Claim specialist full time jobs - 190 jobs

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. Associate - DCI (Disputes, Claims & Investigations), Wage & Hour Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses. Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses. Impact You'll Make This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams. Execute and support complex data analyses related to wage and hour disputes and investigations. Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions. Help ensure projects are completed on time, within scope, and with a high standard of quality. Build strong working relationships across project teams to drive collaboration and efficiency. Support client-facing deliverables that clearly communicate findings and insights. What You'll Do These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives. Review, organize, and analyze large and complex datasets to support litigation and consulting engagements. Support multiple concurrent projects, anticipating scope, timing, and budget considerations. Assist in developing work plans, methodologies, and resource needs to optimize project outcomes. Collaborate closely with team members to meet deadlines and manage competing client expectations. Support written analyses, reports, and presentations prepared for clients and other stakeholders. Apply creative problem-solving techniques to manage risks and address analytical challenges. What You Bring This section outlines the qualifications and technical skills needed to succeed in the role. Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field. 2-5 years of experience in wage and hour consulting or a closely related field. Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms. Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access. Strong written and verbal communication skills with the ability to present complex information clearly. Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams. How You'll Thrive These competencies and behaviors will help you excel and grow within Stout's collaborative culture. Maintain flexibility and adaptability in response to changing project requirements and timelines. Demonstrate strong organizational skills and rigorous attention to detail. Exhibit intellectual curiosity, self-motivation, and a commitment to quality control. Collaborate effectively with colleagues while managing competing priorities. Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.

All locations Amelia, United States; Atlanta, United States; Dallas, United States; Denver, United States; Des Moines, United States; Fort Worth, United States; American Modern Insurance Group, Inc., a Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes and specialty dwellings - and the recreational market, including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition often can't. American Modern Insurance Group is recruiting Seasonal CAT Adjusters to join our CAT team! This is a temporary, full-time position till October/November and will be required to travel for CAT deployments across the United States. As a CAT Adjuster, you will be deployed to the front lines supporting customers in times of need and disaster when they need it the most. We're seeking an individual with excellent decision making skills, the ability to work under pressure, solid organizational skills, exemplary customer service skills, as well as time management skills to balance various tasks. A majority of claims handled would be catastrophe related (Occasionally, adjusters may handle day to day claims) Provide prompt contact and timely adjustment of assigned claims. Handle assigned claims from start to finish, including investigation, documentation, coverage analysis and subrogation/salvage assessment. Perform on-site inspections including carrying and setting up a 40-pound ladder, walking on roofs, and accessing tight spaces. Travel is expected about 75% of the time This career might be right for you if: Previous property claim handling experience is required. Preferably experience CAT property claims experience is required. Ability to perform physical inspections; climb roofs, stoop, bend, etc. Mobile home and Dwelling construction knowledge preferred. You must have a Bachelor's degree or equivalent work/industry experience. A clean driving record and a valid driver's license are required. Proficiency in Symbility, Xactimate or similar estimating platform experience Industry training, coursework, certifications are preferred. (AIC, CPCU, SCLA) Ability to lift, carry, set-up, ascend and descend ladders in excess of 40 pounds. Ability to complete field inspections (scope, diagram and estimate damages) At American Modern, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Apply Now Save job

