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  1. Mgr I/II Claims Ops-Relocation available-Mason, OH #106255 at Anthem, Inc.

    The Manager /II Claims Ops- Medicaid, (OH) provides oversight for claims staff responsible for processing Medicaid claims in support of Amerigroup's health...

  2. Test Analyst at Technology Consulting

    Our client is in the business of helping policyholders recover financially after a loss and continuously strengthen their service by offering a local presence,...

  3. Investigative Assistant (OA) at Drug Enforcement Administration

    How to Claim Veterans' Preference:. You have the power to help combat drug trafficking....

  4. Business Office Associate at System-Wide

    Review and follow-up crime victim claims. Prepares and submits claims to payers/intermediaries, meeting all government and third party regulations....

  5. Medicare/Medicaid Fraud Detection & Investigation Specialists at WCC, LLC

    For Data Analysts, experience with Medicare/Medicaid claims data and analytic tools preferred. Data Analysts, Investigators and Medical Reviewers wanted for...

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    1. Hospital Claims Analyst

      Position Summary: Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the assigned client. General Purpose: Client relations; problem resolution; critical thinking; auditing; relationship building Essential Duties and Responsibilities:· Build strong, lasting relationships with clients, ...

    2. Inpatient Coder

      Position Summary:  Audits the accuracy and completeness of diagnosis and procedure coding and APR-DRG assignment. General Purpose:  Problem resolution; critical thinking; auditing; coding; billing Essential Duties and Responsibilities:·         Develops audit protocol for claim selection·         Performs review of selected claims by auditing the medical record, post discharge, to confirm ...

    3. Benefits/Calculations and Auditing Administrator

      The Benefits Administrator is a Contract to hire positionThe benefits program is a lot different than the normal benefits departments. It's focused more on calculations and auditing, rather than reviewing the benefits.  Need someone who is advanced with Excel (although they will teach them Excel there), has flexibility, self starter, etc.    JOB DESCRIPTIONPerforms clerical duties following ...

    4. SIU Private Investigator (Licensed)

      Special Investigations Investigator Position Description: Individuals selected for the above named position will perform investigations related to multi-line insurance claims, criminal and civil background checks, and other investigative tasks. Principal Responsibilities: • Complete recorded detailed interviews of claimants, witnesses, and others as identified.• Completed scene investigations ...

    5. Medical Biller

      A medical billing opportunity is available courtesy of ProLink Healthcare. The medical biller will be responsible for follow-up on claims. Qualifications:-Previous physician billing experience required-Epic experience preferred-Solid work history ProLink Healthcare offers medical, dental, vision, short and long-term disability, and 401K. To be considered for the medical billing opportunity ...

    6. Clerk - Medical Insurance

      Clerk Opportunity Kelly Services has MULTIPLE CLERKOPPORTUNITIES available for our client, one of the nation's leading health insurance providers, at their location in Mason, OH. We are looking for candidates with a strong customer service background that are passionate about servicing their members. Positions start August 10 and pay $14.23/hour. 6 month contract with possible extension Hours ...

    7. DATA COLLECTION ASSOC-PT

      Overview: Responsible for collecting and transmitting data gathered from designated retail stores primarily using a hand-held scanning device. Take direction from the Supervisor and other management individuals. Responsible for meeting defined standards of work volume, quality, accuracy, completeness, and timeliness. Maintain a positive relationship with employees and customers as a ...

    8. product Researcher

      Location : Cincinnati/OHJob ID : PNGHJP00000238Job Title : Product Researcher IIIEmployment Type : W2 HourlyDescription :Leverages mastery to define and/or develop best practices for consumer tests and product qualification, driving consumer insights to action. Develops prototypes and qualification test plans. Works independently and leads/defines the product/technology qualification. ...

    9. Quality Assurance Manager, Flexible Packaging & Printing

      The CompanyLocated in the central southeast, our client is a 110 year old manufacturer of high-quality flexible film packaging products for the food, beverage, household and personal care industries.They are one of the fastest growing and most diversified manufacturers in the film packaging industry. As a family-owned business, they have a corporate culture built on quality, innovation, ...

    10. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company:SCA is a claims management firm that has been a leading provider to the insurance industry since 1979.SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your existing ...

    11. Sr. Workers Compensation Claims Representative (Paid Relocation)

      Sr. Claims Examiner Workers Compensation Cincinnati, OH Leading Carrier has immediate need for a Sr. Workers Compensation Claims Rep in their Cincinnati Office. Competitive Salary, Bonus, 401K, Paid Relocation, Great Perk Package PRIMARY PURPOSE: To analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and ...

    12. Production Supervisor

      High Quality Products! Production Supervisor needed in Cincinnati, OH! Our client is a leading manufacturer of products used around the globe. They are known for their innovation and high quality and strive to even be better! They are leading their industry in technology, customer service and new product development. Our client is in need of a Production Supervisor. Duties and ...

    13. Mortgage Protection, Final Expense, & Life Insurance SALES

      Looking for Sales Reps who aspire to be Sales Managers! We have the best mortgage protection program in the business, and we have serious demand nationwide. After all, we are in a market where 95% of all Americans, if they added up all the insurances that they hold, would not have enough to cover their mortgage. Can you imagine a product that everybody NEEDS (not just wants), and all you ...

