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.
NewPharmacy Prior Authorization and Billing Specialist ProMedica Health System IncPharmacy 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.
Billing Specialist Unison HealthBilling SpecialistToledo, OhioThe role ensures accurate billing of all direct service staff activities to the appropriate payers, monitoring and resolving outstanding client balances, posting of payments, updating client accounts with insurance activity and maintaining accurate financial records. Provide professional customer service by responding to billing inquiries, preparing statements, and maintaining accurate financial documentation.
Billing Specialist Harbor, Inc.Billing SpecialistToledo, OHPart timeReceives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician. Education/Experience/Other Requirements : Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
Billing Specialist Harbor CorporationBilling SpecialistToledo, OHEssential Job Competencies/Primary Duties: Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician. Education/Experience/Other Requirements: Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
Patient Records and Accounting Assistant Hospice of Lenawee, Inc.Patient Records and Accounting AssistantAdrian, MIFull timePatient Records and Accounting Assistant (Part-time, Day Shift) Job Summary: Hospice of Lenawee, a 5-STAR Medicare.gov rated hospice, seeks a compassionate and detail oriented Team Member for a part-time, Patient Records and Accounting Assistant position. The Patient Records and Accounting Assistant will support the mission of Hospice of Lenawee by providing clerical and general office assistance to the patient care program and the accounting department.
Registered Nurse (RN) - Home Visits Help at HomeRegistered Nurse (RN) - Home VisitsToledo, OhioFull timeOverview: As the nation’s leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. Work closely with field nurses, aides, and other staff to assign cases, manage schedules, and oversee the timely completion of patient visits.
Estimating & Design Representative - Toledo, Ohio First EnergyEstimating & Design Representative - Toledo, OhioHolland, OHHeadquartered in Akron, Ohio, FirstEnergy includes one of the nation's largest investor-owned electric systems, more than 24,000 miles of transmission lines that connect the Midwest and Mid-Atlantic regions, and a regulated generating fleet with a total capacity of more than 3,500 megawatts. Related work experience includes knowledge of planning/scheduling of work, construction and maintenance practices, procedures, work methods, materials, equipment and tools which would be used to determine the resources necessary to perform construction and maintenance work activities.
Practice Manager - PediatriCare Associates Nationwide Children's HospitalPractice Manager - PediatriCare AssociatesToledo, OhioOCCASIONALLY: (33% of time (0.5-2.5 hours): Bend/twist, Squat/kneel, Climb stairs/ladder, Flexing/extending of the neck, Reaching above shoulder, Hand use: grasping, gripping, turning, Driving, Lifting/Carrying up to 61-100 lbs or greater, Pushing/Pulling up to or greater then 100 lbs, Vision: Depth perception, Color vision, Seeing - Far/near, Peripheral vision. Work environment - (work on or with): Blood and or bodily fluids, Communicable Disease and/or Pathogens, Chemicals/Medications, Patient equipment, Fumes/Gases/Vapors, Biohazard waste, Electricity, Loud noises, Hot and or cold temperatures.
Payment Poster Harbor, Inc.Payment PosterToledo, OHPart timeEducation/Experience/Other Requirements : Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree. Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Payment Poster Harbor CorporationPayment PosterToledo, OHEducation/Experience/Other Requirements: Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree. Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Hospice Nurse Practitioner Heartland HospiceHospice Nurse PractitionerWhitehouse, Ohio$46.34–$57.93 / hourComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Patient Access Quality Specialist Health Partners of Western OhioPatient Access Quality SpecialistToledo, OhioThe Patient Access Quality Specialist focuses on auditing, monitoring, and improving patient access processes, including registration accuracy, insurance verification, scheduling, information services, and patient experience. Collaborates with external customers, including payers, to maintain relationships, analyze provided data to identify areas for improvement, gather feedback, and implement actions to enhance performance.
Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistToledo, OhioPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Psychiatrist (MD) BlueSky TelepsychPsychiatrist (MD)Toledo, OhioWe are a clinician-led, patient-centered, collaborative behavioral health company of mental health professionals committed to improving access to very high-quality mental health care! Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min or 20 min follow-up appointments.
RN Clinical Manager - CHS Women's ProMedicaRN Clinical Manager - CHS Women'sToledo, OhioYou will live ProMedica’s value of teamwork to deliver quality patient care and create a team-like attitude and approach to practice functions and management. 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.
Salesforce Cpq/Revenue Cloud - Senior Associate PwCSalesforce Cpq/Revenue Cloud - Senior AssociateToledo, OH$77,000–$202,000 / yearThese individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .