- Molina Healthcare (Cincinnati, OH)
- …templates/amendments. + Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting. + Identified as contract system lead ... adequacy standards. + Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital, and ancillary… more
- Discover (Columbus, OH)
- …of $500 to cover the costs of setting up a home office and a $60 monthly payment to offset remote work expenses. With us, you'll do meaningful work from Day 1. Our ... company by assessing each customer situation to provide relevant payment options while strengthening the relationship with our customers....encourage you to apply as soon as possible. The posting may be available past this date, but it… more
- Molina Healthcare (Cincinnati, OH)
- …systems to determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per ... contracts, fee schedules and system configurations to determine root cause of payment error (provider). + Resolves and prepares written response to incoming provider… more
- Molina Healthcare (Columbus, OH)
- …systems to determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per ... contracts, fee schedules and system configurations to determine root cause of payment error. + Resolves and prepares written response to incoming provider… more
- ProMedica Health System (Toledo, OH)
- To facilitate accurate Professional Provider credentialing, billing, posting , and collection for ProMedica Physicians and all other supported entities. ... timely input of billing information into the practice management system for payment . 6. Accurately reviews and updates demographic and insurance information in the… more
- ProMedica Health System (Toledo, OH)
- To facilitate accurate Professional Provider credentialing, coding, billing, posting , and collection for ProMedica Physicians and all other supported entities. ... timely input of billing information into the practice management system for payment . 6. Accurately reviews and updates demographic and insurance information in the… more
- Travelers Insurance Company (Cleveland, OH)
- …such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of ... Techniques - Intermediate + Legal Knowledge - Intermediate + Medical Knowledge - Intermediate **What is a Must Have?**...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
- Elevance Health (Mason, OH)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance… more
- Vontier (Stow, OH)
- …be a member of the Purchasing Organization and will be paired with a Purchasing Specialist to manage a large list of direct material suppliers. The role will be ... terms and conditions negotiations as needed. + Work closely with Purchasing Specialist to manage assigned products and suppliers. + Review and place purchase… more
- Elevance Health (Mason, OH)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation… more