- OhioHealth (Columbus, OH)
- …patient payment plans, ensuring accuracy of information placed in information systems and billing systems. Works electronic medical record work queues to correct ... 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… more
- Molina Healthcare (Columbus, OH)
- … Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- OhioHealth (Columbus, OH)
- …careers and in our communities. **Job Description Summary:** This position submits medical billing to the appropriate party, works insurance edits/errors, ... follows-up on adjudication of claims , works payer rejections and denials. This position primarily...regarding information needed or to obtain status of insurance claims . **Responsibilities And Duties:** Performs accurate review, analysis, and… more
- Cardinal Health (Columbus, OH)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of responsibilities ... dictated below with guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims :...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Elevance Health (Mason, OH)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- OhioHealth (Columbus, OH)
- …Network and OhioHealth Physician Enterprise. Position also responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as ... failed claims team who works internal failed claims and also works with departments regarding medical...compliance with Revenue Cycle targets for resolution of failed claims . 15% 3. Coordinates billing /coding activities with… more
- Elevance Health (Mason, OH)
- …improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Highmark Health (Columbus, OH)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor… more
- Aston Carter (Chagrin Falls, OH)
- Job Title: Order Fulfillment Specialist Job Description The Order Fulfillment Specialist plays a crucial role in ensuring adherence to audit procedures for price ... finance department from provided documentation. + Review and remove billing /credit blocks on other associates' entries. + Create credits...blocks on other associates' entries. + Create credits for claims approved to be processed out of CRM from… more
- Morley (Columbus, OH)
- …some queues are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance ... **_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist : careers.morleycompanies.com | chat hours: 8 am - 5 pm Eastern time… more