UNKNOWN

FEED

This position is responsible for auditing charge capture, posting infusion and injection charges, preparing Good Faith Estimates (GFEs), insurance claim audits and working with various departments to maintain revenue integrity across the revenue cycle. Key Responsibilities: Works collaboratively with teams involved in front-end, mid-cycle, and back-end revenue functions, as well as all departments responsible for revenue generation.

Fulton County Health Center

REVENUE INTEGRITY ANALYST, Full-time

Revenue Integrity Analyst, Full-Time

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Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.

YEAR

Elevance Health

Inpatient DRG Validator (Acute Care)

PRIMARY PURPOSE OF THE ROLE: To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.

HOUR

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.

Service Center Representative

Minimum Qualifications: High School or GED (Required)CCS - Certified Coding Specialist - American Health Information Management Association, CCSP - Cisco Certified Security Professional - CISCO - Computer Information System Company, CPC - CPC Certified Professional Coder - AAPC American Academy of Professional Coders, CPCH - Certified Professional Coder - Hospital - AAPC American Academy of Professional Coders, RHIA - Registered Health Information Administrator - American Health Information Management Association. Education The Education and Quality Analyst educates physicians, coders, failed claims specialists and clinical documentation specialists on coding, vascular interventional radiology, billing, clinical documentation and coding compliance.

OhioHealth Corp

Coding Education & Quality Analyst

Job Overview: The level II Medical Biller''s general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Responsible also for providing excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.

TriHealth Inc

Medical Biller II

Job Overview: The level II Medical Biller's general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Responsible also for providing excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.

TriHealth, Inc.

FULL_TIME

Delta Physician Placement (DPP), the permanent staffing division of The Delta Companies, identifies qualified physicians, advanced practitioners, allied health, and therapists on behalf of healthcare facilities nationwide. RESPONSIBILITIES AND FACILITY DETAILS Otolaryngology Bread & Butter, (will entertain niche clinical interests).

Delta Health Technologies care-at-home software solutions empower caregivers to provide the care their patients need. Crescendo allows care-at-home providers to create and view a patient-centric electronic medical record for home health, hospice and private duty. AppointMate adaptable web-based private duty solution for scheduling, service assessments, time sheets, billing, and payroll. ClinicalVirtuoso is optimized for the independent homecare therapist who serve several organizations by keeping patient, agency and compliance information organized and accessible.

Delta Companies

Otolaryngology

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Roto-Rooter is seeking an experienced estimator with insurance claims experience to join our fast-growing water restoration team for our Southeast Region. Use Xactimate estimating software to write detailed water restoration estimates for residential and commercial customers.

Roto-Rooter Group Inc

Estimator

You'll contribute to smooth revenue cycle operations by submitting clean claims, resolving payer issues, documenting accounts thoroughly, addressing billing concerns with professionalism, and investigating credit balances. Job Overview: The entry level Medical Biller''s general responsibilities include ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variances and appealing denials based on HB or PB requirements.

Medical Biller I

You'll contribute to smooth revenue cycle operations by submitting clean claims, resolving payer issues, documenting accounts thoroughly, addressing billing concerns with professionalism, and investigating credit balances. Job Overview: The entry level Medical Biller's general responsibilities include ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variances and appealing denials based on HB or PB requirements.

Roto-Rooter is seeking an experienced estimator with insurance claims experience to join our fast-growing water restoration team for our Southeast Region. Responsibilities: Use Xactimate estimating software to write detailed water restoration estimates for residential and commercial customers.

Roto-Rooter Services Company

[AW]-iCims

The Warranty Claims Administrator will be efficient in claiming money from our dozens of vendors when the company receives broken or failed parts, defunct equipment, or labor from replacing defunct equipment. ***Please note that any estimated salaries listed on external job sites may be inaccurate and are not provided by Apple Farm Service.*** .

Apple Farm Service

Warranty Administrator

Knowledge of physician auditing practices and an in-depth knowledge of CPT and ICD-10-CM diagnosis codes and HCPCS procedure and professional supply codes used for billing services provided by physicians and non-physician providers. Department Summary The Compliance Billing Auditor will work closely with Compliance Officers, Office Managers, Physicians, Providers and Billing personnel to review billing and operational data to determine compliance with federal, state laws and regulations.

Aultman Alliance Community Hospital

AMG BILLING AUDITOR

Our braggingly happy team members — ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national accounts, independent and chain grocers, e-commerce retailers, U.S. military commissaries and exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Assist with preparing prescribed medication to patients by counting tablets, labeling bottles, stocking products, providing customer service, utilizing the computer systems to maintain patient profiles and insurance claims, and checking out patients that ensures that the shift contributes to the financial interest of the store.

SpartanNash

Pharmacy Technician

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.

Valeris

Executive Case Manager (Remote)

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists - create braggingly happy customers spanning national accounts, independent and chain grocers, e-commerce retailers, U.S. military commissaries and exchanges, and the Company's own brick-and-mortar grocery stores, pharmacies and fuel centers. Assist with preparing prescribed medication to patients by counting tablets, labeling bottles, stocking products, providing customer service, utilizing the computer systems to maintain patient profiles and insurance claims, and checking out patients that ensures that the shift contributes to the financial interest of the store.

C&S Wholesale Grocers LLC

Responsibilities and Duties: Conducts review of rejected claims from the clearinghouse and front-end payor edits, follows up on unprocessed claims, and researches denials for resubmission to ensure timely collection and maximum reimbursement. At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).

Medical Service Company

DME Biller

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

ADA Accommodation Coordinator

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 18 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.

CSAA Insurance Group is an insurance company that offers automobile and other personal lines of insurance to AAA members.

Insurance Claims Specialist Jobs in Ohio

REVENUE INTEGRITY ANALYST, Full-time Fulton County Health Center

Revenue Integrity Analyst, Full-Time Fulton County Health Center

Inpatient DRG Validator (Acute Care) Elevance Health

Service Center Representative Sedgwick Claims Management Services, Inc.

Coding Education & Quality Analyst OhioHealth Corp

Medical Biller II TriHealth Inc

Medical Biller II TriHealth, Inc.

Otolaryngology Delta Companies

Estimator Roto-Rooter Group Inc

Medical Biller I TriHealth Inc

Medical Biller I TriHealth, Inc.

Estimator Roto-Rooter Services Company

Warranty Administrator Apple Farm Service

AMG BILLING AUDITOR Aultman Alliance Community Hospital

Pharmacy Technician SpartanNash

Executive Case Manager (Remote) Valeris

Pharmacy Technician C&S Wholesale Grocers LLC

DME Biller Medical Service Company

ADA Accommodation Coordinator Sedgwick Claims Management Services, Inc.

Casualty Evaluator CSAA Insurance Group

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