Canton - WC Claims Specialist - PN: 20068376 (260000BG) Organization: Workers' CompensationAgency Contact Name and Information: Mia Truss-Davis - HCM Sr. Analyst: ******************** Unposting Date: Jan 22, 2026, 4:59:00 AMWork Location: Canton Service Office 339 East Maple Street Suite 200 North Canton 44720-2593Primary Location: United States of America-OHIO-Stark County Compensation: $25.77 - $33.52Schedule: Full-time Work Hours: 40Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Claims ExaminationTechnical Skills: Claims Examination, Customer ServiceProfessional Skills: Attention to Detail, Critical Thinking, Teamwork, Time Management, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.Job DutiesBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!What You'll Be Doing:Manages a caseload of Workers' Compensation claims: Communicates, coordinates & collaborates with internal & external stakeholders (e.g. Disability Management Coordinator [DMC], Medical Service Specialist [MSS], Managed Care Organization [MCO], Employer Management [EM] team, Safety & Hygiene, injured workers, employers, Third Party Administrators [TPA] & rehabilitation personnel) in order to set return to work expectations.Performs initial/subsequent claims investigation & determination within prescribed timeframes: Contacts parties involved in claim process; completes investigation during initial claim development to determine information pertinent to management of claim (e.g., jurisdiction, coverage, causality, compensability, claim data accuracy, current work status of claimant, job description, salary continuation, physical demands of job, & work history of claimant).Processes various types of compensation ranging from Temporary Total (TT) Compensation, Wage Loss, Permanent Partial and Percentage of Permanent Partial, Living Maintenance, to Lump Sum Advancement requests; addresses subsequent requests by parties to claim via due process notification, investigation, BWC orders & referrals to the Industrial Commission (IC) of OhioResponds to customer inquiries Follows Ohio Revised Code and BWC policies and procedures Communicates with legal representatives, employers, claimants, etc.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.Qualifications36 mos. exp. working in private insurance organization as claims representative or equivalent position; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or Completion of undergraduate core coursework in business, humanities, social & behavioral science, education or related field; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 (i.e., providing assistance to claims field operations team or medical claims team by ensuring all documents are complete, accurate & in compliance with bureau of workers' compensation procedures, determining allowances using code manual ICD/CPT & taking appropriate action on self- insured claims or referring documents for further action by claims team member, reconstructing lost claim files or assigning claim numbers & updating claim information, & managing caseload of self-insured medical & disability claims to ensure compliance with Ohio Workers' Compensation Law). -Or 24 mos. exp. as BWC Customer Service Representative, 64451, (i.e., providing information/assistance to &/or answering complaints, questions &/or telephone inquiries &/or written correspondence from customers pertaining to claims status or procedures, reviewing & analyzing claims, referring customers to available community services, & conducting telephone interviews with citizens reporting fraud allegations) &/or as BWC Employer Service Representative, 63521, (i.e., providing information & assistance &/or responding to complaints, questions & inquiries from customers regarding workers' compensation coverage, established binder/applications maintenance, demographics, supplemental & legal entities, manual classifications, debits/credits & payroll reports &/or various BWC programs & research & explain employer refunds, attorney general balances, payments made to policies &/or divided credits). -Or 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers' Compensation). -Or any combination of at least 36 mos. exp. working in private insurance organization as claims representative or equivalent position &/or as Workers' Compensation Claims Assistant, 16720 &/or as Workers' Customer Service Representative, 64451 &/or as Workers' Compensation Employer Service Representative, 63521. -Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment. Job Skills: Claims Examination Major Worker Characteristics: Knowledge of: workers' compensation laws, policies & procedures*; eligibility criteria & procedures used for processing workers' compensation claims*; English grammar & spelling; oral & written business communication; public relations*; addition, subtraction, multiplication, division, fractions, decimals & percentages; interviewing techniques; internet search engines & navigation; medical terminology; medical diagnosis coding*; Industrial Commission processes*; claims reserving*; Skill in: operation of a personal computer; typing; use of Microsoft Office software (e.g., Outlook, Word, Excel, Access, PowerPoint); use of BWC-specific software (e.g., Workers' Compensation Claims Management System, Intrafin, FMS fraud system)*; operation of office machinery (e.g. calculator, printer, copier, fax, phone); communication skills (e.g., listening, writing, reading, phone etiquette); use of internet; Ability to: define problems, collect data, establish facts, & draw valid conclusions; read & understand medical reference manuals & reports, gather, collate, & classify information about data, people, or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers or their representatives, & the public; answer routine & technical inquiries from injured workers, employers, medical providers & public*; make proper referrals (within agency & external sources)*; diffuse potentially volatile situations; present information to others; work with a team; use International Classification of Diseases (ICD) coding manuals/system*; generate properly formatted business correspondence; read and understand compensation payment plan screens*, interpret Cognos reports*.Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox ************************ OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays We are looking for someone who will * Manage the claims reporting process for agency clients. * Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. * Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. * Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. * Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? * A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. * Annual bonus potential Do you have what it takes? * Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. * Strong communication skills (both verbal and written) and attention to detail * Strong time management skills * Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: * Medical, Dental, and Vision plan options * Up to 2 weeks Paid parental leave * 401k plan with company match up to 7% * 2+ weeks of PTO within your first year * Paid company holidays * Company provided volunteer opportunities + 1 volunteer day per year * Free AAA Membership * Continual learning reimbursement up to $5,250 per year * And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

Top 100 Agency for 2025 Best Agencies to Work for in 2024 by the Insurance Journal Big “I” Best Practices Agency in 2023 Annual bonus eligibility No weekends required - great work/life balance 3+ weeks of Paid Time Off 8 Paid Company Holidays We are looking for someone who will Manage the claims reporting process for agency clients. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. Annual bonus potential Do you have what it takes? Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. Strong communication skills (both verbal and written) and attention to detail Strong time management skills Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: Medical, Dental, and Vision plan options Up to 2 weeks Paid parental leave 401k plan with company match up to 7% 2+ weeks of PTO within your first year Paid company holidays Company provided volunteer opportunities + 1 volunteer day per year Free AAA Membership Continual learning reimbursement up to $5,250 per year And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

