Claims analyst full time jobs - 59 jobs

Responsible for maintaining a full time on site Condition Monitoring services ensuring quality and customer satisfaction. Candidate is responsible for scheduling work as necessary as well as reporting metrics, KPIs that accurately reflect the performance, progress, reports and findings as required by the client and I-care. The Manager is also accountable for developing and updating SOP's, internal audits, overall safety, including ensuring compliance with all I-care, client, OSHA, and all other applicable standards to the facility that they are servicing, be a technical resource to the client and I-care employees in troubleshooting PdM and lubrication-related issues and perform and oversee specific projects as assigned. ESSENTIAL FUNCTIONS AND BASIC DUTIES 1. Leads condition monitoring program setup or for clients as required, including but not limited to: a. Building and maintaining CM technology databases to applicable I-care and client-required standards. 2. Responsible for communication and education between the company and clients, including but not limited to: a. Communicating the I-care deliverables to the client. b. Conduct technology awareness sessions for clients as requested. c. Submit documented case studies for customers to support machine life cycle improvement. d. Must be able to interact comfortably, gain trust, and communicate effectively. 3. Responsible for necessary auditing, metrics and reporting, including but not limited to: a. Ensuring all databases are in compliance with current applicable standards. b. Managing all database changes. c. Lead Management of Change (MOC) process adherence. e. The accuracy and timeliness of all internal and external communications and reporting. f. Nuisance alarm management. 4. Responsible for the overall safety awareness of the work environment. a. Ensuring compliance with I-care, client, OSHA, and other applicable standards. b. Actively participates in I-Care and client safety programs to foster continuous improvement. c. Issue a “Stop Work” action if any situation, environment, or condition is an immediate concern of injury to himself or others. If it is not safe then do not perform the work until a safe method or condition exists, period. 5. Mentoring - A few of the activities in the area of Mentoring will include, but are not limited to: a. Assist in training/mentoring of I-Care employees. b. Able to convey obtained knowledge from seminar/training sessions. 6. Performs Condition Monitoring and Reporting of equipment. Condition Monitoring responsibilities include but are not limited to: a. Collect technology data in accordance with I-Care and best practice industry standards. b. Maintains technology databases with current information. e. Reports results in a clear concise manner following all I-Care and/or client procedures for content. 7. Other Responsibility a. Performs special projects as assigned. Work on call and/or overtime as needed and required. b. Ensures that the work area and all I-Care and/or client-supplied equipment are clean, secure, and well maintained. _______________________________________________________________________________________ GENERAL PERFORMANCE MEASUREMENTS 1. Technical - verifies accurate analysis and reporting of technology data, reports are accurate, and neat, and assignments are completed as scheduled. 2. All inquiries are courteously attended to. Good business relations exist with I-Care employees and clients. A professional image is projected at all times. 3. Work is performed safely and the employee actively participates in continuous improvement of the safety programs. Work areas and equipment are kept neat, clean, and well organized. QUALIFICATIONS EDUCATION/CERTIFICATION: High school graduate or equivalent, College Graduate preferred in technology or engineering field. ASNT-TC1A or ASNT-CP189 Professional Certification Level 2, or ISO Category 3, or industry equivalent. REQUIRED KNOWLEDGE: Mechanical CM Analyst: machinery fundamentals including pumps, motors, gearboxes, blowers, compressors, switchgear, etc. Knowledge of mechanical fundamentals, such as fits and tolerances. Detailed knowledge of data acquisition techniques utilizing Vibration Analyzers, Ultrasound. Working knowledge of other condition-monitoring technologies. Electrical CM Analyst: knowledge of electrical fundamentals including: switchgear, fuses, disconnects, cable, torquing of fasteners, transformers, etc. Knowledge of data acquisition techniques utilizing Infrared Cameras, Ultrasound, Motor Testing Equipment. Working knowledge of other condition-monitoring technologies. EXPERIENCE REQUIRED:3 or more years of direct related experience. SKILLS/ABILITIES: Good communication skills, both oral and written. Proficient computer skills, including but not limited to Windows, Word, and Excel. Solid analytical and problem-solving abilities. Able to work well independently.

