Medical Claims Auditor

Description:THE POSITION.This position is responsible for reviewing and processing claims, including facility claims, to ensure accuracy prior to payment release. This position is the lead responder to Health Plans and IMS Clients for all products and lines of business. Responsible for management and monitoring of claims compliance with all products and...

Description:THE POSITION.This position is responsible for reviewing and processing claims, including facility claims, to ensure accuracy prior to payment release. This position is the lead responder to Health Plans and IMS Clients for all products and lines of business. Responsible for management and monitoring of claims compliance with all products and...

Job Summary:Under general supervision prepares Doctors First Reports and supplemental reports, review charts, abstracts and obtains specialty authorizations. Identify billable services. Must be able to demonstrate the ability to work collaboratively with co-workers and supervisor and possess excellent organizational skills. Must be customer service oriented....

Job Type Full-timeDescriptionZepf Center has been serving the Lucas County community for nearly 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and...

Summary: The Internal Sales Coordinator maintains communication with Astrophysics agents in assigned territories, searches for new sales opportunities, and responds to tenders. This role processes quotations to customers and issues internal sales orders. The Internal Sales Coordinator maintains customer files and assists in collections from customers and...

Job DescriptionJob DescriptionUniversity of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the...

Job Description:Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center – interacting with our customers and developing strong patient relationships. Pharmacy...

This position is an onsite role, and candidates must be able to work on-site at Mercy - St Anne Hospital in Toldeo, OH*Available Shifts:* *Full Time Third shift (7p-3:30a) *Full Time First Shift (9a-5:30p)The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible...

Harbor is looking for a Financial Operations Analyst who will be under the direct supervision of the Chief Financial Officer, compile and analyze data used in budget planning, decision support, productivity, variance analysis, economic justification, grants, revenue cycle, and special projects in accordance with established departmental standards, policies...

Description:Position: Credentialing Specialist-Hybrid: Remote & In-office (as needed)This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hospitals, SNF, Home Health, Radiology etc. The role will work closely with...

Company DescriptionAbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas immunology, oncology, neuroscience, and eye care and products and services in our...

General Summary: Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted...

General Summary: Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey. Our Claims department is currently seeking an Outside Property Adjuster for our Toledo, OH territory. Come join our growing...

Job Type Full-timeDescriptionZepf Center has been serving the Lucas County community for nearly 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career...

Job Type Full-timeDescriptionZepf Center has been serving the Lucas County community for nearly 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career...

Job DescriptionJob DescriptionDescription:Zepf Center has been serving the Lucas County community for nearly 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well...

Job DescriptionJob DescriptionMedical Billing Specialist Full-Time/Hourly$20.00 - $25.00/Hour (based on experience)Team Recovery Ohio, LLC, the fastest-growing organization providing treatment for substance use and mental health disorders in Northwest Ohio, is seeking a Full-Time Billing Specialist! Qualified applicants must be motivated, compassionate, and...

Job DescriptionJob DescriptionMedical Billing Specialist Full-Time/Hourly$20.00 - $25.00/Hour (based on experience)Team Recovery Ohio, LLC, the fastest-growing organization providing treatment for substance use and mental health disorders in Northwest Ohio, is seeking a Full-Time Billing Specialist! Qualified applicants must be motivated, compassionate, and...

Job DescriptionJob DescriptionBenefits:401(k) matchingBonus based on performanceDental insuranceHealth insurancePaid time offSigning bonusTraining & developmentAbout:With more than 30 years of experience and national recognition in occupational medicine, this company is focused on keeping workforces happy, healthy and productive. From drug screenings to...

Company Description Hobart Service, an Illinois Tool Works Company, has been in business for over 125 years and is the trusted source for Commercial Food Equipment Service Solutions. We have over 1,700 associates nationwide who serve as valued partners to our customers. Our employees are dedicated to providing the best customer service, give back to the...

Job descriptionOur Medical Billing Supervisor is a key part of our Finance and Executive Team and will be responsible for the hands-on management and performance of a variety of duties such as health care billing, health care claims adjudication & finance support. Excellent benefits and Compensation vary based on experience level. Seeking a highly organized,...

Job descriptionOur Medical Billing Supervisor is a key part of our Finance and Executive Team and will be responsible for the hands-on management and performance of a variety of duties such as health care billing, health care claims adjudication & finance support. Excellent benefits and Compensation vary based on experience level. Seeking a highly organized,...

Job DescriptionJob DescriptionUniversity of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from...

Job DescriptionJob DescriptionUniversity of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and...

Job DescriptionJob DescriptionUniversity of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and...

General Summary Responsible for reviewing, analyzing, disseminating and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance and the Quality and Compliance Committee. Works under the Supervision of the Quality and Compliance Director Principal Duties...

POSITION SUMMARYThe HB Revenue Cycle Support Specialist is responsible for a wide variety of administrative duties, including the accurate and timely submissions of facility claims to the third-party payors. In addition to claim submission, responsibilities include timely corrections of all assigned claim rejection and claim denial categories. The HB Billing...

Job DescriptionJob DescriptionInsurance Customer Service Representative - RemoteJob OverviewWe are seeking a dedicated Remote Customer Service Representative to join one of the nation’s leading Fortune 100 Insurance Companies. As the first point of contact for clients, you will play a crucial role in providing exceptional service and support to...