Come to work with us at Community Health Services! We offer full-time benefits, 10 paid holidays, no weekend hours and so much more! We are looking for a full-time Claims Specialist to work in our Fremont office. CHS employs those who are eager to grow professionally, gain great experience, and work with a terrific team. The Claims Specialist will be responsible for performing general finance functions, entering encounters, processing and recording claims and all other duties as assigned. Hours for this position are: Mondays 7am-7pm, Tuesdays through Thursdays 8am-5pm, Fridays 8am-1pm Qualified candidates must have the following to be considered for employment: * Associate's degree from an accredited college or university * Experience in accounting/bookkeeping * Demonstrates ability to organize and implement general accounting and bookkeeping procedures for a healthcare organization * Ability to work with clinic personnel and patients in a courteous, cooperative manner * Ability to function as part of a team * Must have excellent customer service skills * Must have excellent multi-tasking, problem solving, and decision-making skills * Ability to follow instructions with attention to detail * Demonstrates professional relationship skills, and a strong work ethic * Prioritizes responsibilities, takes initiative, and possesses excellent organizational skills * Demonstrates effective communication skills * Ability to work with a culturally diverse group of people At CHS, we value our team and the critical role they play in patient care. If you're dependable, detail-oriented, and passionate about making a difference in your community, we'd love to hear from you. CHS is a drug-free/nicotine free organization. Candidates must pass a drug and nicotine screening upon employment offer.

Come to work with us at Community Health Services! We offer full-time benefits, 10 paid holidays, no weekend hours and so much more! We are looking for a full-time Claims Specialist to work in our Fremont office. CHS employs those who are eager to grow professionally, gain great experience, and work with a terrific team. The Claims Specialist will be responsible for performing general finance functions, entering encounters, processing and recording claims and all other duties as assigned. Hours for this position are: Mondays 7am-7pm, Tuesdays through Thursdays 8am-5pm, Fridays 8am-1pm Qualified candidates must have the following to be considered for employment: Associate's degree from an accredited college or university Experience in accounting/bookkeeping Demonstrates ability to organize and implement general accounting and bookkeeping procedures for a healthcare organization Ability to work with clinic personnel and patients in a courteous, cooperative manner Ability to function as part of a team Must have excellent customer service skills Must have excellent multi-tasking, problem solving, and decision-making skills Ability to follow instructions with attention to detail Demonstrates professional relationship skills, and a strong work ethic Prioritizes responsibilities, takes initiative, and possesses excellent organizational skills Demonstrates effective communication skills Ability to work with a culturally diverse group of people At CHS, we value our team and the critical role they play in patient care. If you're dependable, detail-oriented, and passionate about making a difference in your community, we'd love to hear from you. CHS is a drug-free/nicotine free organization. Candidates must pass a drug and nicotine screening upon employment offer.

