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Purchasing Jobs in Delaware, OH

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Prior Authorization Specialist Riverhills Neuroscience

Cincinnati, OH

Full time
Quick Apply

Your responsibilities include:Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirementsCoordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determinationFacilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patientsEnsure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin proceduresMonitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheetInitiate patient education on available assistance programsBackground and Experience:1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practicePain Management experience is a plusExperience with an Electronic Medical Record (EMR) and practice management systemKnowledge of Medicare/Medicaid and major insurance carrier's guidelinesWorking knowledge of ICD-9-10 medical coding and billing and medical terminologySuperior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendorsIf you're eager to contribute to a world-class healthcare team, apply today. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.

17 days ago

Billing Specialist Harbor

Toledo, OH

Essential 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.

30+ days ago

Job Posting Title Claims Specialist/Senior Claims Specialist - Cyber Risk Great American Insurance Company

Cincinnati, OH

The Cyber Risk Division provides unique and proprietary cyber loss and liability insurance coverage to small and midsize businesses as well as public entities and risk pools with limits up to $5 million for organizations with revenues up to $1 billion. This position offers an excellent opportunity for an experienced claim professional to broaden their experience into the dynamic field of cyber liability, data privacy, technology errors and omissions, regulatory liability and media liability claims under both primary and excess policies.

11 days ago

Billing Specialist Harbor, Inc.

Toledo, OH

Part time

RESPONSIBILITIES Essential Functions and Primary Responsibilities: 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. Harbor's Billing Specialist plays a key role in ensuring mental health and substance use services remain accessible by managing claims, resolving denials, and supporting efficient revenue cycle operations.

30+ days ago

Payment Posting Reconciliation Specialist One Health Ohio

Youngstown, OH

Essential Duties / Essential Job Functions: Post electronic and manual insurance payments, patient payments, contractual adjustments, denials, credits, refunds, and recoupments accurately and within established turnaround times. Communicate professionally with payers, patients, internal departments, and other stakeholders when information is needed to correctly apply or reconcile payments.

12 days ago

Pharmacy Benefit Verification Specialist Onco360

Columbus, Ohio

Skills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.

7 days ago

RCM Specialist II Therapy Brands

With AI-enabled solutions that span practice management to electronic medical records and e-prescribing to billing, we help eliminate administrative complexity and create harmony between therapists, their clients, and the whole healthcare community. At Ensora Health, our Revenue Cycle Management team plays a vital role in helping behavioral health providers focus on what matters most: delivering quality care to their clients.

14 days ago

Billing and Accounts Receivable Specialist Summit Psychological Associates, Inc.

Akron, OH

Full time
Quick Apply

Summit Psychological Associates employs social workers, counselors, psychologists, case managers and psychiatric staff who bill to Medicaid, Medicare, Private Insurance and contracts for the mental health and substance use disorder treatment provided at the agency. To provide comprehensive behavioral healthcare by culturally competent staff that utilizes evidenced-based treatment to promote recovery, dignity, and well-being to consumers, their families, and the community.

5 days ago

Medical Billing Specialist The LTM Group

Dayton, Ohio

Payer Navigation: Utilize deep expertise across all payer types, including Medicare, Medicaid, Commercial insurance, VA/Government programs, and Workers’ Comp. A/R Excellence: Perform timely Accounts Receivable follow-up to resolve discrepancies and ensure all submissions meet strict timely filing guidelines.

30+ days ago

Billing Specialist SERVPRO of Southern Cuyahoga

Medina, OH

Full time

The Billing Specialist is a key member of the Shared Services team who works closely to bill, estimate, monitor, track, and coordinate open jobs. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

30+ days ago

Prior Authorization Specialist Riverhills Healthcare Inc

Cincinnati, OH

Superior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors. Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheet.

