Medical Claims Specialist

4 weeks ago


Cleveland, Ohio, United States eTeam Full time
{"h1": "Medical Biller Job Description", "p": "At eTeam, we are seeking a skilled Medical Biller to join our team. As a Medical Biller, you will be responsible for processing insurance verifications and investigating claims, resolving billing discrepancies, and working collaboratively in a team environment.

Responsibilities:
","ul": [{"li": "Process insurance verifications and investigate claims"}, {"li": "Resolve billing discrepancies and follow up on accounts"}, {"li": "Work collaboratively in a team environment"}, {"li": "Adhere to Catholic Charities' mission, vision, and values"}], "h2": "Requirements:
","ul": [{"li": "Strong working knowledge of medical billing/collection practices"}, {"li": "Proficiency in Microsoft Office, especially Word and Excel"}, {"li": "Experience with insurance and reimbursement processes"}, {"li": "Excellent communication and interpersonal skills"}, {"li": "Ability to work in a fast-paced environment"}], "h2": "Preferred Qualifications:
","ul": [{"li": "Experience with Avatar (EMR)"}, {"li": "Knowledge of HIPAA privacy requirements"}], "h2": "How to Apply:
","ul": [{"li": "Submit your resume and cover letter"}, {"li": "Provide proof of education (high school diploma or GED)"}, {"li": "Include two supervisory references"}, {"li": "Indicate your permanent address to avoid delays"}]
  • Claims Specialist

    3 weeks ago


    Cleveland, Ohio, United States Medical Mutual of Ohio Full time

    Job Title: Claims/Customer Care Specialist - TPAAbout the Role:We are seeking a highly skilled and detail-oriented Claims/Customer Care Specialist to join our team. As a Claims/Customer Care Specialist, you will be responsible for processing routine healthcare claims and providing exceptional customer service to our clients.Key Responsibilities:Process...


  • Cleveland, Ohio, United States Wisen HR Full time

    Job Title: Billing Specialist/CoderWe are seeking a highly skilled Billing Specialist/Coder to join our team at Wisen HR. As a key member of our revenue cycle team, you 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...


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

    Job SummaryWe are seeking a highly skilled Medical Claim Analyst to join our team at Crawford & Company. As a Medical Claim Analyst, you will be responsible for processing medical only claims within authority, approving payments and claimant reimbursements on lost time disability claims, and verifying coverage on claims.Key ResponsibilitiesProcess medical...

  • Claims Representative

    3 weeks ago


    Cleveland, Ohio, United States Cincinnati Insurance Company, Inc. Full time

    Join Our Team as a Field Claims RepresentativeWe are seeking a skilled and detail-oriented Field Claims Representative to join our team at Cincinnati Insurance Company, Inc. As a Field Claims Representative, you will be responsible for investigating and evaluating multi-line insurance claims, providing excellent customer service, and working collaboratively...


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

    Job Title: DME Insurance Verification Specialist, Tier 2Medical 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...


  • Cleveland, Ohio, United States Express Employment Professionals Defunct Full time

    Claims Care Representative OpportunityExpress Employment Professionals is seeking a Claims Care Representative to join our team. As a Claims Care Representative, you will be responsible for providing exceptional customer service to clients, accurately documenting information, and assisting team members with claim processing and settlement.Key...


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

    About Medical Service CompanyMedical 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...


  • Cleveland, Ohio, United States Core Specialty Insurance Services, Inc. Full time

    Claims Associate TraineeJoin Core Specialty Insurance Services, Inc. as a Claims Associate Trainee and embark on a rewarding career in insurance claims management.About the RoleWe are seeking a highly motivated and detail-oriented individual to assist in the investigation and resolution of commercial insurance claims. As a Claims Associate Trainee, you will...


