Caresource jobs in Dayton, OH

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Patient Care Coordinator
Dayton, OH 45402 (Downtown area)
§ Maintain knowledge of state and federal regulationsgoverning CareSource, State Contracts and Provider Agreements, benefits, andURAC standards....
Desired:Case ManagementManagement ExperienceAcute CareSocial Work License
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Physician needed for Primary Care Practice:
Primary Care
Dayton, OH 45432
We work with all the major insurances with the exception of CareSource. We are an established primary care group located between Beavercreek and Dayton Ohio....
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Prior Authorization Specialist

Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Assists with Medical Management processes § Convert information obtained from providers/members, (received via fax, phone or mail...
Desired:Managed Care

Claims Specialist

Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Coordinate with a core group of priority provider offices to identify claim problems and resolve them in a timely manner § Adjust...
Desired:Time Management

Grievance and Appeals Specialist II

Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Responsible for capturing and resolving all member complaints regarding bills, dissatisfaction with services and access to care...

Administrative Specialist

Dayton, OH 45402 (Downtown area)
Ensure CareSource records management guidelines are adhered to. § Compose and prepare business presentation documents and spreadsheets....
Desired:ExcelAdministrative ExperienceMicrosoft WordVisioMicrosoft Powerpointand 1 more...

Credentialing Coordinator I

Dayton, OH 45402 (Downtown area)
State and federal regulations pertaining to provider credentialing and recredentialing, CareSource Credentialing Policies and Procedures and Standard Operating...
Desired:Time ManagementMicrosoft WordMedical TerminologyMicrosoft OfficeExceland 2 more...

Senior Administrative Assistant

Dayton, OH 45402 (Downtown area)
§ Compose and prepare advanced business presentation documents and spreadsheets § Assist with special projects, conduct research, compile data and maintain...
Desired:ExcelMicrosoft WordVisioMicrosoft PowerpointMicrosoft Office

Accounts Receivable Specialist

Dayton, OH 45402 (Downtown area)
Role and Responsibility: Complete reconciliation of premium payments made by members, third parties or the government Research premium payments and ensure...
Desired:ExcelAccounts ReceivableCustomer ServiceMicrosoft Office

Senior Vice President, Pharmacy

Dayton, OH 45402 (Downtown area)
Serve as CareSource liaison to our provider community, including our regulators as well as our physician providers. Role and Responsibility:....
Desired:Management ExperienceMicrosoft WordCustomer ServiceManaged CareNegotiationand 1 more...

Contract Specialist

Dayton, OH 45402 (Downtown area)
§ Ensure contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, ensure approvals are received for non-standard...
Desired:Time ManagementMicrosoft WordData EntryManaged Care

Provider Appeals Specialist

Dayton, OH 45402 (Downtown area)
§ Review appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. Role and Responsibility:....
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