19 days ago

Precertification Specialist Bridgeview Eye Partners

Cuyahoga Falls, Ohio

As a Surgical Services Precertification Specialist , you'll help ensure our patients receive seamless, timely care while supporting our physicians and surgical teams every step of the way. In this role, you'll play a vital part in ensuring our patients receive timely surgical care by securing insurance authorizations and coordinating with providers, payers, and internal teams.

30+ days ago

Patient Access Specialist Ashtabula County Medical Center

Ashtabula, OH

Required Licensure or Certification N/A Required Physical and Environmental Demands Position is primarily seated at a desk using telephone, keyboard, and PC - must stand/walk/bend to retrieve documents from printer, file, and use copier. Responsible for answering phones, greeting patients, arriving, checking-in/out, registering, scheduling and confirming appointments for patients for all areas serviced by the Central Registration Department.

12 days ago

Billing Specialist Unison Health

Toledo, Ohio

The 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.

30+ days ago

Front Office Specialist & Medical Assistant - Optional TriHealth, Inc.

Oxford, OH

This position is cross trained to perform duties in both front and back office to enhance efficiency and continuity of delivery of patient care; work cooperatively within the team concept demonstrating flexibility, motivation and commitment to quality patient care. Demonstrates proficiency in Front Office procedures, collects co-pays, answer phone prior to voice mail, records payment and provides receipts, correctly registers patient demographics, validates demographics per visit.

19 days ago

Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial Corp

Cincinnati, OH

$60,000–$95,000 / year

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30+ days ago

Billing Specialist Servpro

Medina, Ohio

$20–$24 / hour

We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. The Billing Specialist is a key member of the Shared Services team who works closely to bill, estimate, monitor, track, and coordinate open jobs.

30+ days ago

Quality Inspector Howmet Aerospace

Skokie, IL

Full time

To learn more about the way Howmet Aerospace Inc. is advancing the sustainability of our customers, markets, and communities where we operate, review the 2025 Environmental Social and Governance report at www.howmet.com/esg-report. With $8.3 Billion in revenue in 2025, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers' success and making a positive impact on the world.

13 days ago

Quality Inspector Astronics Corporation

Waukegan, IL

$19–$20 / hour

As a systems certification provider, Astronics CSC has worked on over 100 projects for industry partners to upgrade commercial and business aircraft with new passenger power systems, IFEC navigation, communication and flight safety systems. Additionally, Astronics CSC offers proven IFEC hardware systems, flexible design platforms, high customer satisfaction, and long-term relationships with industry leaders to help make the connected aircraft a reality.

26 days ago

Quality Inspector SMITH & RICHARDSON MANUFACTURING COMPANY

Geneva, IL

General Description: To facilitate knowledge and understanding of the S&R quality system by; assists all employees in meeting its requirements, performing First Article, in-process and final inspections of products, conducting audits, and monitoring calibration of measurement tools. Collect, format information, analyze recorded charts, and provide summary analysis to appropriate managers.

14 days ago

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Purchasing Jobs in Delaware, OH

Prior Authorization Specialist Riverhills Neuroscience

Billing Specialist Harbor

Job Posting Title Claims Specialist/Senior Claims Specialist - Cyber Risk Great American Insurance Company

Billing Specialist Harbor, Inc.

Payment Posting Reconciliation Specialist One Health Ohio

Pharmacy Benefit Verification Specialist Onco360

RCM Specialist II Therapy Brands

Billing and Accounts Receivable Specialist Summit Psychological Associates, Inc.

Medical Billing Specialist The LTM Group

Billing Specialist SERVPRO of Southern Cuyahoga

Prior Authorization Specialist Riverhills Healthcare Inc

Precertification Specialist Bridgeview Eye Partners

Patient Access Specialist Ashtabula County Medical Center

Billing Specialist Unison Health

Front Office Specialist & Medical Assistant - Optional TriHealth, Inc.

Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial Corp

Billing Specialist Servpro

Quality Inspector Howmet Aerospace

Quality Inspector Astronics Corporation

Quality Inspector SMITH & RICHARDSON MANUFACTURING COMPANY

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