-
Cincinnati Children's Hospital Medical Center Cincinnati, United States Full timeSUBFUNCTION DEFINITION: The healthcare science that determines the safety and effectiveness (efficacy) of medications, devices, diagnostic products and treatment regimens intended for human use. These may be used for prevention, treatment, diagnosis or for relieving symptoms of a ...
-
Team assistant
6 days ago
BlueWave Solutions Amberley, United StatesThe Berlin House of Representatives represents around 3.8 million citizens. Here, the representatives pass laws, oversee the government, and make policies for the capital city. Working in the administration of the House of Representatives is a significant service to democracy in ...
-
respiratory limited permit holder, varied shift
3 weeks ago
UC Health Cincinnati, OH , USA, United StatesRespiratory Limited Permit Holder, Varying Shift, Respiratory Therapy Department · UC Health is hiring a PRN Respiratory Limited Permit Holder for the respiratory therapy department for a varying shift at West Chester Hospital. · The Respiratory Limited Permit Holder, under gener ...
-
Registered Nurse
3 weeks ago
UC Health Cincinnati, United StatesUC Health is hiring a PRN House Supervisor for the Nursing Pool at West Chester Hospital. · The House Supervisor is responsible for facilitating patient flow throughout the facility and provides administrative direction for assigned nursing personnel. This position is responsible ...
-
Supervisor/Lead Tech-Vet Services
4 weeks ago
Cchmc Cincinnati, United States: · Expected Starting Salary Range: · SUBFUNCTION DEFINITION: · To conduct independent and directed scientific studies and research in support of a Principal Investigators research · DEPARTMENT: · Division of Veterinary Services · SUPERVISOR'S TITLE: · Veterinary Services ...
-
Electrician - Tech III
1 week ago
Cincinnati Children's Hospital Cincinnati, United StatesDepartment/Unit: Building Maintenance · Shift: Second Shift · Hours/FTE: 40hrs/Week 1.0 FTE · Expected Starting Salary Range: $ $32.71 · At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in ...
-
Project Manager
3 weeks ago
Five Star Painting Cincinnati, United StatesThe Project Manager will coordinate and guide residential and light commercial painting jobs through the scheduling and execution stages and serve as the focal point for communication among the various involved parties. He or she will service all prospective customers with the ob ...
-
Project Manager
2 weeks ago
Five Star Painting Cincinnati, United StatesThe Project Manager will coordinate and guide residential and light commercial painting jobs through the scheduling and execution stages and serve as the focal point for communication among the various involved parties. He or she will service all prospective customers with the ob ...
-
Customer Service Representative
3 weeks ago
Signature Flight Support Corporation Cincinnati, United StatesJob Description · Job Description · Signature Aviation is a market leading global aviation services provider with over 220 locations and 6,000 employees worldwide. Eligible team members enjoy a wide array of benefits including health and welfare options, generous 401K match, paid ...
-
UC Health Cincinnati, United StatesMedicaid Eligibility Representative, First Shift, Inpatient Business Office · UC Health is hiring a full-time Medicaid Eligibility Representative for the Inpatient Business Office for the first shift at University of Cincinnati Medical Center. · The Medicaid Eligibility Represe ...
-
Research Assistant III
2 weeks ago
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesExpected Starting Salary Range: · SUBFUNCTION DEFINITION: The Research Assistant III will support the ACTION (Advanced Cardiac Therapies Improving Outcomes Network) DCC (Data Coordinating Center). Core responsibilities will include data analysis, abstract and manuscript preparat ...
-
Neonatology Newborn Hospitalist
2 weeks ago
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesExpected Starting Salary Range: - Exempt · Neonatology Newborn Hospitalist · The Perinatal Institute at Cincinnati Children's is currently seeking a Full-time, Inhouse, Staff Physician Neonatologist and/or Newborn Special Care Nursery Hospitalist to focus on neonatal programs in ...
-
Research Assistant II/III
2 weeks ago
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesExpected Starting Salary Range: RAII RA III) · The LSCS conducts high-quality infectious disease and immunological testing to support clinical trials. We also support the Cincinnati Children's Hospital Medical Center as one of eight NIH-funded Vaccine Testing and Evaluation Units ...
