-
Operations Specialist
3 days ago
Stratacache Dayton, United States_*STRATACACHE*_delivers in-store retail experience transformation and exceptional customer journeys through a wide array of marketing technology. Our solutions enable retailers to learn deeply about their customers' shopping preferences and behaviors, delivering targeted promotio ...
-
Operations Specialist
8 hours ago
STRATACACHE GROUP Dayton, United StatesJob DetailsLevelExperiencedJob LocationSTRATACACHE Headquarters - Dayton, OHRemote TypeN/APosition TypeFull TimeEducation LevelHigh SchoolSalary RangeUndisclosedTravel PercentageNoneJob ShiftDayJob CategoryInformation TechnologyDescription:STRATACACHE delivers in-store retail exp ...
-
Operations Specialist
1 day ago
STRATACACHE Dayton, United States_*STRATACACHE*_delivers in-store retail experience transformation and exceptional customer journeys through a wide array of marketing technology. Our solutions enable retailers to learn deeply about their customers' shopping preferences and behaviors, delivering targeted promotio ...
-
Store Operations Specialist
5 days ago
At Home Stores LLC Huber Heights, United States Full time$ /hour · The Store Operations Specialist (SOS) leads and trains teams in performing all freight functions, including: unloading, processing, stocking, and resets. · he Store Operations Associate is responsible for unloading, processing, and stocking freight safely and efficientl ...
-
Store Operations Specialist
4 days ago
At Home Stores LLC Dayton, United StatesJob Description$ /hourThe Store Operations Specialist (SOS) leads and trains teams in performing all freight functions, including: unloading, processing, stocking, and Store Operations Associate is responsible for unloading, processing, and stocking freight safely and efficientl ...
-
Network Operations Specialist
1 week ago
STRATACACHE GROUP Dayton, United StatesJob Details · Job Location · STRATACACHE Headquarters - Dayton, OH · Position Type · Full Time · Education Level · High School · Job Category · Information Technology · Description · STRATACACHE delivers in-store retail experience transformation and exceptional customer j ...
-
Operations Specialist II
2 days ago
CareSource Dayton, United StatesJob Summary: · The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. · Essential Functions: · Represent claims on cross-functional project work teams · Submit, monitor and prioritize IT tickets f ...
-
Operations Specialist II
3 weeks ago
CareSource Dayton, United States Full timeJob Summary: · The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. · Essential Functions: · Represent claims on cross-functional project work teams · Submit, monitor and prioritize IT tickets for t ...
-
Cyber Operations Specialist
1 week ago
U.S. Army Dayton, United States Full timeAPPLY HERE: · The Army Virtual Recruiting Team of Columbus Ohio is currently looking to hire Active Duty and Reserve Soldiers.You must enlist in the United States Army to obtain this position. · You must be between the ages of · You must have a GED or High School Diploma. · ...
-
Senior Operations Security Specialist
6 days ago
Armada Dayton, United StatesLocation field must contain 'city, state' or a zip code to perform a radius search (e.g., · Denver, CO · or · City and state must be separated by a comma followed by a space (e.g., · Houston, TX ) · ARMADA Ltd. · Senior Operations Security Specialist · in · Dayton , · Ohi ...
-
Senior Operations Security Specialist
1 week ago
Armada Dayton, United StatesJob Description · Job Description · Type: · Full Time · Location: · Wright Patterson AFB, OH · Overtime Exempt: · No · Reports To: · ARMADA HQ · Security Clearance Required: · Active TS/SCI · Sign on Bonus Available: · Yes, $1K for qualified candidates. · The F-35 Joint ...
-
Temporary Business Operations Specialist
2 days ago
Stratacache Dayton, OH, United States Full time_*STRATACACHE*_delivers in-store retail experience transformation and exceptional customer journeys through a wide array of marketing technology. Our solutions enable retailers to learn deeply about their customers' shopping preferences and behaviors, delivering targeted promotio ...
-
Training for Specialist in Pool Operations
1 week ago
Radiant Innovations Tylersville, United StatesYour training as a specialist for pool operations (m/f/d) at Stadtwerke HalleRequirements · For this training, you need a good academic knowledge and commitment. · Your qualities include customer-oriented and organizational thinking, physical fitness, good general education, and ...
