• Claims /Credentialing Specialists

    Sutherland Global Services (Columbus, OH)
    …Are you familiar with medical terminology? Do you have experience in a claims or credentialing environment? **Join us.** We are Sutherland. We provide our clients' ... of our healthcare team. You may be involved in claims adjudication and/or provider credentialing and, depending upon program...promoted from within + Employee Discounts + EAP & Health and Wellness programs including a personal trainer dedicated… more
    Sutherland Global Services (10/02/24)
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  • Claims Representative I ( Health

    Elevance Health (Columbus, OH)
    ** Claims Representative I ( Health and Dental)** **Location:** Remote , within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, ... to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the...spreadsheets, etc.) strongly preferred. + Previous experience working in health claims is strongly preferred. ** For… more
    Elevance Health (09/26/24)
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  • Medical Billing/AR Specialist - Remote

    Sutherland Global Services (Columbus, OH)
    …individuals with strong communication skills to join us as Medical Billing/AR Specialists ! Hourly rate of $18-$21/hr, DOE. In this position, you will be ... This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via...as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage +… more
    Sutherland Global Services (07/16/24)
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  • Account Manager - Connecticut ADAP - remote

    Prime Therapeutics (Columbus, OH)
    …decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management of assigned book of business for ... Resolves or appropriately escalates customer service issues in conjunction with operations ( claims , service, and systems). + Provides mentoring to Account Support … more
    Prime Therapeutics (09/17/24)
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  • Director, Managed Care - Navista

    Cardinal Health (Columbus, OH)
    …oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and ... to the VP, Operations for Navista. This is a remote , work from home role with travel up to...and manage a team of managed care and credentialing specialists , vendors and consultants. Oversee practice managed care and… more
    Cardinal Health (08/14/24)
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  • Manager, Market Research

    Norstella (Columbus, OH)
    Manager, Market Research Company: MMIT Location: Remote , United States Date Posted: Sep 24, 2024 Employment Type: Full Time Job ID: R-602 **Description** **About ... to our clients, and with expert teams of pharmacists, clinicians, data specialists and market researchers who provide foresight, clarity and confidence. In 2022,… more
    Norstella (09/25/24)
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  • Medical Director - Grievances and Appeals

    Humana (Columbus, OH)
    … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
    Humana (09/17/24)
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