Clinical Research Finance & CTMS Specialist Gastro HealthClinical Research Finance & CTMS SpecialistCincinnati, OHPartner with site staff to ensure completed visits, procedures, stipends, screen failures, unscheduled visits, and protocolrequired activities are properly documented and financially captured. This role will report to the Finance Department, while working closely with Clinical Research leadership,site managers, coordinators, investigators, sponsors, CROs, and external financial partners.
TCHP Coding Educator The Christ HospitalTCHP Coding EducatorNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
Medical Records Specialist Gastro HealthMedical Records SpecialistCincinnati, OHGastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals.
TCHP Coder Associate - CBO Department Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coder Associate - CBO Department Phys Div Coding - Full Time - DaysNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports.
TCHP Coder Associate The Christ HospitalTCHP Coder AssociateNorwood, OHKNOWLEDGE AND SKILLS: Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports. Demonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsCincinnati, OHFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
NewPrior Authorization Specialist Riverhills NeurosciencePrior Authorization SpecialistCincinnati, OH$18–$22 / hourFull timeYour responsibilities include:Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirementsCoordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determinationFacilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patientsEnsure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin proceduresMonitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheetInitiate patient education on available assistance programsBackground and Experience:1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practicePain Management experience is a plusExperience with an Electronic Medical Record (EMR) and practice management systemKnowledge of Medicare/Medicaid and major insurance carrier's guidelinesWorking knowledge of ICD-9-10 medical coding and billing and medical terminologySuperior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendorsIf you're eager to contribute to a world-class healthcare team, apply today. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.
NewHealth Insurance Specialist CVS Health CorpHealth Insurance SpecialistCincinnati, OH$21.10–$40.90 / hourRole Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention. Patient Relations Analysts are daily key players, particularly during Medicare's Open Enrollment, ensuring that our patients are informed of all their options surrounding Medicare.
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coding Educator - CBO Phys Div Coding - Full Time - DaysNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Mason, OH$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Credentialing Specialist- Medical Payer HealthPoint Family CareCredentialing Specialist- Medical PayerFlorence, KYMaintains Provider credentialing files, initiates NPDB database inquiries, maintains NPPES and CAQH provider databases, and timely completion of Provider enrollment applications. One year of experience in direct credentialing including primary source verification and completion of Medicare/Medicaid/commercial payer and hospital privileging applications.
Accounts Receivable Specialist CFSAccounts Receivable SpecialistMiamisburg, OH$25–$30 / hourThe ideal Accounts Receivable Specialist will have strong communication skills, excellent attention to detail, and the ability to manage customer accounts while maintaining positive client relationships. This is an excellent opportunity for a detail-oriented professional who enjoys working in a fast-paced environment and wants to be part of a company that values its employees, offers outstanding benefits, and provides long-term career growth.
Senior Patient Access Specialist Ensemble Health PartnersSenior Patient Access SpecialistFairfield, OhioPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
NewPatient Access Specialist Ensemble Health PartnersPatient Access SpecialistCincinnati, OhioPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial CorpClaims - No-Fault Litigation Specialist I - IVCincinnati, OH$60,000–$95,000 / year166372'',''true'',''166372'',''false'',''Submission for the position: Claims - No-Fault Litigation Specialist I - IV - (Job Number: 2600596)'',''false'',''166372'',''false'',''true'',''Claims - No-Fault Litigation Specialist I - IV'',''2600596'',''US-OH-Fairfield'',''!*! '',''false'',''166372'',''166372'',''true'',''166372'',''false'',''Submission for the position: Claims - No-Fault Litigation Specialist I - IV - (Job Number: 2600596)'',''false'',''166372'',''false'',''true''.
NewCoding Rep I Cincinnati Children's Hospital Medical CenterCoding Rep ICincinnati, OHRemote$22.18–$27.73 / hourCincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years. Begin or continue your coding career while supporting accurate coding and timely billing across hospital-based ancillary services.
Front Office Specialist and Medical Assistant - Pediatrics - Part-Time TriHealth IncFront Office Specialist and Medical Assistant - Pediatrics - Part-TimeMadeira, OHThis position is cross trained to perform duties in both front and back office to enhance efficiency and continuity of delivery of patient care; work cooperatively within the team concept demonstrating flexibility, motivation and commitment to quality patient care. Demonstrates proficiency in Front Office procedures, collects co-pays, answer phone prior to voice mail, records payment and provides receipts, correctly registers patient demographics, validates demographics per visit.
Front Office Specialist and Medical Assistant- Mason Urgent Care TriHealth IncFront Office Specialist and Medical Assistant- Mason Urgent CareMason, OHDemonstrates proficiency in Front Office procedures, collects co-pays, answer phone prior to voice mail, records payment and provides receipts, correctly registers patient demographics, validates demographics per visit. With walk in access, onsite X rays, low co-pays, and a wide range of services from stitches to flu treatment, you'll make a real difference by providing convenient, affordable care in your community.
Bilingual Patient Service Representative First Flight Health CentersBilingual Patient Service RepresentativeMiamisburg, OHThe Bilingual Patient Service Representative I is responsible for preparing charts for patient visits, including but not limited to: updating and/or entering patients in practice management system, copying insurance card and verifying insurance coverage. The PSR I schedules patient appointments, handles collection/billing activities while providing efficient office support, teamwork and outstanding customer service.
Maintenance Administration Specialist (Fleet Maintenance) Kenton County AP ExternalMaintenance Administration Specialist (Fleet Maintenance)Cincinnati, OhioExtracts and submits reports from the Computerized Maintenance Management System (CMMS), including asset performance reports, employee labor reports, material usage reports, and others as required. Supports daily office operations by responding to incoming calls, preparing and distributing documents, coordinating mailings, and ensuring office supplies are adequately stocked.