- Elevance Health (Mason, OH)
- **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments… more
- Cardinal Health (Columbus, OH)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing… more
- Otsuka America Pharmaceutical Inc. (Akron, OH)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital tools, offering… more
- Otsuka America Pharmaceutical Inc. (Toledo, OH)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise on… more
- Cognizant (Columbus, OH)
- …Determine if the appeal or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims ... **Appeals & Grievance Specialist (remote)** This is a remote position open...maintain a high level of integrity and confidentiality of medical information Knowledge of data entry and transcription **Salary… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...in the applicable software systems (ie, MSA Toolbox, RX Claim ) + Other responsibilities as assigned **Minimum Qualifications** +… more
- CDM Smith (Columbus, OH)
- …ID:** 40506BR **Business Unit:** FSU **Job Description:** The FEMA Architectural Specialist : * Conducts site inspections to validate and record infrastructure ... and engineering reports, designs, and as-built plans. Makes recommendations regarding claim eligibility. * Develops or evaluates hazard mitigation proposals and… more
- CDM Smith (Cincinnati, OH)
- …ID:** 40483BR **Business Unit:** FSU **Job Description:** The Disaster Planning Specialist : * Provides technical recommendations and assists with the development of ... field, reviews FEMA Public Assistance applicant data, and makes recommendations regarding claim eligibility. * Documents damages, scopes of work and estimated costs… more
- Chipotle Mexican Grill (Columbus, OH)
- …mission to make better food accessible to everyone. **THE OPPORTUNITY** As the Specialist , Customer Incident, you will support the protection of the Chipotle brand ... in line with approval thresholds and policies. + Partner with third party claims administrator on cases requiring formal claims handling, providing timely,… more
- Bon Secours Mercy Health (Oberlin, OH)
- …POS (Point of Service Collections) and billing processes to assist with a clean claim rate. Responsible for accurately screening of medical necessity using the ... clinicians are recognized for clinical and operational excellence. **_Patient Access Specialist - Allen Hospital_** **THIS IS A COLLECTIVE BARGAINING UNIT POSITION**… more