Current jobs related to Medical Insurance Claims Specialist - Columbus, Ohio - RemX


  • Columbus, Ohio, United States Encova Insurance Full time

    Job SummaryThe Property Claims Field Adjuster role at Encova Insurance involves investigating, evaluating, and processing property claims that require in-person contact and on-site inspections. This position is responsible for handling personal and commercial property losses, including structure, contents, and business income losses. The successful candidate...


  • Columbus, Ohio, United States Destinationone Consulting Full time

    Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, and Public Accounting. We are actively building a database of opportunities in these fields. By applying, you enable our recruiters to quickly match you with suitable roles...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryAs an Insurance Investigation Officer with the Ohio Department of Insurance, you will play a critical role in ensuring the integrity of the insurance industry. Your primary responsibility will be to investigate insurance claims, gathering facts and evidence to determine the validity of each claim. You will work closely with insurance companies,...


  • Columbus, Ohio, United States Nationwide Full time

    Job DescriptionWe are seeking a highly skilled Field Claims Specialist to join our team at Nationwide. As a Field Claims Specialist, you will be responsible for investigating and resolving moderate to severe property damage claims by phone and face-to-face.Key Responsibilities:Handles all assigned claims promptly and effectively, with little to no direction...

  • Claims Specialist

    1 month ago


    Columbus, Ohio, United States 501 CSAA Insurance Services, Inc. Full time

    About UsMobilitas is a commercial insurance company created by 501 CSAA Insurance Services, Inc. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today's way of doing business. We believe in what's possible, using our inventive skills to create new opportunities - we're not chasing the...


  • Columbus, Ohio, United States Sedgwick Full time

    Job SummarySedgwick is seeking a highly skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for analyzing and processing complex medical claims, investigating and gathering information to determine the exposure on the claim, and managing claims through well-developed action plans to an appropriate and...


  • Columbus, Ohio, United States Sedgwick Full time

    Job SummarySedgwick is seeking a highly skilled Claims Specialist, Professional Liability to join our team. As a key member of our risk management team, you will be responsible for analyzing and processing complex liability claims, managing claims through well-developed action plans, and negotiating claim settlements.Key ResponsibilitiesAnalyze and process...


  • Columbus, Ohio, United States Hastings Mutual Insurance Company Full time

    Job SummaryHastings Mutual Insurance Company is seeking a highly skilled Regional General Property Adjuster to join its Large Loss Property Claim Team. This is an excellent opportunity for an experienced Property Claims professional to investigate, evaluate, and resolve complex, large-scale property claims within the Company's contractual and legal...


  • Columbus, Ohio, United States Zurich Insurance Group Full time

    About the RoleZurich Insurance Group is currently seeking a highly skilled RCIS Crop Claims Field Adjuster I to join our team. As a leading crop insurance provider in the U.S., we offer a wide range of private product coverages, including named-peril options, supplemental and stand-alone insurance products, as well as federal crop insurance plans through the...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryWe are seeking a skilled Claims Examiner to join our team at the Ohio Department of Developmental Disabilities. As a Claims Examiner, you will be responsible for examining and processing workers' compensation claims in a timely and efficient manner.Key ResponsibilitiesExamine and process workers' compensation claimsConduct investigations and...


  • Columbus, Ohio, United States Crawford & Company Full time

    Job SummaryWe are seeking a highly skilled Casualty Claims Specialist to join our team at Crawford & Company. As a key member of our claims team, you will be responsible for investigating, reserving, negotiating, evaluating, and settling complex casualty claims.Key ResponsibilitiesExamine claims forms, policies, and endorsements to determine...


  • Columbus, Ohio, United States Alliant Insurance Services Full time

    Job SummaryWe are seeking a highly skilled and experienced Insurance Account Manager to join our team at Alliant Insurance Services. As an Insurance Account Manager, you will be responsible for providing exceptional customer service and driving business growth through strategic account management and sales efforts.Key ResponsibilitiesDevelop and implement...


