Data Specialist Integrated Resources, IncData SpecialistColumbus, OhioContractorRequired Experience: 0-2 years Managed Care experience in Claims, provider services, Provider Network Operations, hospital or physician billing, etc. · Ability to establish and maintain positive and effective work relationships with co-workers, clients, members, providers and customers.
Care Review Processor Integrated Resources, IncCare Review ProcessorColumbus, OhioContractorIncluding: Verify member eligibility and benefits, Determine provider contracting status and appropriateness, Determine diagnosis and treatment request Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), Determine COB status, Verify inpatient hospital census-admits and discharges, Perform action required per protocol using the appropriate Database. Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for Members.
Credentialing Specialist Integrated Services for Behavioral HealthCredentialing SpecialistColumbus, OH$23.85–$28.02 / hourMaintain contracted Managed Care Organizations, commercial payers, CMS Medicare, Medicaid, PECOS, NPPES, and CAQH tracking log to ensure all necessary portals logins are active and available. Work with individual providers to ensure each provider's CAQH database files are updated in a timely manner according to the schedule published by CMS, Medicare/ Medicaid, and Managed Care Organizations regulations.
Client Insurance Specialist Integrated Services for Behavioral HealthClient Insurance SpecialistColumbus, OH$20.97–$24.56 / hourThis position is responsible for monitoring client insurance renewals and coverage changes, educating staff on payer requirements and processes, serving as an escalation point for complex insurance-related questions and providing information on self-pay options and good faith estimates to patients served. The specialist works collaboratively with clinical, intake, billing and leadership teams to support continuity of care and maximize client access to behavioral health services within an Ohio community mental health setting.
AR & Collections Manager AssetWatch, Inc.AR & Collections ManagerDublin, OHRemote$92,000–$114,000 / yearThe AR & Collections Manager owns the Company's end-to-end accounts receivable and collections function, including the full collections lifecycle, cash receipts, payment method optimization, unapplied payment resolution, new customer onboarding, and DSO management. Operating in a high-volume SaaS billing environment with rapid customer growth, this role is responsible for building a high-performing collections team, designing and driving achievement of collection goals, and implementing processes that scale.
Quotations Specialist - Power Distribution Graybar Electric Company, Inc.Quotations Specialist - Power DistributionColumbus, OHLet us know you're interested in a future opportunity by clicking Introduce Yourself in the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest! You will communicate with Graybar sales representatives, customer service representatives, customers and manufacturer representatives to gather needed details to create your quotes.
Planning/Layout/Design Specialist Lighthouse Electric Co.Planning/Layout/Design SpecialistColumbus, OhioDemonstrates a willingness to learn and efficiently use software such as BIM360, Bluebeam, Microsoft Excel and Outlook, Navisworks, Revit, and file sharing platforms. For decades, we’ve built a reputation for delivering high-quality electrical construction solutions on complex commercial and industrial projects.
Professional Coding Auditor-Educator WVU MedicineProfessional Coding Auditor-EducatorOhio1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Payer Relations Manager - Central HeartFlowPayer Relations Manager - CentralColumbus, OHRemote$140,000–$145,000 / yearNegotiating, securing, and managing regional contracts with appropriate cross-regional and national payer accounts, including, but not limited to, managed care plans (MCOs), Accountable Care Organizations (ACOs), health systems, insurance companies and potentially, self-insured employers. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis).
Bim/Cad Specialist - Mechanical Kokosing Construction Co., Inc.Bim/Cad Specialist - MechanicalWesterville, OHKokosing's services include heavy civil/industrial construction such as highways, bridges, underground utilities, water/wastewater facilities, and marine construction. For over 75 years, Kokosing has successfully attracted the most qualified technical personnel in the construction industry by offering visible challenges, superior quality, and attractive rewards.
Employee Benefits Account Manager HigginbothamEmployee Benefits Account ManagerDublin, OhioThe Account Manager acts as a trusted advisor, leading renewal strategies, client meetings, employee communications, and ongoing benefit program management to support client objectives and long-term success. The Account Manager, Employee Benefits serves as the primary relationship manager for assigned employee benefits clients, ensuring exceptional service, client retention, and strategic benefits planning.
NewCATIA Data Management Administrator Actalent IncCATIA Data Management AdministratorMarysville, OH$33–$36 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Product Specialist - Manufacturing Vertiv Holdings, LLCProduct Specialist - ManufacturingWesterville, OHVertiv solves the most important challenges facing today's data centers, communication networks and commercial and industrial facilities with a portfolio of power, cooling and IT infrastructure solutions and services that extend from the cloud to the edge of the network. The Manufacturing ERP Product Specialist is responsible for driving business value and operational excellence by evolving ERP capabilities through targeted enhancements, process improvements, and strategic initiatives.
Virtual Design Construction Specialist Lighthouse Electric Co.Virtual Design Construction SpecialistColumbus, OhioA VDC Specialist III is responsible for VDC Specialist I and II activities and the following: Acts as a mentor/leader within projects teams and within the department as a whole. BIM360, Bluebeam, Microsoft Excel, and Outlook, Navisworks, Revit, and file sharing platforms Above required for VDC II and higher .
Certified Pharmacy Technician (Full-Time / Rotating) - Pharmacy - Mount Carmel St. Ann's Trinity Health CorporationCertified Pharmacy Technician (Full-Time / Rotating) - Pharmacy - Mount Carmel St. Ann'sWesterville, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. These functions may include unit dose dispensing, sterile compounding, non-sterile compounding, medication packaging, inventory control, record keeping and billing, and use of equipment and automated technology.
Certified Pharmacy Technician (Mon-Thu Night Shift 10Hr Shifts) Trinity Health CorporationCertified Pharmacy Technician (Mon-Thu Night Shift 10Hr Shifts)Columbus, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. These functions may include unit dose dispensing, sterile compounding, non-sterile compounding, medication packaging, inventory control, record keeping and billing, and use of equipment and automated technology.
Certified Pharmacy Technician Fri Sat Sun Nights Trinity Health CorporationCertified Pharmacy Technician Fri Sat Sun NightsColumbus, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. These functions may include unit dose dispensing, sterile compounding, non-sterile compounding, medication packaging, inventory control, record keeping and billing, and use of equipment and automated technology.
Certified Pharmacy Technician Rotating 1St And 2Nd Shift Trinity Health CorporationCertified Pharmacy Technician Rotating 1St And 2Nd ShiftColumbus, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. These functions may include unit dose dispensing, sterile compounding, non-sterile compounding, medication packaging, inventory control, record keeping and billing, and use of equipment and automated technology.
Certified Pharmacy Technician - Evening Shift Trinity Health CorporationCertified Pharmacy Technician - Evening ShiftGrove City, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. These functions may include unit dose dispensing, sterile compounding, non-sterile compounding, medication packaging, inventory control, record keeping and billing, and use of equipment and automated technology.
Financial Counselor Trinity Health CorporationFinancial CounselorGrove City, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Shift: Description: Position Purpose: Financial Counselor advocate for the patient and a liaison between Revenue Site Operations (RSO) and Patient Financial Services (PFS).