An exciting career awaits you At MPC, we're committed to being a great place to work - one that welcomes new ideas, encourages diverse perspectives, develops our people, and fosters a collaborative team environment. The Reliability Specialist position is responsible for leading targeted strategic and tactical reliability initiatives and enhancements, specifically focused on vibration and condition monitoring services. Acting as a reliability advocate closely aligned with Operations, the position is empowered to work independently to address complex equipment challenges. This role involves developing and implementing long-term reliability programs and initiatives in collaboration with various Operations, Maintenance, and Engineering teams. Other NG&NGLs Locations will be considered. Key Responsibilities * Creates and maintains a culture of safe, reliable, and compliant operations. * Technical authority for complex vibration analysis and multi-disciplinary diagnostics (e.g., vibration, oil analysis, thermography) on critical equipment, resolving high-impact issues (e.g., LOPC, bad actors) with industry-leading expertise. * Develop and lead long-term reliability strategies to achieve business-wide goals, such as downtime reduction and maintenance cost savings, through advanced condition monitoring and predictive maintenance. * Lead the development of condition-based maintenance, using data-driven insights to minimize unnecessary interventions and reduce lifecycle costs. * Supports Project Engineering, Operations, and Maintenance with the installation and commissioning of new equipment in accordance with company standards. * Partner with peers to integrate vibration and performance data into predictive maintenance models, RCM strategies, and long-term asset management plans. * Develop asset health indicators for critical equipment, using advanced analytics to prioritize maintenance and capital replacement decisions. * Must be comfortable working with remote supervision. * Travel is required and may occasionally include out-of-town nights and weekend travel. Education and Experience * High School diploma or GED is required. * Associate or Bachelor Degree in Engineering or related Mechanical Field Preferred * ISO Category 2 Vibration Analyst Required, ISO Category 3 Vibration Analyst Preferred * Must hold a valid Driver License and have an excellent driving record. * Minimum of 15 years of experience with reciprocating and rotating machinery repair and/or machinery diagnostics. * Thorough understanding of the mechanical aspects of gas compression equipment and their support systems. Skills * Excellent planning and organizational skills. Must be able to prioritize assignments according to business needs. * Excellent written and oral communications skills - proven ability to produce clear, concise written reports, and discuss and review, and present technical information. * Experience with reciprocating engine/motor/compressor condition monitoring systems. * Demonstrated ability to operate and interpret data from vibration analysis equipment. * Demonstrated ability to investigate and troubleshoot vibration problems, with an understanding of spectral analysis. * Demonstrated experience in using electronic databases as well as storage and archival of electronic data. * Strong understanding of Excel, Word, and PowerPoint computer programs along with proprietary analyzer software. * Self-motivated with the ability to work with minimal supervision. * Strong organizational skills. #GP #GPOPS As an energy industry leader, our career opportunities fuel personal and professional growth. Location: Canonsburg, Pennsylvania Additional locations: Cadiz, Ohio, Carlsbad, New Mexico, Evans City, Pennsylvania, Kingfisher, Oklahoma, Midland, Texas, Oklahoma City, Oklahoma, San Antonio, Texas Job Requisition ID: 00020057 Location Address: 4600 Jbarry Ct Ste 500 Education: High School Employee Group: Full time Employee Subgroup: Regular Marathon Petroleum Company LP is an Equal Opportunity Employer and gives consideration for employment to qualified applicants without discrimination on the basis of race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), sexual orientation, gender identity, gender expression, reproductive health decision-making, age, mental or physical disability, medical condition or AIDS/HIV status, ancestry, national origin, genetic information, military, veteran status, marital status, citizenship or any other status protected by applicable federal, state, or local laws. If you would like more information about your EEO rights as an applicant, click here. If you need a reasonable accommodation for any part of the application process at Marathon Petroleum LP, please contact our Human Resources Department at ***************************************. Please specify the reasonable accommodation you are requesting, along with the job posting number in which you may be interested. A Human Resources representative will review your request and contact you to discuss a reasonable accommodation. Marathon Petroleum offers a total rewards program which includes, but is not limited to, access to health, vision, and dental insurance, paid time off, 401k matching program, paid parental leave, and educational reimbursement. Detailed benefit information is available at ***************************** hired candidate will also be eligible for a discretionary company-sponsored annual bonus program. Equal Opportunity Employer: Veteran / Disability We will consider all qualified Applicants for employment, including those with arrest or conviction records, in a manner consistent with the requirements of applicable state and local laws. In reviewing criminal history in connection with a conditional offer of employment, Marathon will consider the key responsibilities of the role.

Pre-Certification Specialist - Southwoods Executive Centre Southwoods Health is hiring a Pre-Certification Specialist to work in our Authorizations Department in Boardman. The Pre-Certification Specialist will request and obtain authorizations for procedures and imaging ordered by Southwoods Health physicians. Essential Duties: Respond promptly to referral source requests for information, supporting documentation, or other report needs Obtain accurate and detailed information to begin investigating sources for payment and gather patient information Obtain authorization from payer sources to begin services. Assist in resolving insurance issues, re-authorization, and eligibility issues Responsible for obtaining and communicating pre-authorization as needed per insurance company requirements Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner, requesting input from appropriate team members as needed Facilitate follow-up regarding ongoing services, eligibility, and authorization Communicate payer verification or benefit issues Record insurance information to maintain data and communicate insurance information to pertinent staff Maintain confidentiality of patient information Independently maintain and work from the electronic medical record and additional databases Obtain pre-certification number from physician's office if applicable Assist in the development, organization, and maintenance of role specific documents, policies, and tools Follow all federal, state, and regulatory guidelines to maintain compliance Ensure all processes at responsible physician practice maintains compliance with all regulatory agencies Perform other duties as assigned Qualifications: Training or courses in business office activities, computer skills, and medical terminology Effective communication skills, ability to problem solve, and great attention to detail Insurance Verification experience Minimum of 2 years' experience pre-authorizing medical procedure and imaging exams across modality and specialty (FP or IM office experience a plus) Full-time. Monday-Friday 8:30am-5:00pm. At Southwoods, it's not just about the treatment, but how you're treated. #SWH ************************

Job Description Seeking experienced Full-Time to Part-Time Private Investigators to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims. We are seeking individuals who possess proven investigative skill sets within the industry. Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a calm intensity are a few characteristics of our Investigators and staff. Investigators with Scene Investigation and Recorded Statement experience are encouraged to apply. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** Requirements: 1+ years of experience as an Surveillance Investigator Must be licensed as a Private Investigator in your state (if required) Flexibility to work varied/irregular hours and days including weekends and holidays Valid state issued driver's license The Surveillance Investigator should demonstrate proficiency in the following areas: Obtaining quality surveillance video evidence Writing accurate and detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook email Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment Powered by JazzHR 7Z549djTZy