  • Cleveland, Ohio, United States Progressive Insurance Full time

    {"title": "Claims Adjuster Trainee", "description": "Job SummaryAs a Claims Adjuster Trainee at Progressive Insurance, you'll embark on a comprehensive training program to develop the skills and expertise needed to excel in this critical role. You'll learn how to navigate the complexities of insurance claims, build strong relationships with customers, and...


  • Cleveland, Ohio, United States Comprehensive Risk Management Full time

    {"title": "Workers' Compensation Claims Adjuster", "description": "Comprehensive Risk Management (CRM) is a third-party administrator specializing in workers' compensation in Ohio.We provide claim and policy management services to employers, including group-rated, state-funded, and self-insured companies.The ideal candidate will have strong claims handling...


  • Cleveland, Ohio, United States Emerald Resource Group Full time

    Job Description:We are seeking a skilled I.T. Business Analyst to join our team at Emerald Resource Group. The ideal candidate will have experience working with medical claims processing data, patient data, population health data, physician care data, and medical provider data.Key Responsibilities:Collaborate with I.T. and Operational leaders, as well as...

  • CMN Specialist

    3 weeks ago


    Cleveland, Ohio, United States Medical Service Company Full time

    Join Our Team as a CMN SpecialistWe are seeking a highly skilled and detail-oriented CMN Specialist to join our team at Medical Service Company. As a CMN Specialist, you will play a critical role in monitoring and improving processes related to the quality, appropriateness, and timeliness of reimbursement information requirements.Responsibilities:Review...


  • Cleveland, Ohio, United States OneStaff Medical Full time

    Job Title: Medical Laboratory SpecialistOneStaff Medical is seeking a skilled Medical Laboratory Specialist for a travel assignment in Cleveland, Ohio.Job Summary:We are looking for a highly motivated and experienced Medical Laboratory Specialist to join our team. As a Medical Laboratory Specialist, you will be responsible for preparing tissue samples for...

  • Business Analyst

    1 week 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. This role plays a crucial part in building 3rd generation claims applications, a significant business objective for the next several years. The ideal candidate should have documented experience in medical claims processing data and be comfortable...


  • Cleveland, Ohio, United States OneStaff Medical Full time

    Job Title: Medical Laboratory SpecialistWe are seeking a skilled Medical Laboratory Specialist to join our team at OneStaff Medical. As a Medical Laboratory Specialist, you will play a critical role in preparing tissue samples for analysis, working closely with a medical laboratory team to diagnose disease and abnormalities.Key Responsibilities:Prepare...


  • Cleveland, Ohio, United States Ohio Department of Commerce Full time

    Job Title: Claims Account RepresentativeWe are seeking a highly skilled Claims Account Representative to join our team at the Ohio Department of Commerce. As a Claims Account Representative, you will play a critical role in collecting delinquent taxes and debts owed to state agencies.Key Responsibilities:Collect delinquent taxes and/or monies owed to state...


  • Cleveland, Ohio, United States Ohio Department of Commerce Full time

    Job SummaryWe are seeking a highly skilled and motivated Claims Account Representative to join our team at the Ohio Department of Commerce. As a Claims Account Representative, you will be responsible for providing exceptional customer service to Ohio constituents, collecting delinquent taxes and debts owed to state agencies, and performing various...

  • Appeals Specialist

    7 days ago


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

    Job 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...


  • Cleveland, Ohio, United States AIS HealthCare Full time

    Job SummaryWe are seeking an experienced Insurance Collections Specialist to join our team at AIS HealthCare.The successful candidate will be responsible for:Recognizing patients' rights and responsibilities and supporting them in the performance of job duties.Respecting patients' rights to privacy and confidentiality.Following up on invoices submitted to...


  • Cleveland, Ohio, United States The Salvation Army Full time

    Medical Care Specialist **Job Summary** The Salvation Army is seeking a Medical Care Specialist to join our team. As a Medical Care Specialist, you will be responsible for providing medical care to clients in our detoxification program. This is a unique opportunity to make a difference in the lives of others while working in a dynamic and supportive...