Medical Claims Specialist

3 weeks ago


Cleveland, Ohio, United States Care Alliance Health Center Full time

Care Alliance Health Center is a leading provider of high-quality medical, dental, and behavioral healthcare services. We are seeking an experienced Credentialing & Billing Specialist to join our team.

Key Responsibilities:
  • Assist the Revenue Cycle Manager in identifying and resolving denials or authorization issues.
  • Process billing mail and follow up as needed.
  • Support the management of outstanding accounts receivable.
  • Maintain familiarity with National Billing and Coding standards and regulations.
  • Assist in training staff on billing procedures and policies.

Qualifications:

  • Minimum of 5 years of experience in healthcare credentialing and/or billing.
  • Minimum of 2 years' experience in managed care practices, payor reimbursement methodologies, and records management.
  • Excellent computer skills, including Microsoft Word, Access, and Excel.
  • Good oral/written communication skills, computer literacy, business acumen, organizational, and interpersonal skills.


  • Cleveland, Ohio, United States Phaxis Full time

    Job Summary:Phaxis is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for reviewing and processing medical claims, ensuring accurate and timely reimbursement for our clients.Key Responsibilities:Review and process medical claims, identifying and resolving any discrepancies or...


  • Cleveland, Ohio, United States Wisen HR Full time

    Job Title: Billing Specialist/CoderAt Wisen HR, we are seeking a highly skilled Billing Specialist/Coder to join our team. The successful candidate will be responsible for ensuring accurate and timely medical billing and coding of patient procedures and diagnoses.Key Responsibilities:Review and accurately code patient diagnoses and procedures using ICD-10...


  • Cleveland, Ohio, United States Wisen HR Full time

    Job OverviewWisen HR is seeking a skilled Billing Specialist/Coder to join our team. The successful candidate will be responsible for ensuring accurate and timely medical billing and coding of patient procedures and diagnoses. This role involves reviewing medical records, coding healthcare services, and working with insurance companies to ensure proper...


  • Cleveland, Ohio, United States Quadax, Inc. Full time

    Job DescriptionQuadax, Inc. is seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for resolving outstanding accounts receivable balances, responding to payer correspondence, and drafting appeals for denied claims.Responsibilities:Resolve outstanding accounts receivable...


  • Cleveland, Ohio, United States US01 AllCare Plus Pharmacy, Inc. Full time

    Job Title: Medical Claims ProcessorWe are seeking a highly organized and detail-oriented Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for receiving and processing medical claims from healthcare providers and patients, ensuring that all necessary documentation is provided and that claims are processed...


  • Cleveland, Ohio, United States Phaxis Full time

    Key Responsibilities:We are seeking a skilled Medical Biller to join our team at Phaxis. The ideal candidate will have a strong background in medical billing, with a minimum of 4 years of experience in the field. A proven track record of successfully managing medical billing processes, including Medicaid billing, is essential.Requirements:Previous experience...

  • Claims Adjuster

    3 weeks ago


    Cleveland, Ohio, United States Progressive Insurance Full time

    As a centralized claims adjuster, you will play a crucial role in helping customers resolve auto claims involving up to two vehicles. This is a remote position that requires you to work primarily over the phone. Your responsibilities will include accurately documenting claims details, interviewing those involved in an accident, making coverage and liability...


  • Cleveland, Ohio, United States Medical Service Company Full time

    About the Role:Medical Service Company seeks a skilled Durable Medical Equipment Insurance Verification Specialist to join our team.As a key member of our revenue cycle team, you will play a crucial role in ensuring timely and accurate reimbursement for our medical services.Responsibilities:Initiate renewal authorization requests with insurance companies and...

  • Business Analyst

    3 weeks ago


    Cleveland, Ohio, United States Emerald Resource Group Full time

    Job Title:We are seeking an I.T. Business Analyst with a background in insurance, medical claims, or healthcare to play a crucial part in building 3rd generation claims applications.Responsibilities:Collaborate with a team of I.T. and Operational leaders and technical experts.Manage data reports both directly and indirectly.Develop project milestones,...


