Healthcare EDI Implementation & Support Specialist Quadax Careers & CultureHealthcare EDI Implementation & Support SpecialistMiddleburg Heights, Ohio$50,000–$60,000 / yearThe role requires sound judgment, the ability to quickly learn new concepts and processes, and effective communication with employees, customers, and business partners at all organizational levels. Conduct discovery sessions, manage project plans and timelines, facilitate status meetings, and provide implementation reporting.
Akron General - Business Office Specialist Regent SurgicalAkron General - Business Office SpecialistAkron, OhioThis role requires strong communication with patients, internal colleagues, and physician’s offices, attention to detail, and knowledge of healthcare insurance plans, billing procedures, and other primary functions associated with a medical practice. Under the direction of the Business Office Manager, or Center Administrator, the Business Office Specialist (BOS) can assume responsibility for multiple business office functions based on the needs of the Center.
Service Continuity & Patient Branch Support Specialist Medical Service CompanyService Continuity & Patient Branch Support SpecialistElyria, OhioThe Service Continuity & Patient Branch Support Specialist plays a key role in managing the renewal of durable medical equipment rentals and delivering excellent patient service in a branch setting. This position is responsible for processing Reasonable Useful Life (RUL), Beneficiary Entering Medicare (BEM), and re-qualification orders, while ensuring accurate documentation, insurance compliance, and timely billing.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Cleveland, OHRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Hybrid Accounts Receivable Specialist 835715 StiversHybrid Accounts Receivable Specialist 835715Akron, OHYou'll work closely with finance, sales, and customer success teams to foster strong relationships and resolve billing issues, ultimately helping the company improve financial health and operational efficiency. As an Accounts Receivable Specialist , you'll play a pivotal role in managing the company's receivables, ensuring accurate and timely collections, and supporting strategic cash flow initiatives.
Associate Chiropractor- Physio specialist HealthSource ChiropracticAssociate Chiropractor- Physio specialistFairlawn, OhioPlan, prepare, and deliver individualized physical treatment programs to maintain, improve, or restore function, alleviate pain, and prevent dysfunction using clinic modalities (spinal manipulation, soft tissue therapies, dry needling, Class IV laser, spinal decompression, PIR stretching, and active rehabilitation). Our multidisciplinary approach utilizes advanced modalities including spinal manipulative therapy, soft tissue manual therapies, dry needling, Class IV laser therapy, spinal decompression, post-isometric relaxation (PIR) stretching, and active musculoskeletal rehabilitation.
Insurance Verification Specialist Medical Service CompanyInsurance Verification SpecialistCleveland, OhioThe analyst may conduct outreach to patients and/or payers via phone or other communication modalities and research multiple internal and external systems to identify correct insurance coverage when information is incomplete, conflicting, or unavailable. The Eligibility & Benefits Analyst is responsible for verifying, reviewing, and confirming patient insurance eligibility and benefits information to support accurate intake, authorization, and billing processes.
Office Administrator (Accounts Payable Specialist) ITSOffice Administrator (Accounts Payable Specialist)Cleveland, OH$26–$30 / hourThis hybrid role combines comprehensive office management and administrative support with payroll processing and internal bookkeeping. If you are a detail-oriented professional seeking long-term stability, competitive pay, and excellent benefits, apply today to join a growing, collaborative team.
Payroll Specialist Nesco Resource, LLCPayroll SpecialistHighland Hills, OH$20 / hourThis role reviews payroll and invoice data for accuracy, finalizes payroll and billing, prepares customer packets for distribution, and ensures all payrolls and invoices are completed within required deadlines. Review client payroll data for accuracy, including taxing jurisdictions and payroll balances across multiple databases.
PASS Specialist Planned Parenthood of Greater OhioPASS SpecialistAkron, OHQualified Associates who demonstrate fluency in a needed language, including Spanish, Nepali, or Somali depending on the geographic service area, may receive a $1.00-per-hour differential following successful completion of the language assessment. You will work closely with patients, clinical teams, and community partners to help ensure patients receive timely, coordinated, and respectful support.