Insurance Complaint Analyst 1 (2600009H) Organization: InsuranceAgency Contact Name and Information: Kim Lowry ************Unposting Date: OngoingWork Location: 50 W Town St 50 West Town Street Suite 300 Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: 25.77Schedule: Full-time Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: InsuranceTechnical Skills: Customer Service, InsuranceProfessional Skills: Analyzation, Attention to Detail, Time Management, Verbal Communication, Written Communication Agency OverviewAbout Us:The Ohio Department of Insurance (ODI) was established in 1872 as an agency charged with overseeing insurance regulations, enforcing statutes mandating consumer protections, educating consumers, and fostering the stability of insurance markets in Ohio.Today, the mission of the Ohio Department of Insurance is to provide consumer protection through education and fair but vigilant regulation while promoting a stable and competitive environment for insurers.Please visit our website Department of Insurance and also find us on LinkedIn.Job DescriptionCSD is seeking a professional, detailed and research oriented candidate to fill an Insurance Complaint Analyst 1 position to assist the consumers of Ohio in understanding their insurance benefits and resolving their insurance issues. The ideal candidate will have excellent communication, problem solving, and organizational skills, a high level of emotional intelligence, and the ability to be adaptable.If this sounds interesting to you, continue reading below to learn more about this career opportunity with CSD where you too can be available to support those who serve Ohioans.What You'll Do:Your Key Responsibilities include but are not limited to the following:• Assist consumers via telephone with insurance related questions and provide appropriate response. • Review, analyze, establish facts and draw valid conclusions regarding complaints related to all lines of insurance.• Demonstrate research and analysis of the facts according to policy terms and applicable regulations through written and verbal responses.• Make appropriate referrals to other divisions.• Maintain records of investigation.• Identify possible violations of insurance laws.• Communicate complaint analysis and findings verbally and in writing in a professional manner. 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.Qualifications24 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts (e.g., health, life, annuities, personal lines, commercial lines, federal health care programs); 6 mos. exp. or 6 mos. trg. in operation of personal computer; 2 courses in basic mathematics (i.e., addition, subtraction, multiplication, division). -Or 2 courses in insurance & 2 course in basic mathematics (i.e., addition, subtraction, multiplication, division); 18 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts (e.g., health, life, annuities, personal lines, commercial lines); 6 mos. exp. or 6 mos. trg. in operation of personal computer. -Or completion of undergraduate core program in insurance or business; 6 mos. exp. or 6 mos. trg. in operation of personal computer & 2 courses in basic mathematics (i.e., addition, subtraction, multiplication, division). Job Skills: InsuranceSupplemental InformationApplication Procedures:When completing the different sections of this application, be sure to clearly describe how you meet the minimum qualifications outlined in this job posting. We cannot give you credit for your Work Experience and Education & Certifications if you do not provide that information in your online application. Information in attached resumes or cover letters must be entered into your application in the appropriate Work Experience or Education & Certification sections to be considered.Status of Posted Positions:You can check the status of your application online by signing into your profile. Jobs you applied for will be listed. The application status is shown to the right of the position title and application submission details. Questions about the position not pertaining to your application status can be directed to: Kim Lowry @ ************.Applicants must be currently authorized to work in the United States on a full-time basis.Reasonable Accommodation: ODI does not discriminate on the basis of disability in its hiring or employment practices and complies with the ADA employment regulations. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the agency Human Resource Offices' ADA Coordinator, Andrew Skal, by emailing ****************************** or calling ************. Otherwise, you will be given specific instructions on requesting an accommodation if you are invited to participate in a structured interview.Background Check Information:The final candidate selected for this position will be required to undergo a criminal background check. Section 2961 of the Ohio Revised Code (ORC) prohibits individuals convicted of a felony involving fraud, deceit or theft from holding a position that has substantial management of control over property of a state agency.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.

SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days * Hybrid after training As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Summary: Accurately and efficiently handles claims in accordance with regulatory and contractual guidelines. Reviews claims related to coordination of benefits, medical coding, and authorization allocation while ensuring compliance with established policies. Applies cost-containment strategies in collaboration with vendor partners to minimize claim expenses while adhering to plan-specific processing rules. are essential for success in this position. 1. Formal Education Required: a. High School Diploma or equivalent 2. Experience & Training Required: a. One (1) year experience to include any combination of the following: i. Health insurance claims processing ii. Health claims data entry including Document Management Services (DMS) iii. Customer service experience in a managed care environment iv. Physician or hospital billing v. Patient accounts Essential Functions: 1. Requires close attention to detail with independent judgment, decision making and problem solving skills necessary to complete the task being performed 2. Organizes reference materials for easy access; manages time to accurately complete tasks within time frames in a fast paced environment 3. Processes all types of claims, promptly and accurately, as assigned via the document management system, and ensures self-funded service standards, prompt pay standards, and regulatory requirements are met. 4. Maintains a working knowledge of the claims processing system, imaging system, key-stroke emulation system, code editing application, claims processing policies & procedures, and unique benefits/processing rules for self-funded, Medicare, MEWA, Marketplace and fully-insured plans. 5. Escalates questions or concerns to their mentor for evaluation and potential referral to the Claims Management staff for action plan and resolution 6. Meets or exceeds claims production and quality standards as established/communicated by Claims Management staff 7. Coordinates information and resolves service forms and other assignments promptly, in accordance with experience/capabilities. Handles special projects within timeframes established/assigned by supervisor 3. Other Skills, Competencies and Qualifications: a. Strong independent judgment and decision-making skills b. MS-windows based computer environment c. Medical terminology, CPT, HCPCs and ICD-10 knowledge d. Familiar with professional (CMS1500) and institutional (UB-04) claim types 4. Level of Physical Demands: a. Sit for prolonged periods of time b. Bend, stop and stretch c. Lift up to 20 pounds d. Manual dexterity to operate computer, phone and standard office machines Equal Opportunity Employer/Veterans/Disabled $19.23/hr - $23.08/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

The Total Rewards Analyst is responsible for designing, implementing, and managing compensation and benefits programs for Donatos. The role involves analyzing and evaluating the effectiveness of compensation structures, benefits offerings, and incentive programs to ensure they align with company goals and market trends. This role uses data analysis to provide insights and recommendations for optimizing reward strategies, ensuring competitiveness, and improving employee satisfaction. Job duties and responsibilities Benefits: Administer and manage associate benefit programs, including health, dental, vision, retirement, and other company-sponsored plans. Ensure compliance with federal and state regulations related to associate benefits and maintain up-to-date knowledge of changes in legislation. Serve as a primary point of contact for associates regarding benefits questions and issues. Assist in the annual open enrollment process, including preparing communication materials, and facilitating enrollment sessions. Coordinate with external vendors and insurance carriers to resolve claims and coverage issues. Maintain accurate and confidential associate benefits records. Prepare and analyze reports on benefit utilization and costs. Compensation: Analyze compensation data to ensure competitive pay structures and internal equity. Conduct salary surveys and benchmark positions against market data to determine competitive salary ranges. Analyze job positions, job classifications and salary structures. Participate in annual salary administration programs, including salary structure creation and maintenance and development of incentive or salary increase programs. Ensure compliance with federal, state, and local regulations related to compensation practices. Conduct job evaluations and provide recommendations for promotions, salary adjustments, and new hire offers. Process wage and salary changes resulting from merit increases, promotions, or market adjustments or other job changes. Monitor industry trends and best practices in compensation and make recommendations for improvement. Other projects assigned. Work Arrangement Options Donatos has identified this position is eligible for the following work arrangements: Full-Time Onsite: The Associate in the position will work all regularly scheduled days onsite. Hybrid: Position requires the physical presence of an Associate to complete some duties or collaboration, balanced with solo work that does not require on-site resources or relationships. The Associate in this position will work 3 regularly scheduled days onsite, 2 days off-site weekly. Positions that are eligible for hybrid work do not automatically qualify the Associate to perform in a hybrid work arrangement. Minimum requirements Education Bachelor's degree in Human Resources or Business Administration preferred or equivalent work experience. Physical Requirements None. The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work). Previous Experience 2 - 4 years' experience as a Benefits Specialist/Compensation Analyst or similar role. Strong knowledge of associate benefits and relevant regulations (e.g., ERISA, ACA, COBRA). Excellent communication and interpersonal skills. Proficiency in data, analysis, HRIS, and benefits management software. High attention to detail and strong organizational skills. Proficient with Microsoft suite - Word, Excel, and PowerPoint. Benefits Employee discount 401(k) matching Life insurance Vision insurance Dental insurance Health insurance Paid time off

