Physician Claims Resolution & Coding Specialist I
University Hospitals Pain Management
University Hospitals Pain Management is looking for a Physician Coding Specialist I in Cleveland, Ohio. This position involves monitoring and analyzing unresolved third-party accounts for multi-specialty group practices to ensure timely payments on outstanding claims. The ideal candidate will analyze insurance accounts daily, communicate with payors for critical information, and maintain patient confidentiality. Strong understanding of billing requirements and coding knowledge is essential for this role. #J-18808-Ljbffr University Hospitals Pain Management
- University Hospitals in Cleveland, Ohio is seeking a Physician Coding Specialist II to oversee unresolved insurance accounts. This role involves analyzing claims, communicating with payors, and ensuring timely resolutions. The ideal candidate will have at least 2 years of...Claims
- ...direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist I monitors and analyzes unresolved third... ...initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily...Claims
- ...direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third... ...contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily basis...ClaimsWork experience placement
- ...Revenue Cycle Specialist II Credit Management Remote... ...and resolving medical claims moderate to high complexity... ...owned facilities and physician entities including... ...accurate and timely claim resolution. Effectively... ...procedural and ICD10 coding. (Required proficiency...ClaimsRemote jobFull timeWork experience placementWork at office
- ...Appeals Specialist We are seeking a detail-oriented and experienced... ...for managing insurance claim denials and leading the appeals... ...Obtain necessary patient and/or physician authorizations and medical records... ...processes and denial resolution. Excellent written and verbal...ClaimsWork at officeRemote workMonday to Friday
- ...Who We Are Looking For The Transportation Specialist – Carrier Operations is responsible for... ...and communications to provide timely resolutions. Refer inquiries or tasks to appropriate... ...Operations. Transactions may include processing claims, onboarding carriers, coordinating...ClaimsWork at office
$56.39k - $63k
...DD) is seeking a Medicaid Eligibility Specialist to expedite the process of establishing... ...and other concerns for recommendation or resolution. Coordinate and collect applicable... ...offices. Perform Medicaid Administrative Claiming (MAC) activities that are applicable to...ClaimsTemporary workWork experience placementWork at officeFlexible hours3 days per week$80k - $98k
...Annually The Senior Total Rewards Specialist is a high-impact role for a highly organized... ...Own and lead Workers’ Compensation claims administration , ensuring full compliance... ...ensure smooth processes and timely case resolution • Monitor trends and identify...ClaimsFull timeTemporary workWork experience placementLocal areaRemote work- ...personal, and other leaves, as well as workers’ compensation claims, ensuring compliance with state and federal regulations. Collaborate... ..., and external vendors to ensure smooth processes and timely resolutions. Compliance and Reporting: Ensure all total rewards...ClaimsWork at office
- ...accordance with departmental policies and procedures. Ensures accurate coding of account worksheets and other documents to reflect proper... ...goals are achieved. Identifies and assists with problem resolution within scope of authority. Interprets if escalation to management...Full timeTemporary workWork at office
- Internal Medicine physician job in Ohio : Global Medical Staffing - To get this new adventure started, pick up the phone and call Global... ...compensation ~ Pre-paid travel and housing ~ Paid AAA-rated claims made malpractice ~ Licensing assistance and cost...ClaimsWork visaMonday to FridayNight shift
- ...Job Description Job Tittle :Physician Location: Highland Hills, OH 44128 Hours/Week: 20 (8:00 AM – 5:00 PM) Potential: Up to 40 hours/week... ...o Conducting routine physical examinations for employment or claims purposes • Collaborate with healthcare professionals: o Participate...Claims
- ...organizations in the top 100 Metropolitan areas. Metropolis sources physicians according to each organization's search parameters in a secure,... ...operates off sincerity and integrity; job postings will never claim a job is located in the city when it is actually over an hour...ClaimsPermanent employment
- ...Program Integrity Medical Coding Reviewer III The Program Integrity Medical Coding... ...recommendations for further actions and/or resolutions to increase team performance.... ...relationships with cross-departmental teams such as Claims, Configuration, Health Partners, and IT...ClaimsRemote job