Title: Claims Representative I (Health & Dental) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Claims Representative I 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. Minimum Requirements * HS diploma or equivalent and related experience; 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. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of 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. Our values and behaviors are the root of our culture. 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. Elevance Health operates in a Hybrid Workforce Strategy. 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. 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 and Influenza. 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. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Water Claims Coordinator/Accounts Receiveable We are currently searching for a full-time Water Claims Coordinator related to water mitigation insurance claims for our Southeast Region. The pay range for this position will be $19.00-$21.00, depending on experience. This on-site position will be located in downtown Cincinnati, OH. You will also receive company-paid parking at a nearby garage. The primary role of the Water Claims Coordinator is to bill, collect payments, and maintain accounts for the Water Restoration Department. The Water Claims Coordinator will keep precise records of all insurance/homeowner payments. Founded in 1935, Roto-Rooter is North America's largest plumbing, drain cleaning, and water cleanup services provider. Roto-Rooter operates businesses in over 100 company-owned branches, independent contractor territories, and approximately 400 independent franchise operations, serving approximately 90% of the U.S. population and parts of Canada. The ideal candidate will have 1-3 years of experience in the collection industry. In addition, the ideal candidate should possess strong communication skills, both with customers and within the insurance industry, and have a good working knowledge and/or experience in water restoration collections. Responsibilities Working knowledge of restoration billing and collections procedures 1-3 years of collections experience, preferably in the water restoration industry Administrative experience in the restoration (preferred) or service industry Highly motivated, detail-oriented, and able to work independently Outstanding organizational, time management, and follow-up skills Self-starter who thrives in a fast-paced environment Able to handle multiple projects at once Strong communication skills and ability to work professionally with customers and the insurance industry Bilingual a plus Requirements Highschool diploma or equivlant is required. 1-2 years of collections experience, preferably in the water restoration industry. Must be able to speak and write in English Basic computer skills, including Microsoft Office AS400 experience is preferred Benefits At Roto-Rooter we believe our greatest investment is in our employees. We prioritize the health and well-being of our team and their families. That's why we offer an extensive employee benefit package including: Medical insurance with a Prescription Drug Card Accident and Critical Illness Insurance Dental Insurance Vision Insurance Paid Vacation Paid Training Life Insurance Matching 401K Retirement Savings Plan Tuition Reimbursement Profit Sharing Roto-Rooter offers excellent career paths for military veterans and personnel transitioning to civilian professions. Throughout our 86 years in business, we've found that military training and structure are a great fit at our company. EEO Statement We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, gender, age, national origin, veteran status, military status, disability, gender identity, sexual orientation, genetic information, or any other characteristic protected by law. Not ready to apply? Connect with us for general consideration.

Full-time Description General Job Summary: Responsible for performing a variety of clerical duties and responsible for insurance verification for patients with medical or auto insurance as well as authorizations. Essential Job Functions: Greets, screens, schedules, and directs patients/visitors to appropriate areas and demonstrates excellence with respect to treating and caring for customers in-person and over the phone. Responsible for performing a variety of clerical duties: answers phone calls, takes messages, fax, scan, etc. Verify that all forms, test results, and other paperwork are in the electronic health record system according to physician and office protocol. Obtain prior authorization for patients and verify all insurance based on patient schedules, practice management systems and insurance websites for non-automated insurances. Obtain, verify, and update patient information and provides support services to patients and medical staff. Maintain the practice management system. Collect payments for services rendered per policy, including copayments and balances on patient accounts. Daily drawer balancing. Obtain referral from the Primary Care Physician for insurances that require referrals and contact patient regarding missing referrals or inactive insurance coverage. Verify auto and liability eligibility with insurance carriers. Ensure all auto and/or liability forms are completed and received and compare with the schedule. Use these forms to record verification information and file in the chart. Compliance with HIPAA, OSHA, and safety standards of the organization. Performs other duties that may be necessary or in the best interest of the practice. Requirements Education/Experience: High school diploma or equivalent. Minimum one year of experience in a customer service position, preferably in a medical practice setting. Previous medical assisting knowledge preferred. CPR/AED and First Aid certification. Other Requirements: Schedules will change as department needs change, including overtime. Travel as needed. Performance Requirements: Knowledge: Knowledge and proper use of office equipment. Knowledge of practice management and electronic health records systems. Knowledge of HIPAA regulations. Knowledge of current terminology and anatomy. Knowledge of how to obtain insurance benefits and insurance reimbursement policies. Skills: Skilled in communicating effectively with providers, staff, patients and vendors. Use of a practice management software system. Accuracy in data entry. Detailed-oriented with excellent investigational/research skills. Excellent organizational and multi-tasking skills. Excellent adaptability skills. Basic math skills. Abilities: Ability to multi-task and analyze situations to respond appropriately. Ability to use math skills to accurately complete daily balancing and provide accurate change to the patient. Ability to work effectively and deal courteously with patients, staff, and others. Ability to organize work environment and work load to meet needs of the organization. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to accurately examine, understand and enter insurance documents. Ability to work independently with minimal or no supervision. Equipment Operated: Standard office equipment. Work Environment: Medical Office. Mental/Physical Requirements: Sitting about 90% in front of a computer screen. Fast paced high productivity environment.

