Medical Claims Manager jobs in Dayton, OH

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Remote Medical Auditor Inpatient (CCS, RHIA, RHIT)
Pyramid Healthcare Solutions 18 reviews - United States
Reviews claim denials and rejections pertaining to coding and medical necessity issues. Completes other projects and tasks as assigned by Manager....
Sponsored by Pyramid Healthcare Solutions
Cincinnati Family Practice
Steele Healthcare Solutions - Ohio
Health risk assessments, remote monitoring software for high risk patients, a 24-hour nurse hotline, an electronic medical record, claims analysis, and a unique...
Sponsored by PrimaryCareOpenings.com
Patient Access Lead
Shire 110 reviews - United States
Customer Service Case Managers, Managed Markets, Medical Science Liaison’s, Regional Business Manager’s and Marketing teams to facilitate and optimize patient...
Sponsored by Shire

Hospital Associate Medical Biller

Mednax - Dayton, OH
PEDIATRIX MEDICAL GROUP. Manager Hospital Associate Floater. Assist Medical Director and physicians with administrative support....

Maternal Child Regional Care Coordinator

CareSource 44 reviews - Dayton, OH
§ Facilitate execution of agreements with practices interested in becoming maternal child medical homes. § Utilize and expand Peer-to-Peer relationships between...

Field Auto Appraiser

Esurance 63 reviews - Dayton, OH
Prior auto claims experience. As an Field Representative you will work closely with Claims Representatives, Desk Auditors, Total Loss Specialists, SIU and...

Manager Pharmacy Operations

CareSource 44 reviews - Dayton, OH
§ Vendor liaison with PBM Account Manager. § Act as a resource for the Medical Management Department....

Manager, Operational Integrity

CareSource 44 reviews - Dayton, OH
§ Act as a resource for the Medical Management Department. § Oversee the pharmacy claims denial process and associated regulatory requirements....

LEAD MEDICAL BILLING SPEC

Premier Health Partners 25 reviews - Dayton, OH
B) Hardcopy and Secondary Claims printed daily. The Medical Billing Specialist performs daily, monthly and special system processing requirements (i.e....

Manager, Utilization Management

Evolent Health 6 reviews - Dayton, OH
Collaborates with Evolent’s Associate and Market Medical directors around evidence-based practices and medical policies under the guidelines of Evolent’s...

Component Repair Admin

PSA Airlines, Inc. - Vandalia, OH 45377
Other duties as assigned by the Component Repair Manager. Create Repair Orders and Warranty Claims for components being shipped to PSA approved repair vendors....

Customer Service Representative II (CSR)

MetLife GTO - Dayton, OH
Manager e Business Projects. Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc....

Staff Pharmacist Floater FT

CVS Health 8,226 reviews - Troy, OH  +1 location
Solicit information on a customer/s medical history to give appropriate medical advice. Complete manual claim form listing....
Sr. Consultant, Risk Adjustment Coding & Clinical Documentat...
Gorman Health Group - United States
Maximization and efficiencies within data sources, including provider Electronic Medical Record (EMR), Health Information Exchange (HIE), and claims warehouses....
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Sponsored by Gorman Health Group
Field Auto Appraiser
Esurance 63 reviews - Dayton, OH
Prior auto claims experience. As an Field Representative you will work closely with Claims Representatives, Desk Auditors, Total Loss Specialists, SIU and...
Sponsored by Esurance

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Company with Medical Claims Manager jobs
Pyramid Healthcare Solutions is a leading provider of Health Information Management and Revenue Cycle Services for the healthcare industry.