Current jobs related to Medical Claims Specialist - Cleveland, Ohio - Wisen HR
-
Medical Claims Specialist
4 weeks ago
Cleveland, Ohio, United States Phaxis Full timeJob 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...
-
Insurance Claims Specialist
1 month ago
Cleveland, Ohio, United States Quadax, Inc. Full timeJob 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...
-
Claims Adjuster
4 weeks ago
Cleveland, Ohio, United States Progressive Insurance Full timeAs 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...
-
Medical Claims Specialist
4 weeks ago
Cleveland, Ohio, United States Care Alliance Health Center Full timeCare 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...
-
Cleveland, Ohio, United States Medical Service Company Full timeAbout 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
4 weeks ago
Cleveland, Ohio, United States Emerald Resource Group Full timeJob 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,...
-
Durable Medical Equipment Insurance Specialist
4 weeks ago
Cleveland, Ohio, United States Medical Service Company Full timeAbout 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...
-
Medical Billing Specialist
4 weeks ago
Cleveland, Ohio, United States PSG Global Solutions Careers Full timeWe'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...
-
Administrative Medical Billing Specialist
4 weeks ago
Cleveland, Ohio, United States NavitsPartners Full timeJob 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,...
-
Medical Director Assistant
1 month ago
Cleveland, Ohio, United States Medical Mutual Full timeJob SummaryWe are seeking a highly skilled Medical Director Assistant to join our team at Medical Mutual. As a key member of our clinical team, you will provide clinical expertise to promote the delivery of high-quality, cost-effective medical care. Your contributions will be instrumental in achieving clinical excellence, quality ratings improvement, and...
-
Cleveland, Ohio, United States Cleveland Medical Center Full timeAt Cleveland Medical Center, our mission is to deliver exceptional patient care and medical expertise. As a Nurse Care Specialist, you will be part of our team of dedicated professionals who strive to make a difference in the lives of our patients and their families.Job SummaryWe are seeking a Registered Nurse with a passion for delivering high-quality...
-
Cleveland, Ohio, United States Medical Service Company Full timeJob Summary:We are seeking a highly skilled and customer-focused Contact Center Specialist to join our team at Medical Service Company. As a key member of our contact center, you will be responsible for providing exceptional customer service to our patients and healthcare providers, ensuring timely and accurate processing of orders, and maintaining a high...
-
Medical Laboratory Specialist
3 weeks ago
Cleveland, Ohio, United States KA Recruiting Inc. Full timeMedical Laboratory Specialist Job OpeningWe are seeking a Medical Laboratory Specialist to join our team at KA Recruiting Inc.Job Summary:The Medical Laboratory Specialist will be responsible for performing various laboratory tests, including blood bank functions, to ensure accurate and reliable results.Responsibilities:• Conduct blood bank tests and...
-
Diagnostic Imaging Specialist
4 weeks ago
Cleveland, Ohio, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging SpecialistJob Description:We are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical. As a Diagnostic Imaging Specialist, you will be responsible for operating MRI equipment to produce high-quality images for diagnostic purposes. This is a travel position, and you will have the opportunity to...
-
Travel Nurse Oncology Specialist
1 month ago
Cleveland, Ohio, United States Advantis Medical Full timeJob Title: Travel Nurse Oncology SpecialistAdvantis Medical is seeking a travel nurse oncology specialist to join their team in Cleveland, Ohio.Job Description & RequirementsSpecialty: OncologyDiscipline: Registered NurseDuration: 13 weeksShift: RotatingEmployment Type: TravelAs a travel nurse oncology specialist, you will provide high-quality care to...
-
Diagnostic Imaging Specialist
4 weeks ago
Cleveland, Ohio, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging SpecialistWe are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical. As a Diagnostic Imaging Specialist, you will be responsible for operating MRI equipment to produce high-quality images for diagnostic purposes.Key Responsibilities:Operate MRI equipment to produce high-quality imagesEnsure...
-
A/R Collections Specialist
4 weeks ago
Cleveland, Ohio, United States Tandym Group Full timeTandym Group is seeking a skilled A/R Collections Specialist to join our team. The ideal candidate will have a strong background in revenue cycle operations, with a focus on A/R, billing, collections, follow-up, appeals, and denials specifically in the independent lab setting.Key Responsibilities:5+ years of experience in revenue cycle operations, with a...
-
Rheumatology Specialist
4 weeks ago
Cleveland, Ohio, United States Cleveland Clinic Full timeOpportunity DetailsCleveland Clinic is actively recruiting for several positions for qualified full-time and part-time rheumatologists to join the Department of Rheumatic and Immunologic Diseases. The department currently consists of 41 rheumatologists, including clinicians, physician-scientists, and clinical educators.We invite applications from highly...
-
Diagnostic Imaging Specialist
4 weeks ago
Cleveland, Ohio, United States Fusion Medical Staffing Full timeDiagnostic Imaging SpecialistAt Fusion Medical Staffing, we are seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for providing high-quality patient care and collaborating with physicians and other healthcare professionals to ensure the best possible...
-
Medical Coding Expert
4 weeks ago
Cleveland, Ohio, United States MEDIC MANAGEMENT GROUP LLC Full timeJob SummaryAt MEDIC MANAGEMENT GROUP LLC, we are seeking a skilled Coding Specialist to join our team. As a key member of our billing team, you will be responsible for ensuring accurate reimbursement for our providers' claims. Key ResponsibilitiesPerform initial charge review to determine appropriate CPT and ICD-10 codes for reporting physician services to...
Medical Claims Specialist
1 month ago
At 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 and CPT codes.
- Prepare and submit claims to insurance companies and third-party payers.
- Monitor and resolve billing discrepancies and denials.
- Collaborate with healthcare providers to ensure correct coding and billing practices.
- Certification as a medical coder (CPC, CCS, or equivalent).
- Experience with ICD-10, CPT, and HCPCS coding systems.
- Strong attention to detail and familiarity with medical billing software.
- Ability to work independently and communicate effectively with healthcare teams.