  • Cleveland, Ohio, United States White Glove Placement Full time

    Unlock Your Career Potential:As a Medical Billing Specialist with White Glove Placement, you will play a vital role in ensuring the smooth operation of our clients' healthcare facilities. With a strong focus on administrative tasks, you will be responsible for managing medical records, processing insurance claims, and maintaining accurate billing...


  • Cleveland, Ohio, United States Medical Service Company Full time

    About the Role:Medical Service Company is a family-owned and operated durable medical equipment and respiratory provider with over 70 years of experience. We are proud to be a 13-Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work and a two-time recipient of the National HME Excellence Award for Best Home Medical Equipment...


  • Cleveland, Ohio, United States Catholic Charities Full time

    Job SummaryCatholic Charities seeks a highly skilled Medical Billing Specialist to join our team. As a key member of our finance and accounting department, you will be responsible for ensuring accurate and timely medical billing and reimbursement processes.Key ResponsibilitiesProcess and manage medical claims, including submission and follow-up on rejected...


  • Cleveland, Ohio, United States OneStaff Medical Full time

    The Opportunity:We are seeking a skilled Medical Care Specialist to join our team at OneStaff Medical. As a Medical Care Specialist, you will play a vital role in providing high-quality patient care and support in a fast-paced medical environment.Key Responsibilities:* Assist patients with medical problems related to the blood vessels, heart, and lungs.*...


  • Cleveland, Ohio, United States PSG Global Solutions Careers Full time

    We're seeking a skilled Medical Biller to join our team at PSG Global Solutions Careers. This role focuses on accurately processing patient billing, handling insurance claims, and ensuring timely reimbursement.You'll play a key part in supporting healthcare providers by maintaining precise financial records and assisting patients with billing inquiries.This...


  • Cleveland, Ohio, United States OneStaff Medical Full time

    THE ROLE:As a Medical Care Specialist with OneStaff Medical, you will be responsible for assisting patients with medical problems related to the blood vessels, heart, and lungs. This includes interviewing and examining patients with breathing or cardiopulmonary disorders, as well as providing emergency care to patients suffering from heart attacks, drowning,...


  • Cleveland, Ohio, United States Convergence Medical Staffing Full time

    Job Summary: We are seeking a skilled Medical Imaging Specialist to join our team at Convergence Medical Staffing. As a Diagnostic Imaging Technologist, you will be responsible for operating MRI equipment to produce high-quality images for medical diagnosis.Key Responsibilities:Operate MRI equipment to produce high-quality imagesEnsure patient safety and...


  • Cleveland, Ohio, United States All Medical Personnel Full time

    Job Summary:We are seeking a highly skilled and detail-oriented Clinical Medical Support Specialist to join our team at All Medical Personnel. As a Clinical Medical Support Specialist, you will play a vital role in ensuring the smooth operation of our medical offices, providing exceptional patient care, and supporting our healthcare professionals.Key...


  • Cleveland, Ohio, United States NavitsPartners Full time

    Job Summary:NavitsPartners is seeking a highly skilled Medical Biller to join our team in Cleveland, OH. As a Medical Biller, you will play a vital role in ensuring timely and accurate billing operations, contributing to the organization's mission of serving those in need.Key Responsibilities:Perform clerical functions related to revenue cycle management,...


  • Cleveland, Ohio, United States Medical Service Company Full time

    At Medical Service Company, we're seeking a highly skilled PAP Resupply Specialist to join our team. As a key member of our respiratory therapy team, you will play a critical role in ensuring patients receive outstanding service, education, and resolution regarding CPAP Therapy.Responsibilities include:Marketing the MSC ReFresh Program to patientsPromoting...


  • Cleveland, Ohio, United States Marvel Medical Staffing Allied Full time

    Job DetailsMarvel Medical Staffing Allied is seeking a skilled Medical Imaging Specialist to join their team in Cleveland, Ohio.Specialty: CT TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelMarvel Medical Allied Job ID #482513. Pay package is based on 8 hour shifts and 40 hours per...