- Elevance Health (Mason, OH)
- **Healthcare Data Specialist ** **Location:** Norfolk, VA; Atlanta, GA; Indianapolis, IN; Mason, OH; Louisville, KY; St. Louis, MO (preferred). This role requires ... is not eligible for current or future visa sponsorship._ The **Healthcare Data Specialist ** is responsible for serving as an expert in data analysis, reporting and… more
- OhioHealth (Columbus, OH)
- …C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system, to include but not ... system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance… more
- Trinity Health (Columbus, OH)
- …ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position ... highest standards of care. We are seeking a detail-oriented and experienced Specialty Medical Coder to join our professional coding team. This role is responsible… more
- Molina Healthcare (Columbus, OH)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- ProMedica Health System (Toledo, OH)
- …work with management to resolve. 17. Maintains current payor knowledge for effective claims management and follow up of unresolved claims . 18. Routinely reviews ... If applicable to position must have the following: * Experience reading hospital/Physician medical records * Detailed understanding of CPT & ICD-9 (10) coding *… more
- ASRC Industrial Services (Cincinnati, OH)
- …& Consulting_ | _Medical, dental, vision, 401k_ | _Full Time_ _| Medical , dental, vision and 401k_ **ABOUT COMPANY** Environmental Quality Management, Inc. (EQM) ... Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an...Cincinnati, OH_ EQM is seeking a junior-level Environmental Compliance Specialist - Project Manager to join our Cincinnati team.… more
- ASRC Industrial Services (Cincinnati, OH)
- …& Consulting_ | _Medical, dental, vision, 401k_ | _Full Time_ _| Medical , dental, vision and 401k_ **ABOUT COMPANY** Environmental Quality Management, Inc. (EQM) ... Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an...Cincinnati, OH_ EQM is seeking an entry-level Environmental Compliance Specialist to join our Cincinnati team. This role blends… more
- Molina Healthcare (Cleveland, OH)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Molina Healthcare (OH)
- …to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. + ... and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists...**C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
- ProMedica Health System (Toledo, OH)
- …work with management to resolve. 17. Maintains current payor knowledge for effective claims management and follow up of unresolved claims . 18. Routinely reviews ... If applicable to position must have the following: Experience reading hospital/Physician medical records Detailed understanding of CPT & ICD-9 (10) coding Detailed… more