Claims Processing Jobs in Ohio
1 - 8 of 8
Search Results - Claims Processing Jobs in Ohio
UnitedHealth Group-Oxford (OH)
into/out of the Miami SHIP.
• Demonstrate expertise in all phases of claims processing, including enrollment management, the appeal process, the predetermination process, and contract interpretation of plan benefits and policy provisions.
• Maintain...
MHMI-Toronto (OH)
administrative capacity
• Proficient with computers and Abeldent Dental Practice Management software
• Strong understanding of dental billing, insurance claims processing, and collections
• Proven ability to train, support, and guide administrative team...
talentnest.com -
Conduent State Healthcare, LLC-Cincinnati
skills.
• Medicaid Drug Rebate Program (MDRP) experience.
• Experience with (Medical Rebate Systems, MMIS, and Rabate Administration Platforms).
• Knowledge of (Pharmacy Claim Processing, National Drug Codes (NDCs), Unit Rebate Amounts (URAs...
Adecco-Columbus
in a related field or equivalent experience.
• Minimum 8 years of healthcare reimbursement experience.
• Strong knowledge of Medicare, commercial insurance, benefit investigations, prior authorizations, claims processing, and appeals...
adecco.com -
LeafHome-Hudson (OH)
and expedite claim processing.
• Track, compile, and analyze data on claims frequency, severity, and costs to identify trends.
• Ensure claims handling procedures and documentation adhere to all applicable federal, state, and local workers' compensation laws...
Cleveland
trends including AI/ML and cloud-native patterns.
Responsibilities:
• Architected and delivered a multi-tier microservices platform for enterprise insurance claims processing, spanning 30+ ASP.NET Core Web APIs organized across distinct Experience...
icims.com -
Randstad-Akron
accurate and compliant claims processing. Key Responsibilities Claims Research & Resolution: Conduct in-depth research on claims pended for lack of authorization. Cross-Functional Collaboration: Provide clear, accurate instructions and directives...
randstadusa.com -
Cincinnati
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements.
• Assures claim processing and payment procedures for death, cancer, ordinary/industrial accident...
icims.com -
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