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Senior Medical Director

CVS Health  –  Columbus, OH, 43224
... director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review, and provider appeals clinical review.• Actively participate in scheduled team meetings and leadership meetings, ... - May 16

Insurance Account Representative - State Farm Agent Team Member

Amie Kim - State Farm Agent  –  Columbus, OH, 43201
... Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Develop leads, schedule appointments, identify customer needs, and market ... - Apr 28

Director, New Client Implementation - Insurance Operations

ReSource Pro  –  Columbus, OH
... Over 1,000 carriers, brokers, and MGAs rely on ReSource Pro to execute strategies that improve profitability, accelerate growth, deliver improved claim outcomes, and enhance client and employee experience. With more than 7100 employees globally, ... - May 08

Customer Service Representative - State Farm Agent Team Member

Shannon Best - State Farm Agent  –  Hilliard, OH, 43026
... Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers ... - May 15

Patient Reg Rep (Grant Medical Center Part Time)

Ohio Health  –  Reynoldsburg, OH, 43069
... Center - 16 hours per week - 3p-11:30p - Wk 1 - Sun/Fri Wk 2 - Mon/Sat This position begins the Revenue Cycle process by collecting accurate demographic and financial information to produce a clean claim necessary to receive timely reimbursement. ... - May 16

HYBRID - OhioRISE Systems Administrator (Medicaid Health Systems

Ohio Department of Commerce  –  Columbus, OH, 43224
... testing, and implementation of IT system updates acting as OhioRISE program manager for OMES (e.g., enrollment, claim/encounter submission, capitation payment, electronica data interface files (EDI)) determining and evaluating risks that ... - May 17

Claims Clerk

Canon Business Process Services  –  Columbus, OH, 43215
... Responsibilities Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems Prepares reports and insurance claim forms for damage or loss Prepares documents for imaging and final ... - May 13

Provider Service Specialist - MediGold - Corporate Services Center

Trinity Health Corporation  –  Columbus, OH, 43216
... required * Managed Care Industry knowledge or experience preferred * Knowledge of and/or the ability to do data entry, various claim form formats, medical terminology, CPT and ICD9 coding * Ability to function well in high pressure situations with ... - May 15

Customer Service Representative - State Farm Agent Team Member

Mike Mathers - State Farm Agent  –  Worthington, OH, 43085
... Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers ... - May 03

Auto Claims Specialist

Installed Building Products  –  Columbus, OH, 43215
... Maintain record-keeping, database, and claim files for minor motor vehicle accidents. Administration of minor auto claims by working directly with the third-party administrator claims management team, employees, and branch locations. Point of ... - Apr 29
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