Medical Claims Examiner Jobs in Cincinnati, Ohio
Currently, there are no Medical Claims Examiner jobs available in Cincinnati, Ohio which match this search. You may wish to explore similar job titles on the Healthcare jobs in Ohio page or view related jobs below.
Examination Management Services, Inc. Cincinnati, OH, 45201
yes Job Description: About the Company: Examination Management Services, Inc. (EMSI) provides leading-edge medical information, risk management and investigation services to the insurance, legal, clinical and business communities. We empower customers with accurate, comprehensive information to make informed, reliable business decisions. We work collaboratively with our clients to develop strat...
Accountemps Cincinnati, OH
Description Robert Half Healthcare has on going needs for Medical Billers. The Medical Biller will complete and submit bills on behalf of a healthcare provider to commercial and/or government carriers. The Medical Biller will review patient bills for accuracy and completeness and obtains any missing information. The Medical Biller will be responsible for following up on unpaid claims, calling ins...
Federal Reserve Bank Cincinnati, OH, 45201
The Federal Reserve Bank of Cleveland is part of the nation's central bank. We have provided many opportunities for professional growth during our history. For fourteen years in a row, we have been named "One of Northeast Ohio's Best Places to Work" by North Coast 99. This prestigious award honors organizations with outstanding employment practices, including compensation, benefits, training, recr...
Position Description: We are currently seeking a Behavioral Health Telephonic Nurse Case Manager for our Cincinnati, OH office. As a Behavioral Health Telephonic Nurse Case Manager, you will work with a dynamic team to assess disability claims, involving frequent interactions with claims team members, consulting physicians, attending physicians, and our customers. Primary functions include revie...
Summary: Under the supervision of the Medical/Laboratory Director and Center Management ensure donor suitability, product integrity and the continued good health of donors through the compliance with Food and Drug Administration (FDA) regulations and Standard Operating Procedure (SOP) Manual guidelines. A Traveling CMS may require routine travel up to 100%. Primary responsibilities for role: Pr...
MEDICAL TECHNOLOGIST Registered and Registered Eligible TriHealth in Cincinnati, OH PT, days/eves (#40399) This position is responsible for performing a full range of laboratory tests, confirming the accuracy of test results, and reporting laboratory findings to the doctors, pathologists, or other physicians. This position may work in any of the major areas of the laboratory: Transfusion Servic...
Cirrus Consulting Cincinnati, OH
Job Description Psychiatric Nurse Practitioner We have many positions available! Full time, and part time contracts, and full time direct hire positions! All with top pay and benefits available! JOB SUMMARY: 1. Under the general supervision of the director of health services, plans, directs, and evaluates resident and employee health care in ambulatory health services. 2. Examines and treats...
WORKERS COMPENSATION COORDINATOR TriHealth in Cincinnati, OH PT, shift varies (#39902) This position provides medical case management for assigned populations - i.e. employees of TriHealth in the speciality area of Workers' Compensation. This position may assume the roles of education, adminstrator, researcher and constultant. The primary focus of this position is to control/minimize the cost o...
Humana Inc. Springdale, OH, 45246
Role: Pharmacy Technician-Failed Claims Assignment: Rightsource RX Location: Springdale, OH Bring your unique talents and perspectives to Humana and help us bring better healthcare solutions to our members. At Humana, you’ll have the opportunity to interact with members, provide professional advice, and enable positive outcomes in a growing organization. Humana’s innovative approach to mail-ord...
The Center Medical and Laboratory Director works under the supervision of the Division Medical Director, for professional competency matters, and the Center Management, for administrative matters. It is his/her responsibility to follow and be compliant with the guidelines and regulations of the Food and Drug Administration (FDA) and the company’s Standard Operating Procedures (SOP), and all applic...
MEDICAL ASSISTANTS, CLINICAL CARE ASSISTANTS, LPNs Group Health Associates with convenient locations throughout Greater Cincinnati variety of opportunities available: full-time and part-time, days and days/eves Group Health Associates, a TriHealth Physician Partner and one of the largest multi-specialty physician groups in the area, is looking for MAs, CCAs and LPNs to assist our physicians and...
Busy growing medical practice seeking experienced nurse or medical assistant for new dermatologists specializing in MOHs surgery. Offer great salary, benefits and great work environment. Job duties include: Duties: * Verifies patient information by interviewing patient; recording medical history; confirming purpose of visit. * Prepares patients for examination by performing preliminary physical...
MEDICAL ASSISTANT or LPN* TriHealth Physician Partners/Family Medicine in Cincinnati, OH FT, days (#42339) *Position could be filled by a Licensed Practical Nurse with commensurate pay. This position assists the physician in examination and treatment of patients, performing miscellaneous delegated duties under the direction of physician. This position also interviews patients, measures vital s...
Humana Inc. Cincinnati, OH
Auditing Coder Specialist ...- Cincinnati, OH Requisition ID 129308 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore...
GENEX Services Cincinnati, OH, 45201
We are currently seeking a Behavioral Health Telephonic Nurse Case Manager for our Cincinnati, OH office. As a Behavioral Health Telephonic Nurse Case Manager, you will work with a dynamic team to assess disability claims, involving frequent interactions with claims team members, consulting physicians, attending physicians, and our customers. Primary functions include reviewing and assessing medi...
Maxim is currently working with a fortune 500 company looking for RN case managers. This is not a contract but a full time position with benefits in the Cincinnati area. This position requires timely interaction with Workers’ Compensation physicians, medical vendor’s and injured employees. Candidate will analyze and present recommendations to claims personnel for combined strategy to provide aggre...
Good Afternoon, Overview: Maxim is currently working with a fortune 500 company looking for RN case managers. This is not a contract but a full time position with benefits in the Cincinnati area. This position requires timely interaction with Workers’ Compensation physicians, medical vendor’s and injured employees. Candidate will analyze and present recommendations to claims personnel for combine...
Aetna Inc. Sharonville, OH
This is a position for a nurse to be embedded in a provider office in the Dayton, OH area. During training, the nurse will work from home but that is not an option once training is complete. This will be an in office position. POSITION SUMMARY The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals bene...
Alexian Brothers Medical Group Cincinnati, OH
Status: Part time FTE: 0.6 / 48 hours per pp Shift Details: Hours would be Hours 10:30-7:00 pm Tuesday, Thursday, Friday Department: ABMG - 056.9891 - ABMG SCHAUMBURG Alexian Brothers Medical Group is currently looking for a Medical Assistant to work part time in our Schaumburg Immediate Care/Occupational Health: 361 W Golf Rd Schaumburg, IL POSITION SUMMARY: Provides patient care under RN...
University of Cincinnati Health Cincinnati, OH, 45201
Knowledge and Skills: Education: High school diploma or GED. Graduate of accredited school of medical assisting or equivalent experience. Required Skills and Knowledge: Proficiency with drawing blood, EKGs, and giving injections. Proficient with medical terminology, experience with PCs, good written and verbal communication skills. UC Health Physicians Office South (West Chester) - 7675 Wellnes...
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Medical Claims Specialist/Examiner
$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Cincinnati
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Medical Claims Specialist/Examiner
Processes medical claims by reviewing and analyzing information; determining actions such as acceptance or denial.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
Provides legal support by assembling documentation for settlement action.