Job Description FBT Gibbons is searching for a full-time eDiscovery Analyst to join our team. The eDiscovery Analyst will provide technical support to the firm's Practice Groups and collaborate closely with the eDiscovery Project Managers (PMs) and the Trial Support Technicians to handle client requests and work as part of a cohesive team in litigation support. Key Responsibilities: Coordinate the transfer of data between the client systems, cloud storage and internal systems, while maintaining and verifying the data integrity and chain of custody. Create split archive volumes and parity archive containers. Verify archive data checksums. Maintain a matter-centric file and folder naming structure to ensure all client data adheres to information governance guidelines. Modify and QC eDiscovery load files (DAT/LFP/CSV) and other delimited data sets using Regular Expressions or similar pattern-matching and input-validation languages. Process, QC, and load structured and unstructured data into Relativity. Address problems (e.g., exceptions, missing metadata, processing issues) in simple non-technical language to the eDiscovery PMs and attorneys. Provide data integrity and Relativity processing reports to eDiscovery PMs as requested. Use Relativity One to cull client data in the ECA workspace, using nested search terms (DTSearch, Boolean, RegEx). Perform name normalization, entity (party/custodian) linking and mergers, and incremental index rebuilds. Create search term reports for the legal team and advise on corrective measures to prevent incomplete or overly inclusive identification and promotion to review workspaces. Provide consultation to the eDiscovery PMs and legal team for eDiscovery workflow and data management to ensure compliance with legal requirements, following EDRM and FRCP guidelines. Provide and coordinate discovery technology assistance including bulk tagging, document image conversion, eDiscovery processing, and productions. Participate in all aspects of a litigation support project from processing through production, working directly with eDiscovery PMs and the legal team regarding the appropriate selection and use of available technology for database management, imaging, and electronic discovery. Manage case data and follow best practice guidelines for Information Governance of client data throughout the eDiscovery lifecycle (Identification, Preservation, Collection, Processing, Review, Production, Archiving). Meet and coordinate with other Information Technology Department members on product installation, training, and support. Troubleshoot technical issues with software platforms and work with software vendors and IT on issue resolution. Maintain current knowledge of available litigation support systems including text search applications, document databases, AI transcription tools, imaging and electronic discovery tools. Qualifications: Bachelor's Degree preferred or equivalent combination of education and work experience. 2+ years of second tier IT support or eDiscovery technical experience supporting and building relational databases and flat table data manipulation. Proficiency with RDP and ProxyPro required. Familiarity with PowerShell, Python, BAT files, and Regular Expressions preferred. Relativity Analytics Specialist Certification preferred. Working knowledge of the EDRM guidelines and Relativity One data processing workflows preferred. Familiarity with network data management and user access controls in the Windows environment. Familiarity with DTSearch, RegEx and Python preferred. Experience processing electronic files. Ability to work extended hours, including nights and weekends. FBT Gibbons offers a competitive salary and a comprehensive benefits package including medical, dental, vision, life, disability, and 401k/profit sharing retirement package. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Applicants must be authorized to work in the United States without current or future employer sponsorship. FBT Gibbons does not provide visa sponsorship for this position. FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status. #LI-remote

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.

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express. **How will you make an impact in this role?** The B2B Growth Enablement Insights Analyst will play a key role in scaling the expansion of charge volume across the Large Market and Global Commercial Services client base. This role partners closely with sales leaders, individual contributors, and cross-functional stakeholders to ensure teams have the data, insights, and operational support needed to drive increased expansion charge volume. Designed as a force multiplier for a virtual U.S. based expansion sales organization, this role sits at the intersection of data, process, and sales execution, driving measurable business growth by enabling teams to expand B2B charge volume across the client base. + Partner with sales leaders, individual contributors, and key business partners to assist and execute key strategic expansion and growth projects. + Conduct analysis of spending, supplier data, and portfolio/vertical trends to identify growth opportunities. + Maintain accurate Salesforce (OneForce) data, dashboards, and reporting to provide visibility into expansion activity, enablement progress, and impact on charge volume growth + Apply clear prioritization and engagement criteria to ensure support efforts are focused on the highest-impact accounts and initiatives **Minimum Qualifications** + Experience working with data to identify trends, insights, or growth opportunities, including comfort with large or complex datasets + Strong analytical and problem-solving skills with financial acumen; proficiency in Excel and PowerPoint required (Salesforce experience a plus). + Strong organizational and project management skills, with the ability to coordinate across multiple stakeholders and priorities + Effective written and verbal communication skills, with the ability to translate complex information into clear, actionable guidance + Ability to prioritize work based on business impact and operate effectively in a fast-paced, collaborative setting + Intellectual curiosity and ability to work through ambiguity. + Location: United States, Virtual **Preferred Qualifications** + Bachelors Degree + 3 years of experience in sales enablement, sales operations, commercial analytics, project management, or a related role supporting B2B sales teams **Qualifications** Salary Range: $65,500.00 to $102,500.00 annually bonus benefits The above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, experience, and other job-related factors. We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally: + Competitive base salaries + Bonus incentives + 6% Company Match on retirement savings plan + Free financial coaching and financial well-being support + Comprehensive medical, dental, vision, life insurance, and disability benefits + Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need + 20 weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy + Free access to global on-site wellness centers staffed with nurses and doctors (depending on location) + Free and confidential counseling support through our Healthy Minds program + Career development and training opportunities For a full list of Team Amex benefits, visit our Colleague Benefits Site . American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions. We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually. US Job Seekers - Click to view the " Know Your Rights " poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window: *************************** Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positions. **Job:** Sales **Primary Location:** United States **Schedule** Full-time **Req ID:** 26001057

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.