- ...programs. Underwriting Administration Specialist Based on market segment assignment Reviews... ...and procedures. Ensures accurate coding of account worksheets and other documents... ...achieved. Identifies and assists with problem resolution within scope of authority; interprets if...Temporary workCasual workWork at officeRemote work
$70k - $80k
...Safety Specialist – Overview At Towne Park, the Safety Specialist serves as the on‑site safety champion for district‑wide parking, transportation... ...safety processes, track driver safety, incident trends, claims activity, and high‑risk behaviors across assigned accounts....ClaimsTemporary workWork at officeFlexible hours- ...Claim Adjudication Department Specialist Reports to: Adjudication Specialist Supervisor Job Type: Full-Time – Remote – Pharmacies located in:... ...claims Work directly with third party payers for claim resolution Communicate with facilities on claim issues that...ClaimsFull timeRemote work
- ...this job posting reflects the anticipated salary range for new physicians hired into full-time (100% FTE) positions. This range is... ...false advertisements and requests for payment or personal details claiming to come from reputable organizations. Please be assured that our...ClaimsFull timeTraineeship
- ...Family Medical Leaves (FML), Short-Term Disability (STD) and Life claims. Verifies eligibility of leaves. Initiates and maintains... ...may substitute for a degree. 2 years of experience as a Leave Specialist or Absence Management administrator (FMLA, Short- or Long-Term...ClaimsTemporary workMonday to Friday
- ...Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance... ...management. At Hancock, we are at the forefront of claims resolution services, offering nationwide coverage, swift and comprehensive...ClaimsPermanent employmentFor contractors
- Superior Dental Care, Inc. is seeking a Leave Management Specialist I for a temporary assignment in Cleveland, OH. This full-time position... ...on the administration of Family Medical Leaves and related claims. The ideal candidate will hold an Associate degree and have at...ClaimsFull timeTemporary workMonday to Friday
$300k
...Join to apply for the Physician, Psychiatry role at Signature Health, Inc. 1 week... ...Preparing and attending to all reports, claims, and correspondence (including email) necessary... ...the agency, other physicians, including specialists and other health care providers, when...ClaimsPermanent employmentFull timeFor contractorsLocumWork at officeFlexible hoursShift work- Hone Health is seeking physicians to work 100% remotely, focusing on men's health and hormone optimization. You will conduct video consultations, create treatment plans, and prescribe necessary medications. The ideal candidate is an MD or DO with experience in hypogonadism...Remote job
$26.54 - $34.53 per hour
Job Title Cleveland - WC Claims Specialist (Job Numbers: 20068905, 20068930, 20068979, 20069000; 260004HS) Organization Workers' Compensation... .... Respond to customer inquiries. Follow Ohio Revised Code and BWC policies and procedures. Communicate with legal representatives...ClaimsHourly payPermanent employmentFull timeTemporary workWork at office- ...understanding of hospital and/or physician revenue management including coding processes, billing, insurance follow... ...of both inpatient and outpatient claims for all wholly owned facilities and... ...Assists in the analysis of claims resolution and provides feedback to...ClaimsFull timeWork experience placementWork at officeRemote work
- ...Management is seeking a Clinical Documentation Specialist to enhance clinical documentation... ...Responsibilities include pre-visit and post-claim reviews, assessing medical decision... ...education to providers on documentation and coding standards. The ideal candidate will uphold...Claims
- Stout is seeking an experienced candidate to contribute to healthcare consulting engagements by conducting coding audits and delivering high-quality, accurate coding analyses. This role entails a significant focus on accuracy and compliance, with daily tasks involving...ClaimsFlexible hours
$28.1 - $42.15 per hour
Summa Health is seeking a certified coder for a hybrid position based in Akron, Ohio, ensuring compliance with coding practices and analyzing medical claims. The ideal candidate will have strong analytical skills, a solid understanding of coding standards, and the ability...Claims- ...while promoting SW. Provide Problem Resolution Utilize resources and procedures to facilitate... ...provide the necessary details so that claims may be reviewed and issued within a... ...case management, account contact, coding. Interpret the validity of data being...ClaimsContract workFor contractorsWork at officeLocal area
$97.38k - $172.2k
...The Journey Specialist II will be responsible for the day‑to‑day development and execution of email marketing campaigns as well as other... ...and legal compliance. Experience with Velocity, HTML, and CSS coding and a strong foundation in coding fundamentals. Solid understanding...Work at officeLocal areaRemote work3 days per week
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