Centerprise Inc. is seeking to hire a Medical Claims Specialist to join our team. The Medical Claims Specialist performs a variety of billing and administrative tasks including claim submission, claim correction, insurance follow-up and appeals and insurance verification. They will also assist with all other billing and finance duties as needed. ABOUT THE COMPANY: Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally. Centerprise is a company on the rise! We are very excited to say that we currently employ 25 staff members, and we are steadily growing! We take great pride in focusing on employee satisfaction. Happy employees; means happy customers! At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment. Centerprise has a small company feel, with larger company resources. Please refer to our website for more information, *************** ESSENTIAL DUTIES AND RESPONSIBILITIES: Follow-up: Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues. Payer Communication: Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement. Denial Management: Work closely with leadership to address and resolve any denied claims promptly. Understanding Guidelines: Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements. Payment Resolution: Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required. Minimum Qualifications: High School Diploma or Equivalent (GED), associate degree preferred. Medical billing experience required. FQHC billing experience is a plus. Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets. Knowledge of Medical Terminology, CPT and ICD-10 Coding, Electronic Billing, and HIPPA EHR Experience in required. Preferred experience with NextGen or eClinicalWorks Excellent written and oral communication skills Pay: $18-$20/hour based on experience Benefits: Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts 401 (k) Program with competitive company match Courtesy Plan, full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio office up to $500.00 per family PTO and Long-Term Sick Bank, full time employees earn up to 25 days per year in first calendar year: 15 days of Paid Time Off (PTO), and 10 days of Long-Term Sick Bank (LTSB) Credit Union Privileges, Sharefax Credit Union Quarterly Bonus Incentive Program Schedule: Monday to Friday; no evenings, or weekends After training may be eligible to work a hybrid-remote schedule which will include 2-3 in office days per week. Work Location: Loveland, OH 45140. Must be able to commute or planning to relocate before starting work. Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran

Description: About Us At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives. Position Summary The Leave & Accommodations Specialist serves as the primary point of contact for employees navigating leave of absence programs and workplace accommodation requests. This role ensures compliance with federal, state, and local regulations while delivering a supportive and empathetic employee experience. The work performed is a blend of case management, compliance expertise, and thoughtful problem-solving. If you are an experienced leave administration professional with a passion for service and a drive to improve healthcare, we would love to meet you. Key Responsibilities Leave of Absence Administration (30%) Manages end-to-end leave cases, including FMLA, ADA, state-specific leaves, parental leave, military leave, and company-sponsored programs. Reviews and processes leave requests, medical certifications, and return-to-work documentation. Maintains accurate case records and ensures timely communication with employees, managers, and HR partners. Monitors leave timelines, eligibility, and entitlements to ensure compliance with applicable laws and policies. Partners with payroll to ensure accurate pay continuation, benefits deductions, and leave coding. Employee Support & Communication (25%) Provides clear, empathetic guidance to employees navigating leave or accommodation needs. Educates leaders on their responsibilities and best practices for supporting employees. Develops and updates employee-facing resources, FAQs, and process documentation. Workplace Accommodations (15%) Serves as the primary coordinator for ADA and non-ADA accommodation requests. Facilitates the interactive process between employees, managers, and healthcare providers. Evaluates documentation and recommends reasonable accommodations aligned with business needs. Tracks accommodation plans, renewals, and follow-up assessments. Compliance & Documentation (15%) Ensures all leave and accommodation processes comply with FMLA, ADA, HIPAA, state leave laws, and internal policies. Maintains confidential employee records in accordance with legal and organizational standards. Identifies compliance risks and escalate issues when necessary. Cross-Functional Collaboration (15%) Partners with HR Business Partners, Benefits, Payroll, Legal, and Safety teams to ensure seamless case management. Supports HR initiatives related to well-being, accessibility, and workforce support programs. QualificationsRequired Bachelor's degree in business, human resources, or related discipline 4-6 years of experience administering FMLA, ADA, and other leave/accommodation programs. Experience with HRIS (e.g., Paylocity, Workday, UKG, ADP) Strong understanding of federal and state leave laws and workplace accommodation requirements. Excellent communication skills with the ability to explain complex processes clearly. High attention to detail and strong organizational skills. Ability to handle sensitive information with discretion and professionalism. Preferred Experience with leave management systems (AbsenceSoft, etc.). Prior work in a mid-size or large organization with high case volume. Certification such as PHR, SHRM-CP, or ADA Coordinator Training. Work Environment Location: Hybrid Schedule: Full-time May require additional availability or flexibility for critical, time-sensitive issues. Regular meetings with teams, departments, or leadership to ensure alignment. Key Essential Functions Must be able to sit for prolonged periods of time while working. Must be able to lift up to twenty-five pounds with or without reasonable accommodation. Must perform repetitive motions for an entire shift, including bending, reaching, lifting, and scanning. Must be able to work onsite when required. Manage and prioritize multiple cases and projects simultaneously in a fast-paced environment. Process cases with a high level of accuracy, efficiency, and organization, ensuring timely delivery and proper documentation. Communicate confidential information effectively with internal stakeholders to understand needs and resolve issues. Employment Classification Status: Full-time FLSA: Exempt Equal Employment Opportunity (EEO) Statement Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time. Requirements:

Centerprise Inc. is seeking to hire a Medical Claims Specialist to join our team. The Medical Claims Specialist performs a variety of billing and administrative tasks including claim submission, claim correction, insurance follow-up and appeals and insurance verification. They will also assist with all other billing and finance duties as needed. ABOUT THE COMPANY: Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally. Centerprise is a company on the rise! We are very excited to say that we currently employ 25 staff members, and we are steadily growing! We take great pride in focusing on employee satisfaction. Happy employees; means happy customers! At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment. Centerprise has a small company feel, with larger company resources. Please refer to our website for more information, *************** ESSENTIAL DUTIES AND RESPONSIBILITIES: Follow-up: Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues. Payer Communication: Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement. Denial Management: Work closely with leadership to address and resolve any denied claims promptly. Understanding Guidelines: Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements. Payment Resolution: Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required. Minimum Qualifications: High School Diploma or Equivalent (GED), associate degree preferred. Medical billing experience required. FQHC billing experience is a plus. Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets. Knowledge of Medical Terminology, CPT and ICD-10 Coding, Electronic Billing, and HIPPA EHR Experience in required. Preferred experience with NextGen or eClinicalWorks Excellent written and oral communication skills Pay: $18-$20/hour based on experience Benefits: Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts 401 (k) Program with competitive company match Courtesy Plan, full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio office up to $500.00 per family PTO and Long-Term Sick Bank, full time employees earn up to 25 days per year in first calendar year: 15 days of Paid Time Off (PTO), and 10 days of Long-Term Sick Bank (LTSB) Credit Union Privileges, Sharefax Credit Union Quarterly Bonus Incentive Program Schedule: Monday to Friday; no evenings, or weekends After training may be eligible to work a hybrid-remote schedule which will include 2-3 in office days per week. Work Location: Loveland, OH 45140. Must be able to commute or planning to relocate before starting work. Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran

Job Description Job Type: Full-Time Compensation: $22.00 - $27.00 per hour (based on experience) Schedule: 40 hours/week, standard business hours About the Role We are seeking a detail-oriented Medical Claims Specialist to join a growing healthcare organization with a mission-driven focus on quality patient care and service excellence. In this role, you'll manage the full lifecycle of medical claims-ensuring accuracy, compliance, and timely reimbursement from Medicare, Medicaid, and commercial insurance payers. This position requires strong technical billing expertise, a passion for problem-solving, and a commitment to delivering a positive experience for patients and healthcare partners alike. What You'll Do Prepare and submit medical claims to Medicare, Medicaid, and private payers Follow up on unpaid, underpaid, or denied claims; initiate appeals or resubmissions Research payer rejections, denials, and discrepancies to resolve issues and maximize reimbursement Verify and maintain patient insurance and demographic data Process CPT, ICD-10, and HCPCS coding specific to ambulance and medical transport services Handle incoming billing-related phone calls with professionalism and compassion Coordinate with internal dispatch and operations teams for billing documentation Review and process EOBs and ERAs to reconcile patient accounts Generate billing reports, assist with month-end closing, and support payment plans when needed What You Bring Required: 2+ years of experience in medical billing or revenue cycle (ambulance/EMS billing preferred) Strong knowledge of CPT, ICD-10, and HCPCS codes Proficiency in clearinghouse portals and electronic claims processing Excellent verbal and written communication skills High school diploma or GED Strong organizational and customer service skills Familiarity with HIPAA and payer-specific compliance requirements Preferred: Associate's degree in Healthcare Administration or related field Certified Professional Biller (CPB) or Certified Professional Coder (CPC) Medicare Part B billing experience Experience with ambulance-specific billing practices Bilingual (English/Spanish) a plus What You Get Competitive hourly pay ($22.00-$27.00/hour) Full health, dental, and vision insurance 401(k) with company match Paid time off, holidays, and life insurance HSA, EAP, and professional development support Opportunities to grow your healthcare administration career