-
Research Assistant II/III
3 weeks ago
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesExpected Starting Salary Range: RA II RA III) · Founded in 2008, the Pluripotent Stem Cell Facility (PSCF) was one of the first shared facilities in the United States to support hPSC research. Since then, our services and training have expanded significantly but our mission remai ...
-
Research Assistant III/IV
3 weeks ago
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesExpected Starting Salary Range: RA III RA IV) · SUBFUNCTION DEFINITION: The Alenghat Lab investigates epithelial and immune cell homeostasis in the context of intestinal health and disease. The goals of the lab are to provide insight into molecular mechanisms, including epigenomi ...
-
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesSUBFUNCTION DEFINITION: The healthcare science that determines the safety and effectiveness (efficacy) of medications, devices, diagnostic products and treatment regimens intended for human use. These may be used for prevention, treatment, diagnosis or for relieving symptoms of a ...
-
Access Representative, Admitting
1 week ago
UC Health Cincinnati, United StatesAccess Representative, Second Shift, Admitting & Registration Department · UC Health is hiring a part-time Access Representative for the Admitting & Registration department for the second shift at University of Cincinnati Medical Center. · The Admitting & Registration department ...
-
Cincinnati Children's Hospital Medical Center Cincinnati, OH , USA, United StatesNeonatology Hospitalist: Nocturnist/Weekend/Alternative Schedule Opportunities · The Perinatal Institute at Cincinnati Children's is currently seeking a full-time, Inhouse, Staff Physician Neonatologist and/or Newborn Special Care Nursery Hospitalist to focus on neonatal programs ...
-
Lab Technical Specialist
2 weeks ago
Cincinnati Children's Hospital Medical Center Cincinnati, United StatesExpected Starting Salary Range: $71, ,000 · SUBFUNCTION DEFINITION: Candidates should have demonstrated expertise in immunoassays (ELISA, Luminex, associated automation). Responsibilities include the technical oversight of testing in this high volume protein biomarker laboratory. ...
-
Public Defender
2 weeks ago
Hamilton County (OH) Cincinnati, United StatesPublic Defender - Appellate Attorney (Attorney III) (Job # · Deadline to Apply: May 17, 2024 · Work Location: · Public Defender 230 E. Ninth Street · Cincinnati, OH 45202 · Work Hours: · 1st Shift · Starting Salary - Pay Grade 24 · $ 42.20 to $59.08 hourly · Salary to be commens ...
Claims Representative I, II, III - Cincinnati, United States - Elevance Health
Description
WARNING:
Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies.
Elevance Health requires a completed online application for consideration of employment for any position.We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Claims Representative I, II, IIIJob Family:
CLM > Claims Reps
Type:
Full time
Date Posted:
Apr 29, 2024
Anticipated End Date:
May 03, 2024
Reference:
JR110595
Location:
FL, TAMPA
GA, ATLANTA
TX, AUSTIN
MI, DEARBORN
IN, INDIANAPOLIS
OH, MASON
OH, CINCINNATI
IL, SPRINGFIELD
GA, COLUMBUS
VA, RICHMOND
KY, LOUISVILLE
TN, KNOXVILLE
MO, SPRINGFIELD
VA, NORFOLK
Description
Claims Representative I, II, III
Location:
The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
Learning the activities/tasks associated with his/her role.
Works under direct supervision.
Relies on others for instruction, guidance, and direction.
Work is reviewed for technical accuracy and soundness.
Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
Researches and analyzes claims issues.
The Claims Representative II is responsible for keying, processing health claims in accordance with claims policies and procedures. Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.).
How you will make an impact:
Good working knowledge of claims and products, including the grievance and/or re-consideration process.
Excellent knowledge of the various operations of the organization, products, and services.
Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement.
Researches and analyzes claims issues.
Responds to inquiries, may involve customer/client contact.
The Claims Representative III is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
How you will make an impact:
Participate in claims workflow projects.
Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims.
May have customer/client contact.
May assist with training of staff.
Works without significant guidance.
Minimum Requirements:
Claims Representative I - Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Claims Representative II - Requires a HS diploma or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Good oral and written communication skills
Previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.
Know Your Rights
Pay Transparency
Privacy Notice for California Residents
Elevance Health, Inc
is anE-verify Employer (https:
//www.e-)
Need Assistance?
Email us )
