Appeals Specialist
2 weeks ago
Quadax, Inc. is seeking a skilled Appeals Specialist to join our team. As an Appeals Specialist, you will play a critical role in reviewing and processing appeals for denied claims, ensuring timely and accurate resolution of patient disputes.
Key Responsibilities- Appeal Processing: Review assigned denials and EOBs for appeal filing information, gather missing data, and create appeal letters.
- Case Management: Coordinate phone hearings with insurance companies, patients, and physicians, and ensure compliance with appeal process SOPs.
- Communication: Maintain effective communication with team members, management, and external stakeholders to ensure seamless appeal processing.
- Quality Assurance: Meet quality standards by accurately processing appeals and maintaining detailed records.
- Special Projects: Participate in special projects assigned by the Team Leader or Reimbursement Manager.
- Education: High School diploma or GED.
- Experience: Minimum of four years health insurance billing experience.
- Skills: Proficient in all aspects of reimbursement, knowledge of managed care industry, and ability to maintain confidentiality.
- Software: Proficient in using Microsoft Excel and Word.
Quadax, Inc. offers a dynamic work environment and opportunities for professional growth. If you are a motivated and detail-oriented individual with a passion for healthcare reimbursement, we encourage you to apply for this exciting opportunity.
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Appeals Specialist
7 days ago
Cleveland, Ohio, United States Quadax, Inc. Full timeJob SummaryQuadax, Inc. is seeking a skilled Appeals Specialist to join our team. As an Appeals Specialist, you will play a critical role in reviewing and processing appeals for denied claims, ensuring timely and accurate resolution of patient disputes.Key ResponsibilitiesAppeal Filing and Coordination: Review assigned denials and EOBs for appeal filing...
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Retail Merchandising Specialist
4 weeks ago
Cleveland, Ohio, United States Apollo Full time{"Job Title": "Retail Merchandising Specialist", "Job Description": "**Job Summary:**As a Retail Merchandising Specialist with Apollo Retail Specialists, you will play a critical role in ensuring our clients' retail stores are visually appealing and well-stocked.**Key Responsibilities:*** Safely move, build, and reposition shelving and displays in store bays...
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Culinary Specialist
1 month ago
Cleveland, Ohio, United States House Of Creole Full timeWe are seeking a skilled Culinary Specialist to join the team at House Of Creole. In this position, you will be responsible for preparing high-quality meals for our customers using fresh ingredients and creative techniques.Key Responsibilities:Menu Development: Create menus that showcase the flavors and ingredients of Creole cuisine, taking into account...
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Culinary Specialist
4 weeks ago
Cleveland, Ohio, United States House Of Creole Full timeWe are seeking a skilled Culinary Specialist to join the team at House Of Creole. In this position, you will be responsible for preparing high-quality meals for our customers using fresh ingredients and creative techniques.Key Responsibilities:Menu Development: Create menus that showcase the flavors and ingredients of Creole cuisine, taking into account...
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Cleveland, Ohio, United States Apex Innovations Full timeAbout the Role:We are seeking a motivated and customer-oriented individual to join our team as a meat and sausage processing apprentice at Apex Innovations. As a specialist salesperson in the food trade, you will learn how to properly handle, maintain, and inspect meat and sausage products.Key Responsibilities:Learn how to present meat and sausage products...
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Culinary Specialist
2 weeks ago
Cleveland, Ohio, United States House Of Creole Full timeJob SummaryWe are seeking a skilled Culinary Specialist to join our team at House Of Creole. In this role, you will be responsible for preparing high-quality meals using fresh ingredients. The ideal candidate is experienced, creative, and committed to delivering exceptional customer experiences.Key Responsibilities:Develop and implement menus based on...
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Pediatric Nephrology Specialist
7 days ago
Cleveland, Ohio, United States Cleveland Clinic Foundation Full timeCleveland Clinic Foundation is seeking a dedicated Pediatric Nephrologist to enhance our esteemed Center for Pediatric Nephrology and Hypertension. This role necessitates an MD, DO, or its international equivalent, validated by a credentials evaluation or ECFMG certificate, along with Board Certification/Eligibility in Pediatric Nephrology. We welcome...
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Culinary Specialist
1 month ago
Cleveland, Ohio, United States Sodexo Full timeAbout the RoleWe are seeking a skilled and enthusiastic Culinary Specialist to join our team at Sodexo. As a key member of our kitchen staff, you will play a vital role in preparing and serving high-quality meals to our clients.Key ResponsibilitiesFood Preparation: Accurately and efficiently prepare, portion, cook, and present a variety of hot and/or cold...
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Cleveland, Ohio, United States Aldi Inc. Full timeAbout the RoleWe are seeking a highly motivated and customer-focused Retail Sales Associate/Cashier/Inventory Specialist to join our team at Aldi Inc. As a key member of our store team, you will be responsible for providing exceptional customer service, maintaining a clean and organized store environment, and supporting the sales and inventory processes.Key...
