Health Claims Jobs in Cleveland
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Search Results - Health Claims Jobs in Cleveland
TEKsystemsCleveland
Overview
In this role, you will support a healthcare/PBM organization by researching, auditing, and remediating pharmacy claims affected by RxClaim system issues. You will work remotely with a cross-functional team to identify root causes...
Phothera PhototherapyCleveland
receivable follow-up and resolving unpaid or delayed DME claims. With the transition to a new revenue cycle system, denial frequency is expected to decrease, allowing this role to take a more strategic approach to AR optimization and trend identification...
CorVelCleveland
Overview
As Vice President of Claims, you will steer strategic claims operations to meet revenue and profit goals while developing staff and driving customer satisfaction and retention. You’ll lead cross-functional collaboration to enhance...
Marshall DenneheyCleveland
of workers’ compensation claims involving high-exposure, complex litigation. Common claims we litigate involve repetitive trauma, occupational disease, and death and hearing loss claims. We represent clients across numerous industries including construction...
ProClinicalCleveland
Overview
As Product Owner, you will drive enhancements to a healthcare payments and reimbursement platform, working with cross-functional teams to deliver value for patients, providers, and businesses. You’ll shape product requirements, prioritise...
GEE GroupCleveland
the compliance implications of changes to ingredients, suppliers, packaging, product claims, and existing formulations.
• Ensure product classifications, safety data sheets, labeling, warnings, and supporting technical information meet applicable requirements...
Southwest GeneralCleveland
room rates, and resolving discrepancies prior to claim submission. This role serves as the primary point of contact for registration issues and ensures accurate and timely reporting of census information. The analyst will also troubleshoot accounts...
UnitedHealth GroupCleveland
collaboration experience
• Bachelor’s degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related fields
• Experience with claims systems, contract modeling software, or reimbursement configuration platforms...
Encompass Health Rehabilitation Hospital of HuntingtonCleveland
of belonging and the opportunity to make a meaningful difference in patients' lives? Look no further than Encompass Health, the nation's leader in in-patient rehabilitation care. As a Quality/Risk Director, you will oversee a hospital-wide quality management...
MWH ConstructorsCleveland
disputes, support negotiations, and drive effective claims management within the organization. This is a mission-driven opportunity to contribute to essential public works and improve communities.
Compensation / Benefits
• Group health & welfare benefits...
One80 Intermediaries Inc.Clevelandappcast.io
and prospective customers with policy interpretation, claims inquiries, and premium/billing-related matters.* Review and interpret insurance policy terms to determine coverage eligibility.* Clearly explain policy details and ensure customer understanding...
Mayfran International IncCleveland
Job Description
Job Description
Description:
Benefits effective day one, paid vacation, free on-site health clinic, on-site fitness center, and 401(k) with matching.
Mayfran International is located in Mayfield, Ohio
Who We Are at Mayfran...
Peak Performance TeamClevelandtalentnest.com
health care, 401K, paid time off and more
• Compensation benefits begin the first month following start date
• A family-first, encouraging team culture
It is critical that the successful candidates be able to work solo and are willing to travel extensively...
PwCCleveland
against aging/DAR, cash collection, denial, write-off, self-pay, and other key operational metrics through inventory health management and targeted improvement initiatives - Leading root-cause analysis of denials, rejections, and claim edits, implementing...
Clevelandicims.com
in a timely manner. Will interact with the business segments, premiums, claims, financial and IT functions. Will participate/initiate process improvement efforts as needed as AmTrust continues to grow. Maintains a solid understanding of AmTrust’s mission...
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