Intake & Admissions Specialist Applewood CentersIntake & Admissions SpecialistCleveland, OHFull timeA State of Ohio Social Work, Counseling or MFT License; an independent license (LPCC, LISW, or LIMFT) is preferred, but willing to consider LSW, LPC, or LMFT license with strong assessment experience. Review clinical information on children referred to programming from both internal and outside referral sources to determine appropriateness and refer families out to other community resources as needed.
NewMedical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOHRemote$20.45–$24.70 / hourRemain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
Customer Service Manager - Industrial Distribution - Platinum Accounts OTC Industrial TechnologiesCustomer Service Manager - Industrial Distribution - Platinum AccountsOakwood Village, OHOhio Transmission & Pump is a division of OTC Industrial Technologies — one of the largest industrial distribution and service companies in the U.S. Our West Chester, OH team serves customers across automation, motion control, and fluid handling with deep technical expertise and a strong service culture. Own platinum & key accounts: Serve as the senior escalation point, participate in customer meetings and site visits, and leverage deep customer knowledge to deliver targeted service solutions.
Payment Applications Specialist UnitedHealth Group IncPayment Applications SpecialistCuyahoga Falls, OH$18–$32 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Soft Skills: The incumbent will have the ability to effectively interact with populations of the patient (and his or her representative) with a sensitivity to the communication needs (other language, deaf or blind) and with an understanding of their needs for self-respect and dignity.
Pharmacy Adjudication/Reimbursement Specialist - Immediate Opening workatabsolutePharmacy Adjudication/Reimbursement Specialist - Immediate OpeningNorth Canton, OhioThis role is essential in ensuring accurate billing and reimbursement for prescriptions by verifying patient and insurance information, resolving claim issues, and maintaining compliance with payer regulations and guidelines. As a Reimbursement Specialist, you will play a vital role in supporting our mission by ensuring accurate, timely billing and exceptional customer service.
Medicaid Eligibility Specialist Cuyahoga County Board of Developmental DisabilitiesMedicaid Eligibility SpecialistHighland Hills, Ohio$56,385–$63,000 / yearThe nature of work will include but is not limited to the following: Maintain daily communication and consultation with the Specialized Medicaid Benefits Center (SMBC) staff, Community Medicaid Caseworkers, and Support Administrators regarding scheduled appointments, required verifications to complete eligibility, and results of initial and renewals interviews for waiver applicants/enrollees. On behalf of services include: receiving and processing JFS and ODM notices, gathering additional required verifications to complete initial and renewal packets, maintaining a log to track case specific communication, scanning submitted verifications to SMBC into OnBase, and attending interviews and Medicaid hearings.
Chiropractic Assistant/Rehab Specialist HealthSource ChiropracticChiropractic Assistant/Rehab SpecialistFairlawn, OhioWe’re a fast-paced chiropractic and physiotherapy clinic where we combine hands-on care, corrective exercise, and modern therapies to help patients move better, feel stronger, and return to the activities they love. Access ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career.
Exercise Rehab Specialist and Chiropractic Assistant HealthSource ChiropracticExercise Rehab Specialist and Chiropractic AssistantRocky River, OhioAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. We are a fast-paced, upbeat chiropractic and progressive rehab clinic helping patients get back to doing what they love through chiropractic care, exercise therapy, and other wellness services.
Customer Accounting Specialist (Atlanta, GA; Broadview Heights, OH or Peoria, IL) RLI CorpCustomer Accounting Specialist (Atlanta, GA; Broadview Heights, OH or Peoria, IL)Broadview Heights, OH$21.01–$27.96 / hourThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
Customer Accounting Specialist (Atlanta, GA; Broadview Heights, OH Or Peoria, IL) RLI Corp.Customer Accounting Specialist (Atlanta, GA; Broadview Heights, OH Or Peoria, IL)Broadview Heights, OH$21.01–$27.96 / hourThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.