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claims adjuster in Columbus (OH)

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  1. Medical Billing Specialist

    Medical Billing Coordinator position will provide support to the Patient Accounts Manager and Chief Financial Officer with revenue cycle functions. This role handles processing of clinic professional charges including updating of procedure and diagnosis codes in practice management system. Answers questions about billing procedures, codes diagnoses, posts payments and complete adjustments, handles accounts receivables for third party billing, and handles correspondence related to patient accounts. ...

  2. Pharmacy Billing Specialist

    Position Overview: The Billing Specialist understands Third Party claims processing including Medicare A, Medicare D, Medicaid, Medicaid HMO’s and other third party payers. The successful candidate ensures the accurate and timely issuance of claims for reimbursement and invoices to all customers. Job Responsibilities: ·         Successfully receive billing information including prescription coverage and other necessary information. ·         Successfully submit claims to clients and/or ...

  3. Registered Nurse Medical Case Manager in Workers Compensation

    DIRECT HIRE OPPORTUNITY for stellar Nurse Case Managers in the Lafayette, IN area working with a Regional Workers Compensation Case Management company.  This role combines the best of both worlds combining telephonic and field work together to offer variety in this position.  In this role as a Nurse Case Manager, you will engage in case review and audits working directly with members and primary care physicians to ensure care plans are established, managed and members receive the highest quality of ...

  4. Hail, Storm, Wind or Water Damage??? Home Improvements, Roofing and Re

    Do you have weather related damage to your home from wind, water or hail? Harleys Home improvement can help you. We are family owned and operated, licensed, and insured. We help you get a full roof job repairs for no out-of-pocket expense other than your insurance deductible. We almost always agree to accept the price that your insurance will pay for the claim, depending on your insurance policy. We ensure the highest quality workmanship. You may also benefit for upgrades at no additional charge ...

  5. Hail, Storm, Wind or Water Damage??? Home Improvements, Roofing and Re

    Do you have weather related damage to your home from wind, water or hail? Harleys Home improvement can help you. We are family owned and operated, licensed, and insured. Harleys Home Improvement specializes in insurance claim assistance to the homeowner for weather related damages to your roof and home, such as hail, wind or water damage etc... We will help you deal with your insurance company and meet with your insurance adjuster to discuss your homes damage. Our involvement prevents you from ...

  6. Director Claims Reconciliation

    HRC 00-13This position is with a leading company in the PBM space.  The Director Claims Reconciliation is responsible for directing the claims analysis and reconciliation financial functions of the company in accordance with the policies and practices. This position will be responsible for resolute and proactive direction of the claims analysis and reconciliation process while maintaining the exceptional level of professionalism and customer service standards that we have attained within the pharmacy ...

  7. Director of Medicare Services

    Our client, located in Cincinnati, OH, has an immediate need to fill the position of Director of Medicare Services. Job Description The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments.. Duties and Responsibilities o Interview, hire, train, audit and review team members. o Lead, supervise, motivate and monitor team members to ensure compliance with company ...

  8. Claims Management Specialist - Metro Area/Lansing/Ann Arbor

    Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subrogation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. RESPONSIBILITIES Receive claim assignments from assigned agents, verify applicability of coverage. ...

  9. Customer Service & Materials Representative - Automotive

    As reflected in our mission statement, “L&W is committed to serving our customers better everyday and providing a good job for willing workers.” We are seeking highly qualified individuals to build a career with us. No matter what team you will be working with, what you do is an important link in our ability to meet the needs of our customers. We have high expectations for L&W and for you. We look forward to a mutually rewarding and successful partnership. L&W offers a competitive salary and ...

  10. Water or Wind Damage??? Home Improvements, Roofing and Repairs

    Do you have weather related damage to your home from wind, water or hail? Harleys Home improvement can help you. We are family owned and operated, licensed, and insured. Harleys Home Improvement specializes in insurance claim assistance to the homeowner for weather related damages to your roof and home, such as hail, wind or water damage etc... We will help you deal with your insurance company and meet with your insurance adjuster to discuss your homes damage. Our involvement prevents you from ...

  11. Billing Specialist

    Billling Specialist: Reviews appropriateness of CPT/ICD-9 coding and determines if care provided corresponds to the charges submitted and are in compliance with the insurance plan guidelines. May assist in identifying improper plan billing practices and provides assistance to clients as it relates to billing requirements upon request. Organizes inpatient and outpatient claims for electronic or hardcopy mail and forwards to appropriate third party payers. Reviews claims to make sure that payer ...

  12. Reimbursement Coordinator

    Reimbursement Coordinator: -   Provides technical support assistance to internal client relations staff and the client during and after implementation for referred claims and healthcare electronic data interchange applications (including referral, payment, note posting, and reconciliation files). Responds to inquiries regarding EDI issues with enrollment, claims, payments, and/or clearinghouse activities to both internal and external client staff. Conducts analysis of EDI and payment transactions ...

