NewPI Medical Coding Reviewer II (CPC, RHIT or RHIA required) CareSourcePI Medical Coding Reviewer II (CPC, RHIT or RHIA required)Dayton, OH$54,500–$87,300 / yearJob Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of medical record audit activities, dispute support as needed, medical records work queues as well as claim reviews for provider pre-payment and post-payment functions. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
BILLING & CODING COMPLIANCE ANALYST Premier Health PartnersBILLING & CODING COMPLIANCE ANALYSTDayton, OHCCS - Certified Coding Specialist An AHIMA credential for advanced-level coders skilled in inpatient and outpatient coding, data quality, and DRG assignment. Definitions: RHIA - Registered Health Information Administrator A credential from AHIMA for professionals who manage health information systems, ensure data integrity, oversee compliance with privacy laws, and often hold leadership roles in HIM departments.
Professional Coding Fee Analyst Dayton Children's HospitalProfessional Coding Fee AnalystOHJob Details: Ensures the accuracy, efficiency, and maximum financial return of Dayton Children''s professional billing claims for reimbursement. Ensures billing compliance; maintains knowledge of CPT and ICD-10 coding guidelines, as well as Medicare/Medicaid billing rules and regulations.
NewMedical Billing Specialist Equitas Health, Inc.Medical Billing SpecialistDayton, OH$23.56–$32.98 / hourPart timeWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
NewMedical Billing Specialist Equitas HealthMedical Billing SpecialistDayton, OhioWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorOH$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewTeam Lead, Program Integrity (Triage) CareSourceTeam Lead, Program Integrity (Triage)Dayton, OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Team Lead, Program Integrity drives and encourages innovative investigative processes and workflows to reduce turnaround time and produce positive investigative outcomes.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorOH$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
BILLING QA COMPLIANCE SPEC Premier Health PartnersBILLING QA COMPLIANCE SPECDayton, OHCustomer Focus (15): is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect. Dealing with Ambiguity (2): can effectively cope with change; can shift gears comfortably; can decide and act without having the total picture; isn't upset when things are up in the air; doesn't have to finish things before moving on; can comfortably handle risk and uncertainty.
Director, Pharmacy Clinical Strategy(Preferred Experience in Medical Drug Management Strategy) CareSourceDirector, Pharmacy Clinical Strategy(Preferred Experience in Medical Drug Management Strategy)Dayton, OH$135,600–$237,400 / yearJob Summary: The Director, Pharmacy Clinical Strategy leads the strategic development of formulary management best practices & industry-leading, market-competitive formulary and medical drug strategies across all CareSource lines of business and markets. Essential Functions: Ensures the efficient operational management of the formulary and medical drug management and clinical policy/criteria development teams with emphasis on execution, outcomes, continual improvement and performance enhancement.
Practice Manager - Specialty Care Offices- Wilson Health Medical Group Wilson HealthPractice Manager - Specialty Care Offices- Wilson Health Medical GroupSidney, OHEmployer Direct Care Clinic - free medical care and pharmacy services for eligible employees and dependents • Free onsite employee fitness center • Generous paid time off beginning day one • Medical, Dental, and Vision Insurance coverage begins day one • HSA with employer contribution FSA options available • Company-paid Life Insurance, Long-Term Disability, and Salary Continuation • Voluntary Accident, Critical Illness, Life, and AD&D Insurance • Industry-leading retirement plan with employer contributions starting day one • Tuition Assistance Program. The Practice Manager oversees daily operations and strategic performance of Specialty Care offices, ensuring high-quality patient care, efficient clinic workflows, engaged staff, and strong financial outcomes.
Accounts Representative Grand Lake Health SystemAccounts RepresentativeSt. Marys, OhioPrepare, review, and submit electronic and paper claims to insurance carriers (Medicare, Medicaid, commercial payers). Communicate professionally with patients regarding billing questions and payment arrangements.
NewSoftware Administrator - On Site Goodwill Easter Seals Miami ValleySoftware Administrator - On SiteDayton, OHConstruct system configuration changes, including (but not limited to): Flow, assignment rules, approval processes, fields, page layouts, record types, apps, actions, custom settings, mobile administration, dashboards, reports, activities, procedures, modifiers, fee matrices, and payers. The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job and/or apply for the position, absent undue hardship.