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Culinary Specialist
7 days ago
Cleveland, Ohio, United States House Of Creole Full timeHouse Of Creole is seeking a skilled Line Cook to enhance our culinary team. As a key member of our kitchen staff, you will be responsible for preparing high-quality dishes that exceed our customers' expectations. Your creativity, attention to detail, and ability to work under pressure will be essential in delivering exceptional dining experiences. Key...
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Visual Communications Specialist
7 days ago
Cleveland, Ohio, United States FASTSIGNS #221601 Full timeAbout the RoleWe are seeking a talented Graphic Designer to join our team at FASTSIGNS #221601. As a Graphic Designer, you will play a crucial role in creating visually appealing and impactful graphics for our clients.Key ResponsibilitiesDesign computer-generated full-color graphics and output vinyl for various applicationsCollaborate with our team to...
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Visual Communications Specialist
4 weeks ago
Cleveland, Ohio, United States FASTSIGNS Full timeAbout the RoleWe are seeking a highly skilled and motivated Graphic Designer to join our team at FASTSIGNS. As a Graphic Designer, you will play a crucial role in creating visually appealing and impactful graphics for our clients.Key ResponsibilitiesDesign computer-generated full-color graphics and output vinyl for various applicationsCollaborate with the...
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Culinary Specialist
2 weeks ago
Cleveland, Ohio, United States House Of Creole Full timeJob SummaryWe are seeking a skilled Line Cook to join our team at House Of Creole. As a key member of our culinary team, you will be responsible for preparing high-quality dishes that exceed our customers' expectations.Key ResponsibilitiesCreate menus that showcase our restaurant's unique flavor profileSet up the kitchen with the necessary tools and...
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Meat Cutter Specialist
4 weeks ago
Cleveland, Ohio, United States Giant Eagle Full timeMeat Cutter Role at Giant EagleWe're seeking a skilled Meat Cutter to join our team at Giant Eagle. As a Meat Cutter, you'll play a crucial role in ensuring our guests receive the highest-quality meat products, presented to their liking.Key Responsibilities:Provide exceptional guest service, addressing their needs and preferencesWork closely with the Meat...
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Landscape Maintenance Specialist
3 days ago
Cleveland, Ohio, United States MVP Snow n' Lawn Full timeJob OpportunitySeeking a motivated and hard-working individual to join our Grounds Crew as a Landscape Team Member. As a key member of our team, you will be responsible for maintaining our outdoor spaces and ensuring they are safe and visually appealing.Responsibilities:Operate snow removal and lawn maintenance equipment, including zero-turn mowers, blowers,...
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Training for Meat and Sausage Specialist
3 weeks ago
Cleveland, Ohio, United States Apex Innovations Full timeMeat and Sausage Processing ApprenticeWe are seeking a motivated individual to join our team as a meat and sausage processing apprentice at Apex Innovations. As a meat and sausage processing apprentice, you will learn how to properly handle, maintain, and inspect meat and sausage products.Key Responsibilities:Learn how to present meat and sausage products in...
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Pediatric Pulmonology Specialist
1 month ago
Cleveland, Ohio, United States Cleveland Clinic Foundation Full timeCleveland Clinic Foundation is in search of a dedicated Pediatric Pulmonologist to enhance our Center for Pediatric Pulmonary Medicine within the esteemed Cleveland Clinic Children's Hospital. This role includes privileges at both Cleveland Clinic and Cleveland Clinic Children's Hospital for Rehabilitation, recognized as one of the few standalone pediatric...
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Pediatric Respiratory Specialist
7 days ago
Cleveland, Ohio, United States Cleveland Clinic Foundation Full timeCleveland Clinic Foundation is in search of a dedicated Pediatric Pulmonologist to enhance our esteemed Center for Pediatric Pulmonary Medicine within the renowned Cleveland Clinic Children's Hospital.This role encompasses privileges at both Cleveland Clinic and the Cleveland Clinic Children's Hospital for Rehabilitation, which stands as one of the few...
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Pediatric Respiratory Specialist
1 month ago
Cleveland, Ohio, United States Cleveland Clinic Foundation Full timeCleveland Clinic Foundation is in search of a dedicated Pediatric Pulmonologist to enhance our Center for Pediatric Pulmonary Medicine within the esteemed Cleveland Clinic Children's Hospital. This role includes privileges at both Cleveland Clinic and the renowned Cleveland Clinic Children's Hospital for Rehabilitation.The Center for Pediatric Pulmonary...
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Data Visualization Analyst
1 month ago
Cleveland, Ohio, United States Heinen's Grocery Store Full timeAbout Heinen's Grocery StoreWe are a premier grocery store chain with a rich history dating back to 1929. Our company values quality products, outstanding customer service, and a commitment to our associates' quality of life.Job SummaryWe are seeking a highly skilled Data Visualization Specialist to join our team. As a key member of our business intelligence...