NewMedical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOhioRemoteRemain 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.
Patient Accounts - Billing Specialist - Full Time Wilson HealthPatient Accounts - Billing Specialist - Full TimeSidney, OhioWorks closely with Central Scheduling/Registration, Case Management and Medical Records regarding Denials for No Authorizations and/or Medical Necessity to secure appropriate documentation and/or diagnosis to submit a corrected claim or appeal . Wilson Health is looking for a direct hire Billing Specialist for our Patient Accounting Department located in Sidney, Ohio (North Dayton, Ohio) area.
NewPharmacy Prior Authorization and Billing Specialist ProMedicaPharmacy Prior Authorization and Billing SpecialistToledo, OhioAs a Pharmacy Prior Authorization and Billing Specialist, you will perform prior authorizations for medications through medical or pharmacy benefits as determined by the medication and payer, collaborate and communicate with providers and pharmacies to provide timely resolution of authorizations and denials, and may assist in securing patient financial assistance for patients who are under-insured or uninsured. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.
NewPharmacy Prior Authorization And Billing Specialist ProMedicaPharmacy Prior Authorization And Billing SpecialistToledo, OHJob Summary: As a Pharmacy Prior Authorization and Billing Specialist, you will perform prior authorizations for medications through medical or pharmacy benefits as determined by the medication and payer, collaborate and communicate with providers and pharmacies to provide timely resolution of authorizations and denials, and may assist in securing patient financial assistance for patients who are under-insured or uninsured. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.
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.
Billing Specialist Southwoods HealthBilling SpecialistBoardman, OhioThe successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries. Collaboration: Follow up with Coding and Collection Specialists to accurately correct claims; report billing errors or needed policy changes to the supervisor.
Benefits Specialist CommonSail Investment GroupBenefits SpecialistNorth Canton, OHThis classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be. Support the Benefits Manager in preparing for annual enrollment and new hire guides, including working with Communications Manager and Learning & Development on materials and conducting employee sessions.
Medical Billing Specialist – Home Health Southwoods HealthMedical Billing Specialist – Home HealthBoardman, OhioThe successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries. Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims.
Billing Specialist MindlanceBilling SpecialistDublin, OHRemoteThe Billing Specialist is responsible for performing day-to-day billing activities for Urology, Radiation Oncology and Imaging services. " Working knowledge of CPT, ICD-10-CM, and HCPCS coding related to Urology, Radiation Oncology and Imaging services.
Human Resource (HR) Specialist YMCA of Greater DaytonHuman Resource (HR) SpecialistDayton, OhioEssential Functions: Assists with the oversight and management of YMCA HRIS system (Paycor), Applicant tracking system (Jobvite), YUSA employee and volunteer management through LINK, Employee electronic filing and workflow processing systems, and other systems related to employee management. Acts as a backup for HR Administrator as needed which includes processing hiring, change, and termination paperwork, reviews for completeness and accuracy, works with branches to obtain missing information, reviews all background check results, communicates with hiring directors, and distributes adverse action information as needed.
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.
Heir Recovery Sales Specialist Lauth Investigations International IncHeir Recovery Sales SpecialistColumbus, OHRemoteWe are a professional estate research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not initially be located. Your responsibility is to explain the opportunity, verify their interest, and secure a signed contingent fee agreement allowing our firm to represent them in recovering their inheritance.
Customer Care Specialist ROCKWOOLCustomer Care SpecialistPoznan, OHWith ~11,800 dedicated colleagues in 37 countries and sales in more than 120, we are the world leader in stone wool products, from building insulation to acoustic ceilings, external cladding systems to horticultural solutions, customised stone wool insulation components for other manufacturers' products and systems (OEM), to insulation for the process industry and marine & offshore. ROCKWOOL was one of the first companies to commit to actively contributing to the United Nations Sustainable Development Goals (SDGs) framework and are actively committed to 11 SDGs, including SDG 14, Life Below Water.
Truck Parts Specialist RumpkeTruck Parts SpecialistGreenville, OHInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Inventory Specialist Rumpke Transportation Company, LLCInventory SpecialistMansfield, OHPart timeInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Inventory Specialist RumpkeInventory SpecialistMansfield, OHInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Billing Specialist 838031 StiversBilling Specialist 838031Mayfield Heights, OHAs a Medical Billing Specialist, youll be responsible for managing insurance verification, submitting claims, following up on unpaid accounts, and handling denial appeals. If you're ready to start a rewarding career as a Medical Billing Specialist in Mayfield Heights, apply today or contact our recruiting team to learn more.
Senior Billing Specialist Ensemble Health PartnersSenior Billing SpecialistOhioRemoteCompensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
NewPayment Application Specialist US Acute Care SolutionsPayment Application SpecialistOhioRemoteAdditionally, they collaborate closely with internal teams and external payers to maintain data integrity, optimize revenue cycle processes, and support overall financial accuracy. Review, upload, and accurately post paper remittances and Electronic Remittance Advice (ERA) files from Payor Web Portals into Athena, ensuring timely and accurate account updates.
Damage Specialist Project Resources GroupDamage SpecialistCincinnati, OhioMust possess a valid and current driver’s license, reliable personal vehicle suitable for representing the company, and auto insurance meeting both federal and state requirements, with minimum auto liability coverage of 100/300/100 for bodily injury and property damage. Project Resources Group (PRG) is seeking a highly motivated and detail-oriented Power & Gas Damage Specialist in the Cincinnati, OH area.