PHYSICIAN ADVISOR Premier Health PartnersPHYSICIAN ADVISORDayton, OHThe Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that documentation accurately reflects the clinical complexity, severity of illness, and quality outcomes of Premier Health's patient population. The Physician Advisor - CDI, Coding & Quality serves as a key clinical leader supporting Premier Health's goals to advance documentation accuracy, revenue integrity, and quality performance across the health system.
Medical Scribe CVS Health CorpMedical ScribeDayton, OH$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Chief Simulation Architect | The System Sage Infinity LabsChief Simulation Architect | The System SageDayton, OhioWhat We offer: As a nationally recognized Great Place to Work® and Military Times® Best for Vets: 2025 Employer, we prioritize employee well-being and experience, fostering a culture that values dedicated teams and committed individuals. Your work may include: Leading a highly technical, fast-paced team developing MS&A frameworks and digital engineering environments for the DoW.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerOHRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Program Integrity Clinical Reviewer II (Readmission experience preferred) CareSourceProgram Integrity Clinical Reviewer II (Readmission experience preferred)Dayton, OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Excellent written and verbal communication skills with adeptness to create, present and evaluate present department, role-focused teaching materials across topics.
(unposted) Home Health Registered Nurse (RN) - Eaton, OH UnitedHealth Group Inc(unposted) Home Health Registered Nurse (RN) - Eaton, OHEaton, OH$32.25–$48.40 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or from UnitedHealth Groups email domains or those of any of its operating divisions, supposedly conduct an interview via a Zoom meeting, offer a work-from-home job at Optum, email an application, send a fake check by next-day delivery through USPS, and ask recipients to pay a vendor a large dollar amount. Clinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog.
NewAccounts Receivable Specialist Dayton Physicians NetworkAccounts Receivable SpecialistVandalia, OHEssential Duties and Responsibilities: Reviews all outstanding claims filed to designated payers and/ or patient accounts for which payment or denial has not been received within 28 days of billing; Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets; Utilizes the capabilities of practice management system to correct and/or appeal as necessary; Utilizes the designated payer websites for effective follow-up and claim rebills; Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections; Attend webinars as well as various teaching seminars sponsored by designated payers; Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility; Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims; Maintains compliance with FDCPA at all times; Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values; Other duties as assigned. Accounts Receivable Specialist requires knowledge of claims processing in a managed care environment, commercial payer environment along with government payers and knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients.
PATIENT FINANCIAL ADVOCATE- HYBRID Premier Health PartnersPATIENT FINANCIAL ADVOCATE- HYBRIDOH3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred.
PATIENT FINANCIAL ADVOCATE - HYBRID Premier Health PartnersPATIENT FINANCIAL ADVOCATE - HYBRIDDayton, OH3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred.
Sr. Staff / Senior DevSecOps Engineer SciTecSr. Staff / Senior DevSecOps EngineerDayton, OHFor the past forty-five plus years, we have supported Department of Defense customers by developing innovative remote sensing algorithms, tools, and techniques to deliver world-class data exploitation capabilities supporting missile defense; intelligence, surveillance, & reconnaissance; space domain awareness; and aircraft survivability missions. The ideal candidate is a strong individual contributor with deep Configuration as Code (CaC), Infrastructure as Code (IaC), and Kubernetes expertise ready to make a real impact and solve complex challenges with passion.
Software Developer Torch Technologies IncSoftware DeveloperOHWorking alongside cybersecurity engineers, network engineers, network/server administrators, and a dedicated engineer, you will contribute to a culture of security and automation throughout the software development lifecycle. As a Software Developer your duties will include the following, but are not limited to: Architecture, Design & Innovation: Collaborate with cybersecurity engineers and other developers to design and implement secure software architectures.
Web Developer Alakaina Foundation Family of CompaniesWeb DeveloperDayton, OHBAH includes Keaki Technologies, LLC; Laulima Government Solutions, LLC; Kpono Government Services, LLC; Kapili Services, LLC; Po`okela Solutions, LLC; Kkaha Solutions, LLC; and Pololei Solutions, LLC. This includes writing requirements, creating system design documents, relational database diagrams (ERDs), test plans, deployment plans, training material, and other project management artifacts.
MEDICAL CENTER REPRESENTATIVE Premier Health PartnersMEDICAL CENTER REPRESENTATIVEDayton, OHThe Medical Center Representative is responsible for general clerical, receptionist, billing, referrals, patient registration, customer service for the operation of the business office in a medical center. The MCR is responsible for daily scheduling, incoming calls, patient registration, billing/collection functions, and other duties as assigned.