Appeals Specialist jobs in Ohio

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Claims Processing Specialist

University Hospitals - 224 reviews - Hudson, OH 44236
Research claims and appeals as needed. Requires comprehensive knowledge of the HealthPac claims processing system to review and adjudicate complex and specialty...

FILLED Revenue Cycle Specialist II - Revenue Integrity

University Hospitals - 224 reviews - Cleveland, OH
O Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims....

Consultant-BioMeds Field Reimbursement Cleveland OH

Eli Lilly - 845 reviews - Cleveland, OH  +2 locations
Educate providers on prior authorization requirements, coverage status, and payer appeals requirements, processes and timelines....

Provider Claims Specialist

CareSource - 107 reviews - Dayton, OH 45402 (Downtown area)
Print and mail letters on denied appeals. Route appeals to appropriate clinical personnel after documenting Facets. Role and Responsibility:....

Billing Specialist

UC Health - 174 reviews - Ohio
Work appeal for denials. Provide billing services for a large multi-specialty practice....

Project Specialist

HMS - 566 reviews - Westerville, OH
Requisition Title : Project Specialist ( 170010VI ) The Project Specialist is responsible for providing administrative, technical, and clerical...

Specialist, Contract Modeling

Mercy Health - 297 reviews - Mason, OH
The Specialist is also responsible for accurate identification of payment variances. Uses modeling tools to identify and confirm validity of payment variances...

Grievance & Appeals Specialist

CareSource - 107 reviews - Dayton, OH 45402 (Downtown area)
Assist members when filling appeals; Educate member, document and route the information to Clinical Appeals Coordinator....

Medicare Specialist

Apex - Cleveland, OH 44129
Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed....
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Billing Specialist

Tremont Health - Cleveland, OH
Consistently following-up on unpaid claims, utilizing monthly aging reports, and filing appeals when appropriate to obtain maximum reimbursement....
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Utilization Review Specialist
Completes appeals for denied days during the initial denial period while the patient is still hospitalized....
Defense Logistics Specialist
Deloitte - 5,168 reviews - Dayton, OH
Join our team of Federal Supply Chain specialists and play a key role in helping to transform the Federal marketplace!...
Medical Billing Specialist
MedComm Billing Consultants - Columbus, OH 43235
Majority of responsibilities include researching denials, writing appeals and calling insurance companies to resolve claims....
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