  13. Medical Biller

    POSITION SUMMARY: Responsible for accurate and responsive billing of ambulance and wheelchair claims to patients, facilities and all third party insurance companies. TO APPLY NOW, please visit: https://lifeems.jobs/positions/read/60 ESSENTIAL DUTIES AND RESPONSIBILITIES: Ensure daily customer happiness Provide phone coverage for patient service Representatives when needed Responsible for coding and billing ambulance and wheelchair charges Accurate use of ICD9 and CPT codes Must maintain ...

  14. Claims Adjuster

    Reports To: Senior Claims Manager/Claims Manager Date: March 25, 2014 Purpose: To adjust claims in accordance with corporate professional standards, Special Account Instructions, Client Claims Handling Guidelines and file specific instructions given by the Claims Manager. To assume responsibility for investigating, evaluating, negotiating and settling claims in a timely and cost effective manner. Essential Functions: 1. Adjust claims for the Client pursuant to the Client’s Claims Handling ...

  15. Director Claims Reconciliation

    The Director Claims Reconciliation is responsible for directing the claims analysis and reconciliation financial functions of the company in accordance with the policies and practices. This position will be responsible for resolute and proactive direction of the claims analysis and reconciliation process while maintaining the exceptional level of professionalism and customer service standards that we have attained within the pharmacy benefit management industry. Description: Direct the management ...

  16. Medical Biller

    Basic Function Processing insurance claims and perform follow up procedures for delinquent accounts. Responsibilities 1. Maintain accurate patient accounts by entry, verifying discrepancies with patients, offices or insurance companies as needed and correction 2. Charge entry for assigned incoming revenue sources; recognizing possible coding discrepancies and addressing with management 3. Receive insurance claim forms, verify information, make adjustments as needed and mail to appropriate insurance ...

  17. Quality Assurance Engineer: Cleveland, OH

    Please do not email PrintWorkers regarding this position. Any resumes and inquires that are emailed will be deleted. Instead, to learn more about this position, including how to apply, click on this link, or paste it into your browser: http://www.printworkers.com/Default.cfm?fuseaction=search.3&ID=40960 Job ID: 40960 Key Job Responsibilities: Quality Assurance Engineer role involves people management, data analysis, and strategy selection and execution with responsibility for customer claims. ...

  18. Director of Medicare Services Needed/Hospital Experience a Must

    We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience. The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments. Essential Duties and Responsibilities: Interview, hire, train, audit and review team members Lead, supervise, motivate and monitor team members to ensure compliance with company ...

  19. Physician Enrollment Specialist

    Physician Enrollment Specialist: Processes credentialing and re-credentialing applications for both provider and physicians and understands required credentials for both. Reviews applications, prepares verification letters and maintains provider enrollment database. Contacts medical office/facility staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. Organizes inpatient and outpatient claims for electronic or hardcopy mail and forwards to ...

  20. Domestic Short Hair - Brown - Mirabelle - Large - Adult - Female

    Domestic Short Hair - Brown - Mirabelle - Large - Adult - Female I happen to know a really nice gal who lives on the NE side of town who happens to be a cat magnet; over the years we have taken in or helped her with several strays, so when she emailed me mid-September, 2012 to see if I could help once again, I was happy to say that I could. However, when she brought me this very vocal, very opinionated girl I knew we had a bit of a rough road of adjustment ahead of us. Born in 2006 I am thinking, ...

  21. Director of Medicare Services

    Job Ref.: 1978 Job Title: Director of Medicare Services Role: Management Relocation Available: Yes Industry: Healthcare Location: Ohio Town / City: Cincinnati   Job description: We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience. The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments ...

  22. Certified Coding Specialist - paid relo to Cincinnati, OH - rzf28781

    The Certified Coding Specialist is primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the assigned client. The ideal candidate will have some of these licenses or designations. Certified Coding Specialist, CCS, Registered Health Information Analyst, RHIA, Registered Health Information Technician, RHIT, hospital claims, CPT, HCPCS, ICD-9, ICD-10, DRG.  Essential Duties and Responsibilities of the ...

  23. Director of Medicare Services /paid relo to Cincinnati, OH - fzsmar

     We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience. Position Summary:   The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments. Essential Duties and Responsibilities: Interview, hire, train, audit and review team members Lead, supervise, motivate and monitor team members to ensure ...

  24. Insurance Adjuster

    JOB ID: MI24213 Job Title: Insurance Adjuster Company: Job Chit Chat Industry/Environment: Insurance (work environment is fun and happy and everyone loves coming to work) Responsibilities: Insurance Adjuster – claims, writing and editing estimates, dealing with the public, extensive travel Working side by side with another adjuster helping with general office duties, editing of official work, taking notes, measuring of buildings and extensive travel Skills Needed/Experience: ...

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