leave administration, this role will oversee and administer all aspects ... compensation carrier to oversee the handling and resolution of claims Compliance & Reporting + Ensure compliance with federal,...business working hours + Full medical, dental, and vision insurance , beginning day one + Work/life balance - we… more
- BrightSpring Health Services (Columbus, 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
- 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