Payer Enrollment Specialist

Are you a motivated individual looking for a challenging role in Payer Network Specialist? IDR Healthcare has an exciting opportunity for you! As a Payer Network Specialist, you will be responsible for accurately completing and reviewing provider applications, ensuring timely submission of re-appointments and re-credentialing, and maintaining internal...

The Data Manager will be responsible for testing and implementing computer databases at Enrollment Management Services. The estimated salary for this role is $65,000 - $90,000 per year.About the JobThis position requires strong analytical and problem-solving skills, as well as experience with relational databases, such as MySQL, Oracle, and SQL Server.Duties...

About the RoleWe are seeking a highly skilled Individual to join our team as an Identity Verification Specialist.ResponsibilitiesEnrollment Process Management:Schedule appointments and/or service walk-ins for PIV Card Activations, Enrollments, Certificate Updates and PIN Resets.Answer phone calls/email inquiries for all things related to PIV credentials and...

Job Title: Account Specialist IIJob Summary: We are seeking an experienced Account Specialist II to join our team at TriHealth. In this role, you will be responsible for expediting positive cash flow, maximizing reimbursement, and reducing/eliminating financial loss to department customers.Key Responsibilities:Submit charge information into appropriate...

Job OverviewThe Urology Group is seeking a highly skilled Claims Resolution Specialist I to join our team in Norwood, OH. As a key member of our Business Office department, you will be responsible for following up and resolving claims submitted to third-party insurance payers.About the RoleThis full-time position involves working closely with the Business...

About the RoleTri State Urologic Services is a leading healthcare organization in Ohio, committed to delivering exceptional patient care and services. We are currently seeking a highly skilled Medical Claims Resolution Specialist to join our team.Job SummaryThis is a full-time position responsible for resolving claims submitted to third-party insurance...

About the RoleWe are seeking a detail-oriented and proactive Revenue Cycle Specialist to ensure seamless financial operations and facilitate access to services for our clients. The successful candidate will collaborate directly with individuals, families, and third-party payers to determine eligibility, verify benefits, and identify payment options or...

Job OverviewBest Point Education & Behavioral Health is seeking a detail-oriented and proactive Billing Specialist to ensure individuals can access and maintain services by removing financial barriers. The ideal candidate will collaborate directly with individuals, families, and third-party payers to determine eligibility, verify benefits, and identify...

The Christ Hospital Cardiovascular Associates is seeking a highly skilled Clinical Pharmacist Specialist to join our team. This role will be responsible for developing and implementing pharmacy-related processes and procedures within our ambulatory care setting. As an essential member of our team, you will work closely with healthcare providers to manage...

Vaco is seeking a Physician Billing Specialist for a full time, direct hire role! Physician billing experience is required. Hybrid work environment with flexible scheduling.  Responsibilities:Ensure timely claim submission to payers and follow up on claims with no response or payer rejections.Handle payer rejections, correspondence, contract variances, and...

The Greater Cincinnati School Application Consortium is seeking a skilled EMIS Data Specialist to support our main office with various duties. This role involves working closely with attendance, student enrollments, and withdrawals, as well as maintaining accurate student records. The ideal candidate will have experience with Progress Book and DASL or be...

Job TitleDiagnostic Imaging SpecialistAbout the JobWe are seeking a skilled Diagnostic Imaging Specialist to join our team in Cincinnati, Ohio. As a Diagnostic Imaging Specialist, you will be responsible for operating medical imaging equipment to produce images of the interior of the human body.This is a travel position with a duration of 13 weeks and 36...

Job Title: Healthcare Business Intelligence SpecialistAbout Oxford Global ResourcesOxford Global Resources is a leading provider of talent solutions for the healthcare industry. We are committed to delivering high-quality professionals who can drive business growth and improve patient outcomes.Estimated Salary Range: $80,000 - $110,000 per yearJob...

Job DescriptionJob DescriptionTRIPLEPOINT is seeking a Benefit Specialist (Bilingual English/Spanish) to work from the TP Mechanical office located in Cincinnati, Ohio. TriplePoint family of companies has offices located in North Carolina, Kansas, Ohio, Kentucky, Indiana, and Texas.Position Summary: Act as a subject matter expert on all benefit plans for...

Job DescriptionJob Overview: Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines....

We are looking for a skilled Claims and Follow-Up Professional to join our team at Tri State Urologic Services in Norwood. In this critical role, you will be responsible for following up and resolving claims submitted to third-party insurance payers, meeting or exceeding productivity targets, and collaborating with the Business Office Supervisor to escalate...

The Behavioral Health Specialist will provide daily supervision to clients enrolled in assigned programs. This role involves providing backup support, crisis intervention, and coverage for staff absences as necessary. The specialist will also assist the supervisor in implementing evidence-based models and completing administrative tasks.Key...

We are looking for a highly motivated and organized individual to fill the role of Dispensing Specialist at Altev Community Pharmacy. This position offers a great opportunity for those who are passionate about delivering exceptional patient care and contributing to the growth of our community-focused pharmacy.The estimated salary for this position is $60,000...

Job DescriptionWe are seeking a highly skilled Healthcare Analytics Specialist to join our team at TriHealth. This is an exciting opportunity to work with our Managed Care team to analyze and develop strategies for increasing revenue through contract negotiation and rate modeling.About the RoleThe successful candidate will perform analysis and rate modeling...

Job Overview: The major purpose of this position is to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss to department customers by accurate efficient timely posting. Responsible for posting all incoming payments and denials to correct patient accounts on a daily basis for either the hospitals or the physician...