-
Master or specialist for pool operations
1 week ago
Spectrum Innovations Wetherington, United StatesWelcome to the enchanting water worlds of Hanau. The fairytale Heinrich-Fischer-Bad, nestled in the heart of Hanau, as well as the maritime oasis in the greenery - the Lindenau-Bad in the Hanau district of Großauheim - are the perfect places to enjoy swimming and relaxation all y ...
-
STRATACACHE GROUP Dayton, United StatesJob DetailsJob LocationSTRATACACHE Headquarters - Dayton, OHPosition TypeFull TimeEducation LevelHigh SchoolJob CategoryInformation TechnologyDescriptionSTRATACACHE delivers in-store retail experience transformation and exceptional customer journeys through a wide array of market ...
-
STRATACACHE GROUP Dayton, United StatesJob Details · Job Location · STRATACACHE Headquarters - Dayton, OH · Position Type · Full Time · Education Level · High School · Job Category · Information Technology · Description · STRATACACHE delivers in-store retail experience transformation and exceptional customer j ...
-
STRATACACHE GROUP Dayton, United StatesJob DetailsJob LocationSTRATACACHE Headquarters - Dayton, OHPosition TypeFull TimeEducation LevelHigh SchoolJob CategoryInformation TechnologyDescriptionSTRATACACHE delivers in-store retail experience transformation and exceptional customer journeys through a wide array of market ...
-
STRATACACHE GROUP Dayton, United StatesJob Details · Job Location · STRATACACHE Headquarters - Dayton, OH · Position Type · Full Time · Education Level · High School · Job Category · Information Technology · Description · STRATACACHE delivers in-store retail experience transformation and exceptional customer ...
-
STRATACACHE Dayton, United States_*STRATACACHE*_ delivers in-store retail experience transformation and exceptional customer journeys through a wide array of marketing technology. Our solutions enable retailers to learn deeply about their customers shopping preferences and behaviors, delivering targeted promotio ...
-
FusionWorks Gratis, United StatesTo expand our team at our location in Bonn, Bornheim, we are currently looking for a Junior Specialist for our Security Operations Center (Blue-Team). · Your Responsibilities · We offer a modern work environment in a young and dynamic team. Our locations have excellent infrastruc ...
Healthcare Claims Operations Specialist II - Dayton, United States - CareSource
Description
Job Summary:
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects
Essential Functions:
Represent claims on cross-functional project work teamsSubmit, monitor and prioritize IT tickets for the Claims departmentReview special projects and identify issue trends and potential resolutionsAssist with Onbase reporting and processesDevelop and draft P&P's and job aides for ClaimsAssist in training claims staff on claims processing policy and proceduresAssist in educating/training Business Partners on claims functionsResearch and resolve provider claim issues and escalations by analyzing system configuration, payment policy, and claims data.
Represent Claims Department at requested provider calls and visitsProvide feedback and/or face-to-face interaction with providers for claims research and resolutionResponsible for research and resolution of claims issues for all assigned provider inquiries and submissionsResponsible for managing provider issues adhering to Workflow processes and tools (Facets and Onbase)
Provide input for claims business requirements, testing processes and implementation tasks and plansPerform any other job related instructions, as requestedEducation and Experience:
Bachelor's degree or equivalent years of relevant work experience requiredMinimum of two (2) years of healthcare claims environment is requiredCompetencies, Knowledge and Skills:Advanced level experience in Microsoft Word, Excel and PowerPointData analysis and trending skillsDemonstrated understanding of claims operations specifically related to managed careAdvanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10 and HCPCS codingAbility to work independently and within a team environmentAttention to detailFamiliarity of the healthcare fieldCritical listening and thinking skillsNegotiation skills/experienceStrong interpersonal skillsProper grammar usageTechnical writing skillsTime management skillsStrong communication skills, both written and verbalCustomer service orientationDecision making/problem solving skillsLicensure and Certification:None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$60, $96,500.00CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary):SalaryOrganization Level Competencies Create an Inclusive EnvironmentCultivate PartnershipsDevelop Self and OthersDrive ExecutionInfluence OthersPursue Personal ExcellenceUnderstand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.