  • Columbus, Ohio, United States destinationone Consulting Full time

    Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are actively building a database of opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryAs a Workers' Compensation Claims Specialist, you will be responsible for examining and processing workers' compensation claims in a timely and efficient manner. This role requires strong analytical and communication skills, as well as the ability to work in a fast-paced environment.Key ResponsibilitiesExamine and process workers' compensation...

  • Claims Analyst

    2 months ago


    Columbus, Ohio, United States Gainwell Technologies LLC Full time

    Job SummaryWe are seeking a skilled Claims Analyst to join our team at Gainwell Technologies LLC. As a Claims Analyst, you will play a critical role in analyzing pre-payment pharmacy claims data, systems, and documents to identify potential claim overpayments and ensure claims are paid accurately.Key ResponsibilitiesAnalyze pharmacy claims pre-payment data...


  • Columbus, Ohio, United States SportsMed Physical Therapy Full time

    Medical Billing SpecialistSportsMed Physical Therapy is seeking a highly skilled Medical Billing Specialist to join our team. This role will be responsible for reviewing new patient records, initiating the billing process, and working with clinic staff to resolve patient authorization issues.Responsibilities:Review new patient records in billing software and...


  • Columbus, Ohio, United States Alacrity Solutions Full time

    About the RoleAlacrity Solutions is seeking a skilled Daily Property Field Adjuster to join our team. As an independent contractor, you will be responsible for providing excellent claim handling services for our clients regarding daily claim work within your area.The ideal candidate will have a minimum of 2-3 years of property field adjusting experience and...


  • Columbus, Ohio, United States Bridgeway Academy Full time

    Job OpportunityBridgeway Therapy Center is seeking a full-time Medical A/R Specialist to join our team.Key Responsibilities:1. Review and research insurance denials, post payments, and reconcile client accounts.2. Ensure accurate and timely submission of insurance authorizations.3. Maintain a thorough understanding of ICD-10-CM and CPT coding guidelines and...


  • Columbus, Ohio, United States Trinity Health Full time

    Job Summary:We are seeking a skilled Medical Billing Specialist to join our team at Trinity Health. As a key member of our revenue cycle team, you will be responsible for performing day-to-day tasks in the assigned area of responsibility, including insurance claim and billing, payment posting, and follow-up on denials.Key Responsibilities:Insurance claim and...


  • Columbus, Ohio, United States Alliant Insurance Services Full time

    Job SummaryAs an Insurance Business Development Manager at Alliant Insurance Services, you will be responsible for providing exceptional customer service and driving business growth through strategic account management and new business development.Key ResponsibilitiesSupport Producers in developing new business opportunities for existing clients and...

Medical Insurance Claims Specialist

1 month ago


Columbus, Ohio, United States RemX Full time
Job Description

RemX is seeking a highly skilled Medical Insurance Claims Specialist to join their team in Columbus, Ohio. As a Medical Insurance Claims Specialist, you will be responsible for conducting outbound calls to insurance companies, providers, and patients to verify benefits and coverage. You will also investigate and resolve benefit-related issues and discrepancies, communicate with patients explaining their medical benefits, and maintain accurate records of benefit investigations in the system.

Responsibilities:

  • Conduct outbound calls to insurance companies, providers, and patients to verify benefits and coverage.
  • Investigate and resolve benefit-related issues and discrepancies.
  • Communicate with patients explaining their medical benefits.
  • Maintain accurate records of benefit investigations in the system.

Requirements:

  • At least 6 months or more of previous Medical Benefits experience.
  • Proven experience in medical benefit investigation and insurance verification.
  • Strong understanding of health insurance plans and coverage.
  • Attention to detail and the ability to manage multiple cases efficiently.
  • Adhere to all required KPI's.
  • Great work attitude and willingness to help others.

Benefits:

  • Weekly pay and amazing perks.
  • Growth opportunities and professional development.
  • Flexible hours and work-life balance.
  • Beautiful State of the Art Modern Campus.
  • High End Onsite Fitness Center.
  • Cafeteria Featuring Delicious and Healthy Options.
  • Basketball Court.
  • Game Room and Pool Tables.
  • Down Time Rooms.
  • Convenient Parking.
  • Even an Onsite Masseuse for Staff.