    14. Senior Accountant - Ohio

      CECO Environmental is a leading global industrial technology company focused on providing innovative solutions for the environmental, energy, and fluid handling/filtration industries. Through its well-known brands, CECO provides a wide spectrum of products and services that play a vital role in helping companies achieve exacting production standards, meet increasing plant needs and comply ...

    15. Paralegal

      CECO Environmental is a leading global industrial technology company focused on providing innovative solutions for the environmental, energy, and fluid handling/filtration industries. Through its well-known brands, CECO provides a wide spectrum of products and services that play a vital role in helping companies achieve exacting production standards, meet increasing plant needs and comply ...

    16. Service Manager

       Job Function: Efficiently manage and direct all aspects of the Service Department operations in an up-beat manner which insures Customer satisfaction and maximum profits for the Dealership. Coordinate activities and cooperate with other Departments of the Dealership to best serve the service needs of the Customer. Sell Zimmer Tractor parts, labor and wholegoods service 100% of the time.   ...

    17. Medical Billing Specialist

      A medical billing opportunity is available courtesy of ProLink Healthcare. The medical biller will be responsible for follow-up on claims.   Qualifications: -Previous medical billing experience required, preferably physician billing -Epic experience preferred -Solid work history   ProLink Healthcare offers medical, dental, vision, short and long-term disability, and 401K.   To be ...

    18. Licensed Life Insurance Agent

      Looking for Sales Reps who aspire to be Sales Managers! We have the best mortgage protection program in the business, and we have serious demand nationwide. After all, we are in a market where 95% of all Americans, if they added up all the insurances that they hold, would not have enough to cover their mortgage. Can you imagine a product that everybody NEEDS (not just wants), and all you ...

    19. Ocean Marine Claims Specialist

      Ocean Marine Claims Specialist Cincinnati, OH, USA Prominent insurance carrier has immediate need for Sr Ocean Marine Claims Specialist with 5-10 years experience. In this position, you will be responsible for: (Must Have) 1st Party Property Claims Experience Adjusting assigned Ocean Marine claims within delegated limits of authority; Conducting timely and thorough investigations; ...

    20. OH/CLAIMS PROCESSOR/4566363

      Billing and Payment processing position requires:• Data entry and claims processing knowledge. • Has a working knowledge of interface systems that include claims systems, Metastorm Exclaim and EyeNet. • Basic working knowledge of software programs, specifically Excel and Access. • Understands third party benefits and administration. • Strong customer service focus. • Ability to work well ...

    21. Medical Coder / Auditor

      REMOTE Inpatient Coding Specialist (CCS/CCA or RHIA/RHIT) – Managed Care NationWide, Telecommute * Remote opportunity working from a home office, anywhere in the United States! * ** Excellent Benefits Package includes 23 Paid Days Off your 1st year, and an annual accrual up to 30 Paid Days Off!! ** Your Job Summary: The Inpatient Coding Specialist (CCS/CCA or RHIA/RHIT) performs coding ...

    22. Transportation Manager

      SwimOutlet.com, the web's most popular swim shop, offers talented and motivated people the opportunity to do the best work of their lives in a dynamic and growing company. SwimOutlet.com was named a Hot 100 Retailer and Top 10 Mobile Retailer by Internet Retailer magazine in 2012. We currently have a Transportation Manager opportunity available for immediate hire. This position is expected ...

    23. Inventory Specialist-Data Collections Associate - Part Time

      CROSSMARK has part-time in-store positions available and is looking to add to its Field Intelligence Team. Are you looking for a job that allows you to directly contribute to the success of an organization? If you are an independent, self-starter that enjoys flexibility in your work environment then CROSSMARK's Field Intelligence Team has the perfect opportunity for you! As one of our Field ...

    24. Claims Representative

      The Claims Representative is responsible for the evaluation, investigation and resolution of individual death claims, within established guidelines. This person will provide superior customer experiences to our clients and will process and approve claim payments within corporate established check/draft authority limits. THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING: Some college or ...

      1. AUTOMOTIVE INSPECTOR at verity inspection

        This information is vital for our customers to accurately adjudicate their warranty claims. Automotive inspectors travel to repair facilities in order to verify...

      2. Business Office Associate at Unity Health System

        Review and follow-up crime victim claims. Prepares and submits claims to payers/intermediaries, meeting all government and third party regulations....

      3. Identity & Access Management Engineer at Technology Consulting

        Our client is in the business of helping policyholders recover financially after a loss and continuously strengthen their service by offering a local presence,...

      4. Loss Prevention Associate at Stores - Kmart Hourly

        Ensures customer care and selling are #1 priority • Practices operation invitation and positive customer interaction by smiling and greeting every customer that...

      5. Obstetrics and Gynecology Physician - Permanent: ObGYN need in Western Ohio, call 1:5 at CompHealth

        For more information or to apply for this position, you can reach me directly at 203-663-9389 or e-mail me Van.ruttley@comphealth.com SSG looking for another...