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Position Summary: Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing and follow up; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers. Essential Duties and Responsibilities Assigned: Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.

CompuNet Clinical Laboratories LLC

Billing Follow-Up Representative

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Working under general supervision, audits complex outpatient, inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider billing for abnormalities, questionable billing practices and proper coding combinations from a clinical and coding perspective and documents denial reasoning or erroneous activity.

Medical Mutual

Clinical Auditor

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YEAR

M/I Homes started as a family business and grew into a national leader in a single generation with divisions in 17 markets, including Austin, Charlotte, Chicago, Cincinnati, Columbus, Dallas, Detroit, Ft. Myers/Naples, Houston, Indianapolis, Minneapolis, Nashville, Orlando, Raleigh, San Antonio, Sarasota, and Tampa. Opens and manages routine leave of absence cases in AbsenceSoft from intake through return to work, including issuing FMLA and state leave notices, designation letters, and certification requests within required timeframes.

M/I Homes

Benefits Administrator

Workable

Define and implement product data value chain strategies: from R&D and master data systems (SAP, Salesforce) through PXM enrichment and digital shelf management to AI-ready product feeds consumed by LLMs and agentic commerce protocols. Drive the product data component of Generative Engine Optimization (GEO) programs - ensuring product content is structured, verified, and authoritative enough for LLMs to confidently cite, recommend, and surface brands in AI-generated answers.

Accenture Plc

Product Data & Agentic Commerce Manager

Performs a range of duties as part of Lead position, which includes but is not limited to, assisting with selection of new coders; assisting with onboarding and training of new coders; acts as initial point of escalation for help with problem accounts and/or clinician concerns/education assistance; escalating employee related concerns to the Coding Manager; conducts quality audits to ensure accuracy of coding for clinicians and compiles findings for reporting to the Coding Manager and/or HIM Director; escalates system related issues to HIM System Analyst as necessary; monitors and manages backlog appropriately; utilizes Epic reporting capabilities to assist with process improvement initiatives as well as daily monitoring needs; reviews failed claims and claim edits for correction and data trending; acts as a liaison with vendors as necessary; demonstrates professional behavior at all times; escalates concerns to Coding Manager and/or HIM Director. Coder will utilize appropriate code manuals and/or encoder to select accurate codes; demonstrates knowledge of current developments in coding field to maintain proficiency in job performance; communicates with medical staff as needed if questions regarding documentation arise that impact code assignment and clarification is needed; researches coding questions utilizing available online reference materials within the encoder and hardcopy reference manuals.

Mission Statement 
Providing exceptional healthcare and compassionate service. Vision Statement 
Memorial, in partnership with its medical staff, employees, volunteers, and the community, is committed to being the healthcare provider of choice by:
<ul><li>Delivering extraordinary clinical care and compassionate service to patients-every day.</li><li>Continually identifying performance improvement opportunities.</li><li>Expanding services based on community need and enhancing accessibility to care.</li><li> Providing physical facilities and acquiring the advanced technology to exceed patient and physician expectations.</li><li>Being the employer of choice by continuing to recruit and retain skilled staff committed to providing service excellence to patients, visitors, and co-workers.</li></ul>

Memorial Hospital

Lead Hospital Coder | Full Time | Medical Records

The ideal candidate combines experience in business analytics, forecasting, revenue management, and retail execution with marketing acumen to identify growth opportunities, optimize investments, and contribute to profitable market share growth. Develop seasonal, limited-time offering (LTO) strategies that drive consumer engagement and category growth, including consumer insight generation, activation planning, and integrated amplification across digital, social, influencer, and shopper channels.

Abbott Laboratories

Brand Manager - Pediatric Marketing Design - Nutrition - Columbus, OH

At Abbott, we are enthusiastic, energetic and committed to doing great work every day. Our employees are passionate about helping to translate science into lasting contributions to health care and the health of people worldwide. At the heart of our organization is our "Promise for Life"&mdash;a statement that embodies our company's commitment to employees, shareholders, local communities and the people who depend on our company and products to live healthier lives.
 
Vital to our promise is the speed in which we act, respond and deliver. As Abbott employees, we are ready to meet change and challenges head-on. As a result, we are a company that adapts quickly, and through our passion for innovation we are able to continually create a pipeline of products that help improve the length and quality of life around the world.
 
We are proud of our rich, more than 120-year history. We continue to be driven to advance leading-edge science and technologies, support diversity, focus on exceptional performance and earn the trust of those we serve.

Abbott

CONTRACTOR

Build the frameworks that turn research into choices: a pharmacy cost driver tree (price, use and mix by channel), an evidence grid for each intervention and an options scorecard (value, time to impact, feasibility, risk). Map what carriers and their PBMs (Optum Rx, CVS Caremark, Express Scripts, CarelonRx), transparent PBMs, navigation companies and health systems offer, how well it works and how it is priced.

Quantum Health

1099 Contractor: Pharmacy Strategy and Market Intelligence Lead

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As a Specialty Transplant Billing Operator / Billing and Claims Operator of Transplant Services you will be responsible for the accurate, timely billing, accounts receivable follow-up, and denial resolution of complex transplant accounts for a large health system. 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.

Deloitte Touche Tohmatsu Ltd

Specialty Transplant Billing Operator

Position Summary: Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including cash application, batch processing, account adjustments/refunds; Maintain positive internal and external working relationships with patients, clients and third party payers. Essential Duties and Responsibilities as Assigned: Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.

