- Molina Healthcare (Akron, OH)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... and problems including, but not limited to, claim denials/curtailments and claim payment offsets. + Moderate working knowledge of all Default Servicing processes up… more
- Molina Healthcare (Cincinnati, OH)
- …and prepares written response to incoming provider reconsideration requests related to claims payment , requests for claim adjustments, and/or requests from ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- Travelers Insurance Company (Columbus, OH)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
- Carrington (Columbus, OH)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... Fee notices, Payment Change Notices and the Closing process for accuracy...the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of… more
- Otsuka America Pharmaceutical Inc. (Cleveland, OH)
- …of everyday health. In its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... healthcare providers, with a focus on customer-centricity. The Hospital Specialist will report directly to the respective Area Business...ask for financial information of any kind or for payment of money during the job application process. We… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …QC & compliance departments. + Work the monthly trial balance analysis report, payment change & surplus reports (monitored by FDICIA and Sarbanes Oxley) to ensure ... RESPA guidelines. + Review & document any accounts with payment increases or decreases that fall outside of the...Bancorp requirements. + Review, approve or deny & pay claims for tax provider that result in 5/3 charge… more
- Molina Healthcare (Cincinnati, OH)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Molina Healthcare (OH)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more