Quality Assurance Specialist Global Channel ManagementQuality Assurance SpecialistMason, OhioQuality Assurance Specialist duties: Review and resolve member and provider complaints. Maintain accurate, complete complaint/grievance records in the electronic database.
NewFinancial Operations Recovery Specialist I/Ii/Iii Elevance HealthFinancial Operations Recovery Specialist I/Ii/IiiMason, OH$23.08–$28.85 / hourWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Job Description: Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
NewGrievance/Appeals Analyst I (US) Elevance HealthGrievance/Appeals Analyst I (US)Mason, OhioThe Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
NewGrievance/Appeals Analyst I (Us) Elevance HealthGrievance/Appeals Analyst I (Us)Mason, OHThe Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Sr. Configuration Data Analyst Global Channel ManagementSr. Configuration Data AnalystMason, OhioConfiguration Data Analyst duties: Represent Product Configuration on cross-functional project teams to implement new Government/Medical-Surgical products. Partner with IT Configuration on Global Configuration requirements, perform data analysis, prototyping, and testing support for Government client setup requests.
NewRegional Business Office Manager Full Time United Surgical Partners International Inc (USPI)Regional Business Office Manager Full TimeCincinnati, OHFull timePlans, organizes and directs all aspects of the Business Office including the administration of all policies on accounting, insurance, internal controls, accounts payable, auditing of patient accounts, scheduling, admissions, medical records, and claims processing. The Regional Business Office Manager exercises general supervision over business office staff, directing all areas of credit and collections of the Surgery Center.
NewCustomer Service Assistant 1/Ap1 - PN 20065996 - Cincinnati State of OhioCustomer Service Assistant 1/Ap1 - PN 20065996 - CincinnatiCincinnati, OHWhat You'll Do: Under general supervision, requires thorough knowledge of Industrial Commission (IC) policies and procedures to respond to telephone, electronic and in-person inquiries from internal and external customers (injured workers, employers, representatives, general public, IC / BWC staff and other state agencies, etc.) regarding claims processing procedures and claim / hearing status. Utilizes computer applications (CAS, ECM, Case Manager, ICON, BWC applications) for research, data retrieval / verification, injured worker and claim updates (addresses, representatives status, captures motion / appeals, applications, etc.) and inquiry resolution.
Senior Medical Data Analyst Global Channel ManagementSenior Medical Data AnalystMason, OhioSenior Medical Data Analyst duties: Represent Product Configuration on cross-functional project teams to implement new Government/Medical-Surgical products. Partner with IT Configuration on Global Configuration requirements, perform data analysis, prototyping, and testing support for Government client setup requests.
NewCoordinator 2 - Arbitration MaximusCoordinator 2 - ArbitrationCincinnati, 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. - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net).
Senior Customer Service Representative Great American Insurance Group (DBA)Senior Customer Service RepresentativeCincinnati, OHThis claim support team assists in various methods, which includes phone claim intake, new loss set up, and numerous other complex tasks for 12 claim departments and other Corporate shared services within the Great American organization. Performs claim intake via phone from Insureds, Claimants, Agents, and other parties during the initial First Notice of Loss (FNOL) for Worker's Compensation, Auto, Property, General Liability, Storage, Equine, and others.
RCM Specialist I Gravity DiagnosticsRCM Specialist ICovington, KentuckyRCM Specialist I Department: Revenue Cycle Management Reports to: Senior Manager of Revenue Cycle Pay Group: Non-Exempt Do you love solving puzzles and making processes work better? Employees must remain vigilant against phishing and social engineering tactics and promptly report any suspicious activity or potential breaches to the IT Security Team.
NewBilling Coordinator Crossroads Hospice & Palliative CareBilling CoordinatorGreen, OHCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
Customer Service Representative - State Farm Agent Team Member Deatria Walker - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCincinnati, OHFull timeAs a Customer Service Representative - State Farm Agent Team Member with Deatria Walker - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. ABOUT OUR AGENCY: I'm a proud graduate of the University of Cincinnati and a member of Delta Sigma Theta Sorority, and I’ve spent the past 17 years building a career around helping people protect what matters most.
Customer Service Representative - State Farm Agent Team Member Ashley Johnston - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMONROE, OHFull timeAs a customer service rep with Ashley Johnston State Farm, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Annette Snowden - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHamilton, OHFull timeAs a Customer Service Representative - State Farm Agent Team Member with Annette Snowden - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Insurance Account Position - State Farm Agent Team Member Beth Wilker - State Farm AgentInsurance Account Position - State Farm Agent Team MemberCincinnati, OHFull timeROLE DESCRIPTION: Beth Wilker, State Farm Insurance is searching for a competitive sales and service team member who can recognize opportunities and provide remarkable customer experience into long-lasting customer relationships. As our team member, you will be able to communicate directly with customers, identify their needs, and market products or services that maximize value.
Customer Service Representative - State Farm Agent Team Member Adam Worrell - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHebron, KYFull timeYou will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for.
Customer Service Representative - State Farm Agent Team Member John Hoffman - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberIndependence, KYFull timeAs a Customer Service Representative - State Farm Agent Team Member with John Hoffman - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Credentialing Services Specialist Dean DortonCredentialing Services SpecialistCincinnati, OHThe Credentialing Services Specialist plays a vital role in ensuring that healthcare providers are accurately credentialed and enrolled with payers, enabling efficient reimbursements and uninterrupted patient care. Dean Dorton’s Healthcare Consulting team partners with healthcare organizations of all sizes — from independent physician practices to multi-hospital systems — to improve financial performance, strengthen operations, and enhance patient outcomes.
Credentialing Services Specialist Dean Dorton Allen FordCredentialing Services SpecialistCincinnati, OHDean Dorton's Healthcare Consulting team partners with healthcare organizations of all sizes - from independent physician practices to multi-hospital systems - to improve financial performance, strengthen operations, and enhance patient outcomes. The Credentialing Services Specialist plays a vital role in ensuring that healthcare providers are accurately credentialed and enrolled with payers, enabling efficient reimbursements and uninterrupted patient care.