Billing Account Representative

Lead multidisciplinary technology teams -including Product Managers, Epic Analysts, Software Engineers, Data Scientists, and Designers-to build seamless, end-to-end clinical technology pathways that reduce medical costs, while driving patient experience and outcomes. Healthcare Operations & Domain Knowledge: Deep familiarity with clinical operations, Quality Improvement (QI) methodologies, Value-Based Care (VBC) constructs, and Fee-For-Service (FFS) operational dynamics, and medical cost initiative care pathways.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Executive Director-Digital Product - Medical Cost Initiatives

PRIMARY PURPOSE OF THE ROLE: To expand and enhance the company's top line through diligent relationship building and maintenance with prospective clients across an area; to identify and address prospective and existing client opportunities for marketing the company's programs; and to ensure sales goals, objectives and profit margins are met. Skills: Excellent oral and written communication, including presentation skills, excellent interpersonal skills, PC literate, including Microsoft Office products, strong organizational skills, excellent negotiation skills.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Vice President Business Development

Strategy & Structure: Continuously assess healthcare and cross-industry trends for emerging operational capabilities, including predictive analytics, AI-enabled tools, digital twins, real-time optimization, workflow automation, and orchestration solutions designed to support key operational capabilities such as patient flow, workforce operations, capacity management, and related operational domains. Anchored within the System Operations Command Center, this role identifies high-impact opportunities to improve or redesign operational management across core functions such as patient flow, intake & demand management, resource utilization, workforce operations, support logistics, system communications, incident command, and related cross-domain operational control processes.

UC Health

Manager of Operational Innovation

Deloitte

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Memorial Health

The Benefits Analyst partners closely with HR, Payroll, Finance, external vendors, and employees to ensure benefit programs are administered accurately, efficiently, and in compliance with applicable regulations. The Benefits Analyst is responsible for supporting the administration, analysis, and delivery of employee benefits programs that promote the health, financial security, and well-being of employees.

AtriCure has assembled experts in the medical device industry to form a highly effective team dedicated to serving patients, medical professionals, and investors. AtriCure is intent on decreasing the global Afib epidemic and healing the lives of those affected.

AtriCure

Benefits Specialist

Lead end-to-end strategy for stars across Part C & D measures - ensuring payer files are faithfully loaded into the core care delivery platform, panel management tools for Internal & External Stars programs accurately reflect performance, continuously imagine and reimagining how care teams can use technology to drive performance in Stars quality measures, and ensure consistent partnership with strategy teams on training and communications for field teams. As the Lead Director of Digital Product for Quality & Stars you will lead the technology product strategy and execution to drive performance in quality measures and programs, including technical leadership of Health Maintenance, dashboards to drive performance in Medicare Stars programs, and dashboards to drive performance in the ACO lead program.

Lead Director Digital Product - Quality & Stars

The Director owns the organization-wide compensation process and job grading framework, approves field compensation decisions that fall outside approved grade ranges, and partners closely with HR Field Operations, HRIS, Finance, and Legal to support effective program administration, regulatory compliance, reporting, and operational excellence. Own payroll operations, governance, and compliance across all sites, including accurate and timely multi-site, multi-shift payroll processing, federal, state, and local tax compliance, direct deposit, controls, vendor management, reconciliation, and audit management.•

Myers Industries

Director, Human Resources Total Rewards

Comfortable working within a dimensionally modeled warehouse - facts and dimensions, mart layers, and why transformations are separated into staging, intermediate, and mart layers - even if you haven''t owned that architecture from the ground up. Partner with Data and Software Engineering as a key consumer of the raw data - flagging upstream data quality issues and gaps, and helping shape staging transformations so data arrives in a usable form.

And Health LLC

Analytics Engineer, Care Operations

Manage integrations with healthcare partners and external data sources, including HRSA, CMS, Medicaid, FDA Orange Book, and federal drug pricing reference datasets. Deep fluency with Cloud Data Platforms (preferably GCP and BigQuery), partitioning strategies, clustering, slot economics, materialization trade-offs, and cost optimization.

Claims Analyst Jobs in Ohio

Billing Follow-Up Representative CompuNet Clinical Laboratories LLC

Clinical Auditor Medical Mutual

Benefits Administrator M/I Homes

Product Data & Agentic Commerce Manager Accenture Plc

Lead Hospital Coder | Full Time | Medical Records Memorial Hospital

Brand Manager - Pediatric Marketing Design - Nutrition - Columbus, OH Abbott Laboratories

Brand Manager - Pediatric Marketing Design - Nutrition - Columbus, OH Abbott

1099 Contractor: Pharmacy Strategy and Market Intelligence Lead Quantum Health

Specialty Transplant Billing Operator Deloitte Touche Tohmatsu Ltd

Billing Account Representative CompuNet Clinical Laboratories LLC

Executive Director-Digital Product - Medical Cost Initiatives CVS Health Corp

Vice President Business Development Sedgwick Claims Management Services, Inc.

Manager of Operational Innovation UC Health

Specialty Transplant Billing Operator Deloitte

Lead Hospital Coder | Full Time | Medical Records Memorial Health

Benefits Specialist AtriCure

Lead Director Digital Product - Quality & Stars CVS Health Corp

Director, Human Resources Total Rewards Myers Industries

Analytics Engineer, Care Operations And Health LLC

Data Engineer And Health LLC

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