Medical Claims Specialist Jobs in Ohio
State of Ohio Columbus, OH, 43216
Job Duties Benefits Supplemental Questions POSITION POSTED AS OPPORTUNITY FOR CURRENT STATE OF OHIO EMPLOYEES. ONLY APPLICATIONS OF CURRENT STATE EMPLOYEES WILL BE REVIEWED. This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will...
Medical Billing Specialist Medical billing company seeks experienced medical billing professional for account/claim resolution. The ideal candidate will have 3+ years of experience with A/R, insurance follow-up, researching denied claims and coding knowledge. This opportunity has excellent growth potential within a rapidly growing organization. We are a drug/felony free environment. Up to $32k...
Knowledge of workers’ comp claims and the process of how claims are to be handled in the following states: AZ, CA, CT, FL, KS, KY, MA, MO, NE, NY, OK, PA, TX, UT. Knowledge of workers’ comp claims and the process of how claims are to be handled in the states the claims Specialist manages: OH, MI, IN Primary Responsibilities Ensure all claims paperwork is completed for all claims Daily correspo...
At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a "small company" entrepreneurial atmosphere with "big company" expertise. Great American has more than 25 specialty insurance divisions within our Property & Casualty Group, and our ...
Great American Insurance Group Cincinnati, OH, 45201
Overview: At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a "small company" entrepreneurial atmosphere with "big company" expertise. Great American has more than 25 specialty insurance divisions within our Property & Casualty Grou...
Now is the time to join one of the top 100 fastest growing companies in Northeastern OH. ACU-Serve has recently been awarded the prestigious Weatherhead 100 Award for the third consecutive year! You will enjoy the stability and benefits of working with a 20 year old established company and the excitement and opportunities of joining a growing and winning team. ACU-Serve provides Durable Medical E...
Facility Description: Polaris Surgery Center in Westerville, Ohio. Position Title: Medical Billing/Collections Specialist Job Description: We are currently seeking an experienced ambulatory surgery center medical billing and collections specialist who is able to provide great customer service. The ideal candidate will be detail oriented and have the ability to effectively communicate with both c...
Expanding medical billing/ collection agency located in the Akron/ Canton area seeks highly self motivated Collection Specialists and Medical Billing Specialist. Collection Specialists with both strong communication and negotiation skills, must have 2 years experience working in accounts receivable and collections. Fluent in Spanish a plus. Medical Billing Specialists must have experience in the f...
Litigation Claims Adjuster Cincinnati, OH Investigation, evaluation, negotiation, disposition and settlement of Auto and General Liability claims, to determine legal liability, damages, and coverage. Assigned claims may involve serious injuries and/or damages, requiring direct involvement in handling complex and high exposure events, litigation and/or mediation of complex issues, requiring minim...
Title: Claims Support Specialist Location: Copley Report to: Manager We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. JOB SUMMARY: Performs clerical and related support functions under general supervision such as open, prepare, review, sort, scan, batch, and/or key basic claims information via automated systems...
Medical Mutual of Ohio Strongsville, OH
Sr. Claims/Customer Service Rep Reports to: Supervisor Location: Strongsville We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. JOB SUMMARY: Responsible for the timely and accurate processing of claims and adjustments with low to high complexity. Responds to written and phone inquiries regarding benefits, covera...
Sr. Claims/Customer Service Rep Reports to: Supervisor Location: Copley We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. JOB SUMMARY: Responsible for the timely and accurate processing of claims and adjustments with low to high complexity. Responds to written or phone inquiries regarding benefits, coverage or c...
HealthSCOPE Benefits, Inc. Columbus, OH, 43216
• Processing and evaluating medical and dental claims. • Obtaining information by telephone as well as by hard copy and entering into the computer systems • Prioritization of individual work flow associated with the case assignments • Establishing and maintaining professional rapport with clients and providers (physicians and hospitals) • Maintaining and assuring accuracy of documentation. • ...
Great American Insurance Group’s roots go back to 1872 with the founding of its flagship company, Great American Insurance Company. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses, and in the sale of traditional fixed and fixed-indexed annuities in the educa...
Allstate Hudson, OH
Description The Support Function is responsible for assisting claims professionals or a Field office by performing analysis or activities related to customer satisfaction, loss, and expense management, or other claim activity. Support may include clerical data entry, processing claims, medical, and witness report requests, filing paper documents, processing claims payments, and performing word pr...
Grange Insurance Columbus, OH, 43216
Support the profitable growth of Grange and continued policyholder satisfaction through excellent customer service and handling of claim recoveries. Evaluate, investigate and determine liability on recovery files and manage through all phases of subrogation. Build and maintain effective internal and external relationships to increase referrals and ensure appropriate recoveries. Support accurate, t...
Human Arc is an award winning health care services company near downtown Cleveland that is looking for a Provider Enrollment Specialist. In this role, you will: · Process credentialing and re-credentialing applications of health care providers and facilities. · Review applications, prepare verification letters and maintain provider enrollment database. · Contact medical office/facility staff, ...
CareWorks Dublin, OH, 43016
By providing effective medical and absence management services, we help our customers develop comprehensive approaches and strategic return-to-work programs that reduce lost time, promote healthy and timely recoveries from workplace injuries, and help control costs. Prior experience in workers compensation setting and/or with disability-related disciplines is a plus. Positions in our Claims Manag...
PURPOSE One Sky Flight, the second-largest private aviation company, is currently seeking qualified candidates to join our Human Resources Department as a Payroll & Benefits Specialist. These positions support two primary sister companies, Flight Options (located in Richmond Heights, OH and an 11 time Northcoast 99 winner!) and Flexjet (located in Dallas, TX). Overall, this position will assist w...
Dell Inc Cleveland, OH, 44114
Healthcare Opportunities Dell is looking for a Senior Claims Examiner to join our team as part of this new exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long term. The success of the candidate will directly affect t...
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Healthcare Career Tools
Medical Claims Specialist/Examiner
$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Ohio
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
Maintains quality customer services by following customer service practices; responding to customer inquiries.
Determines covered medical insurance losses by studying and interpreting contracts and policies.
Popular Medical Claims Specialist Articles
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