Claims Documentation & Reimbursement Specialist
Nationwide Children's Hospital
Nationwide Children's Hospital Inc is seeking a Documentation and Reimbursement Specialist to investigate claim denials, perform root cause analysis, and respond to inquiries about documentation, coding, and billing of professional services in Columbus, OH. You will conduct claim reviews and collaborate to resolve issues and provide feedback. The role demands knowledge of E/M coding, strong communication, and the ability to balance multiple priorities. #J-18808-Ljbffr Nationwide Children's Hospital
- ## Documentation and Reimbursement SpecialistApply: 3700 Corporate Drive, Columbus, OH: Full time: Posted... ...Summary:**Actively investigates claim denials, performs root cause analysis... ...certifications: 1. Certified Coding Specialist Physician Based (CCS-P) Certification...ReimbursementClaimsFull timeFlexible hours
- ...procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure... ...assisting the Insurance Claims Specialists with filing appeals when needed and the...ReimbursementClaimsFull timeRemote workMonday to FridayFlexible hours
- ...entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities...ReimbursementClaims
- ...procedures, and other medical services or charges. Reviews claims denials and appeals to identify coding errors. Performs coding... ...physicians, parents, and third-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with billing and coding...ReimbursementClaimsRemote workTrial periodFlexible hoursDay shift
$100k
...assist in researching insurance fraud claims involving monetary, bodily injury, theft... ...obtaining innumerable hours of claim-disputing documentation, saving our clients millions of dollars... ...benefits, and expense/mileage reimbursements exceed the industry. All expenses are covered...ReimbursementClaimsHourly payFull timeCurrently hiringFlexible hours$16.65 - $21.77 per hour
...distributes to appropriate departments; coordinates patient billing and reimbursement; responsible for all functions that involve and effect... ...experience; knowledge of insurance terminology, insurance claims, accounting/business practices; Proficiency in Microsoft Excel...ReimbursementClaimsWork at officeVisa sponsorshipWork visaShift workDay shift- ...Company, is seeking a detail-oriented VR Payments Claims Technician in Columbus, Ohio to process SVRA reimbursements and maintain accurate payment records. You will... ...to ensure proper payment delivery and clear documentation. The role requires strong written communication...ReimbursementClaims
- ...this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes... ..., file, and process medical records Keep detailed documentation of any deficiencies or issues with medical records Provide...ReimbursementClaimsFor contractorsRemote workFlexible hours
- ...will help prepare and review insurance claims, assist with basic billing and coding tasks... ...teams to ensure accurate claim documentation Maintain confidentiality and follow HIPAA... ..., and file management Support billing, reimbursement, coding, and claims workflows as assigned...ReimbursementClaimsWork at office
- ...development and the analytical, operational, and policy work that supports Ohio’s NF reimbursement program. As the NF LTC Rate Setting Manager, you will develop semi-annual NF rates, analyze NF claims and cost reports, maintain rate-setting components in OMES, and coordinate...ReimbursementClaims
- ...manage insurance billing, denials and appeals, and ensure timely reimbursements across multiple payer networks. You will verify patient... ...demographics and insurance information, process invoices, monitor aging claims, and collaborate with physicians, insurers, and third parties...ReimbursementClaims
- The Ohio State University in Columbus is seeking a Claims Coordinator for the OSU College of Optometry to manage claims processing,... ...billing operations using Compulink and Eyefinity to ensure timely reimbursements and clean receivables. Minimum 1 year in health care,...ReimbursementClaimsWork at office
- ...Insurance Claims Coordinator The Insurance Coordinator is responsible for working claims that have been denied by insurance carriers... ...and providing any additional information necessary to obtain reimbursement. After training this will be a fully remote position. Must...ReimbursementClaimsFull timeRemote workMonday to Friday
- ...applications, 3M/Solventum applications, ICD-10-CM, CPT, E/M, HCPCS. In this role, you will transcribe patient records and process claims for reimbursements, assign the correct codes and functions to each instance, and #J-18808-Ljbffr Presidential Staffing Solutions, LLCReimbursementClaimsRemote jobFor contractors
- TEKsystems is seeking an Epic Systems Analyst to support Hospital Billing, claims, and reimbursement workflows in a fully remote contract-to-hire role. The analyst will specialize in HB and related revenue cycle processes, working with finance, operations, and IT leaders...ReimbursementClaimsRemote jobContract work