Job Description Spa Specialist - STNA's * Full Time 6:30a-2;30p & Full Time 2:30pm-1030pm Jennings | Life as It Should Be ???? Care with Purpose. Work with Passion. ???? At Jennings, we believe healthcare is more than a job, it's calling. Every day, our team provides compassionate care with purpose, ensuring our residents, patients, and families receive the very best support. Now, we're looking for dedicated professionals who want to grow with us and make a lasting impact. ???? Whether you're just starting your healthcare journey or are a seasoned professional, you'll find a place here where your skills are valued, your ideas are heard, and your contributions make a real difference. ????️ ⚕️ We're Hiring: STNA Status: Full Time, Part Time Shift: Day (6:30am- 2:30pm), Evening (2:30pm- 10:30pm) ✨ Why Work with Us? Professional development & advancement opportunities A supportive, team-centered culture The reward of knowing your work truly matters Qualifications Completion of a State Approved 75-hour Nurse Aid Training Program within 4 months prior to starting date; passing grade on the State Competency examination; good standing on the Nurse Aide Registry. Basic reading, writing, and arithmetic skills; mature and compassionate personality. Current/valid STNA certificate in Ohio Additional Requirements A. Specialty Functions Ability to organize daily bathing schedule according to assignment sheet. Ability to assist resident with bath/shower, including nails, hair, oral hygiene, shaving, dressing and undressing following Universal Precautions. Ability to care for residents hearing aide, glasses, or any other assistive devices. Ability to complete residents Bath/Shower Skin Observation Report on one bath day per week. Ability to moisturize resident's skin; and apply deodorant. Ability to collect and bag soiled linen and clothing in appropriate receptacle. Stores clean linen. Places laundry in designated place. Ability to obtain and record weekly and monthly resident weights. Ability to maintain confidentiality of necessary information. Ability to complete STNA functions when Spa Specialist duties are completed as designated by Charge Nurse and/or Nurse Manager. B. Additional Functions Ability to identify special resident problems, incidents, and or change in resident's condition and report problems, incidents, and changes and when appropriate document such information Ability to review Activities of Daily Living Directives and provide care to residents assigned as outlined Ability to complete tub baths, showers or bed baths; ability to operate whirlpool bath. Ability to accept assigned duties in a cooperative manner. Benefits offered by Jennings: 2nd and 3rd shift differential!!!! Health Insurance Plans, medical coverage with MMO Dental Insurance through Delta Dental Vision, Life, AD&D, Short Term Disability, Critical Illness, and Accident Insurance Flexible Spending Account Retirement Savings Program (403B) Superwell Programs to support fitness and overall health and well being Smartchoice Patient Outreach Program, GoodRX, and Nurseline Bonus Opportunities! Tuition Assistance Flexible Scheduling Options Faith based, mission driven organization. Values of Respect, Compassion, Discovery of Potential, Celebration of Life and Community Daily/Weekly Pay with PayActive Sparkling clean beautiful environment. ???? Apply today and Care with Purpose! ???? ******************** About Jennings Delivering quality care with joy & compassion since 1942, Jennings provides choices as unique as each individual: from a variety of Senior Care options, Rehabilitation Services and Child Care! Recognized as an Employer of Choice for over a decade! Garfield Heights: This centrally located campus, offers choices from independent living residences to long-term care. We also provide community-based services such as adult day services, child and infant care, short-term skilled nursing and rehabilitation, home care and hospice.

Title: 340B Specialist Department Org: Contract Pharmacy - 110220 Employee Classification: J1 - Salaried Full Time HSC Bargaining Unit: Professional Staff Association Primary Location: HSC H Shift: 1 Start Time: 8 End Time: 5 Posted Salary: 55,000 Float: False Rotate: False On Call: False Travel: True Weekend/Holiday: False Job Description: The 340B Specialist oversees the day-to-day operations of the 340B Drug Pricing Program for UTMC. Ensures compliance with rules of participation through strong compliance and monitoring activities, and program policies. PERFORMS OTHER DUTIES AS REQUIRED. This employee works in a professional office setting requiring a high degree of professionalism and precision. It can be stressful at times. The employee in this position is expected to deal with a variety of tasks including customer service, phone calls, virtual and in person meetings, and compiling and presenting reports. Occasional travel is possible, including overnight travel. Minimum Qualifications: 1. Bachelor's degree or equivalent experience required 2. Pharmacy technician certification required 3. State board of pharmacy licensure as a certified technician 4. Minimum of 2-3 years' experience in a compliance related role 5. Proficiency with Microsoft Office required Preferred Qualifications: * Previous 340B / pharmacy experience preferred Conditions of Employment: To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position. Equal Employment Opportunity Statement: The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect. The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request. Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.