- ...is hiring a Revenue Cycle Representative to manage invoices, claims, and insurance billing. You will liaise between physicians, insurers... ..., and third parties to ensure timely payments and accurate reimbursements. The role requires a high school diploma or equivalent with 2+...ReimbursementClaims
- ...vendor acknowledgments, and manage shipping documentation. Lead Generation & Business... ...resolution" standard for client service claims. Team & Culture Contribution: Participation... ...family "weather-proof". Fitness Reimbursements: Annual funds dedicated to your...ReimbursementClaimsLocal areaImmediate startRelocation package
$52k
...struggle to the pursuit of collective power. You’ll engage them in claiming their own powerful voice and developing their leadership as... ...year of employment – no match required Health insurance reimbursement Flexible scheduling Parental leave Generous vacation...ReimbursementClaimsLive outLocal areaFlexible hoursWeekend workAfternoon shift$19 - $26 per hour
...Billing Specialist Northland - Columbus, OH 43231 Overview Salary Range $19.00... ...Specialist ensures accurate coding, timely claim submission, and efficient reimbursement for clinical services. This role reviews documentation, assigns codes, prepares and submits...ReimbursementClaimsHourly payFull timeLive outMonday to FridayShift workDay shift- ...managing staff, and ensuring the timely and accurate submission of claims across various payers. The role also requires close... ...preferred) in a relevant field and at least 5-6 years' of medical reimbursement experience in a healthcare setting. Strong leadership skills,...ReimbursementClaims
$23.85 - $28.02 per hour
...Credentialing Specialist Integrated Services for Behavioral Health... ...other operations leading to reimbursement for behavioral health care... ...information with supporting documents to outside participants, such... ...record system to process claims is preferred Knowledge...ReimbursementClaimsHourly payTemporary workWork at officeLocal area- ...for families. Your Role: The Billing Specialist plays a vital role in ensuring the accuracy and timeliness of claims processing and reimbursement. This position is responsible for... ...Review medical and care coordination documentation to ensure appropriate billing codes...ReimbursementClaimsFull timeWork at officeRemote work
- ...daily direction and communication to AR team members to ensure claims follow-up, billing, collections, payment posting, and account... ...and recommends process improvements to increase efficiency and reimbursement. Completes performance management activities as required...ReimbursementClaimsFull timeCasual workWork at officeLocal areaMonday to FridayShift workAfternoon shift
- ...Job Description Benefits: License reimbursement Health insurance Opportunity for... ...Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing... ...daily office operations, including documentation, scheduling, and follow-up activities....ReimbursementClaimsWork at officeLocal areaFlexible hours
$44k - $54k
...therapyVerify patient demographics, clinical documentation, and insurance eligibility within pharmacy systemsSupport billing and reimbursement workflows by ensuring accurate coding and... ..., and organizational standardsResolve claim issues, missing documentation, and...ReimbursementClaimsHourly payFull time$20 per hour
...Medicare, insurance verification, healthcare claims, or medical billing? We're looking for... ...eligibility, policy coverage, and documentation to verify the proper payer order. Contact... ...Processing Claims Auditing Medical Reimbursement Healthcare Data Analysis Working knowledge...ReimbursementClaimsMinimum wageLive inCurrently hiringWork at officeLocal areaRemote workMonday to FridayFlexible hours$19 per hour
...volunteer days, paid sabbaticals, and more. Development: Tuition reimbursement up to $5,250 annually, certification/continuing education... ...point of contact, assisting with questions about benefits, claims, and provider options while ensuring they receive the right care...ReimbursementClaimsHourly payPermanent employmentFull timeCasual workWork at officeRemote workMonday to FridayFlexible hoursShift work- ...Physician Coding Specialist II At Mount Carmel, we're committed... ...data retrieval, analysis and claims processing for the Mount Carmel... ...Evaluation and Management Documentation Guidelines and other... ...abreast of coding guidelines and reimbursement reporting requirements. Brings...ReimbursementClaimsRemote jobWork experience placementWork at officeLocal area
$75 - $85 per hour
Epic Systems Analyst - Hospital Billing, Claims & Reimbursement Contract Administration100% Remote*Contract-to-HireEpic Systems Analyst - Hospital... ...solutions.Mentor junior analysts and contribute to documentation, standards, and process improvement initiatives.Preferred...ReimbursementClaimsContract workTemporary workRemote work$99k - $232k
...initiatives - Leading root-cause analysis of denials, rejections, and claim edits, implementing corrective actions and preventive mid-... ...modifiers, clearinghouse/EDI processes, professional billing reimbursement, and HIPAA requirements - Managing insurance AR follow-up,...ReimbursementClaimsFull timeH1b
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