Location - 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 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 : * Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made. * Researches and analyzes claims issues. * 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. Minimum Requirements : * Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences : * Experience working in a production and quality driven role preferred. * Experience in healthcare and/or health insurance industry preferred. * Preferred candidates will have strong clerical skills, including computer literacy and the ability to navigate multiple platforms efficiently. * Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $15.90 to $23.86/hr. Location: New York In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Reps 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.

* 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

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Claims Management Shift/schedule: Full Time (40 hrs/wk) Works under the supervision of the Assistant Manager of Claims Management and Lead Insurance Claim Specialists. The Insurance Claim Specialist's primary job functions is to analyze, process, submit, and follow up on inpatient and outpatient medical claims. Is responsible for safeguarding the public relations and confidentiality of the organization and its records by consistent professional conduct. QUALIFICATIONS Education: * High School Diploma or successful completion of an equivalent High School Exam Required Licensure: * None Experience: * Three to six months of related work experience in medical billing preferred JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. * Reviews all claims for complete and accurate information. * Contacts other SOMC departments, physician offices, and insurance companies to obtain necessary information to file complete, accurate, and timely claims. * Processes, edits, and submits all claims for the organization. * Follows up on Commercial, Worker's Comp, VA, and Governmental claims by phone calls to the insurance companies, websites, or any online resources available. * Works with the patient/guarantor by phone to assist with any questions regarding unpaid claims. Obtains information from the patient/guarantor with which to submit the claim for payment (i.e., claim forms, Medicare Secondary Payer (MSP) Questionnaire, etc.) * Processes administrative appeals, reinstatements, and rejections of insurance claims. * Completes account follow up daily, maintaining established goals, and notifies the Lead Specialist, when necessary, of issues preventing achievement of such goals. * Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues. * Adheres to HIPPA regulations by verifying pertinent information to determine caller authorization level receiving information on account. * Identifies billing and coding issues with individual claims, notifying medical billers for correction. * Makes determinations through on-line systems of patient eligibility, coverage, and reviews status of claims. * Performs other duties as assigned. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.

We're looking for a detail-driven Manufacturing Analyst to join our fast-paced manufacturing team! In this role, you'll perform a variety of general accounting duties, track inventory, and provide key financial insights that help drive profitability and efficiency. This is a full-time, on-site position with competitive pay and benefits. Responsibilities: * Cost accounting for ACX's two product lines * Cost individual manufacturing jobs: Review and post labor hours, inventory usage, and outside services necessary for job order completion * Ensure inventory is properly valued * Analyze inventory trends vs. expectations * Analyze margin variances trends and report on cost implications * Interact with manufacturing floor employees necessary to resolve ad-hoc requests * Coordinate cycle count procedures with stock room and assist in investigating variances * Conduct month-end close procedures within tight 3 day close process; assist with post-close reporting * Prepare monthly closing journal entries * Compile month-end package * Financial reporting & distribution * Load financials & statistics into corporate financial system * Backlog reporting & analysis * Sales, Margin, and Bookings report * Assist with corporate financial requests (month, quarter, annual sets of requests) * Monthly departmental spending/expense analysis (vs. Plan & fluctuations) * Assist with Monthly Forecast/Book and Ship Compilation * Reconcile general ledger accounts * Answer accounting and financial inquiries through data research * Optimize accounting processes through continuous improvement, including report automation through Power BI * Support internal and external audits throughout the year * Assist with compilation of Quarterly Management Meeting Presentations * Assist with annual Fiscal Year Plan process * Perform other duties assigned Qualifications: * 4-year college degree preferably in Accounting or Finance * 2 years of related experience preferred * Costing experience preferred Benefits: * Competitive pay based on experience * Health insurance coverage * Retirement plan options * Paid time off This position requires either a US Person (as defined in applicable export regulations) or a non-US person who is eligible to obtain required export authorization. An equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law. Benefits: * 401(k) matching * Dental insurance * Health insurance * Life insurance * Paid time off * Vision insurance Work Location: In person Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Life insurance * Paid time off * Vision insurance Work Location: In person

Crop Insurance Adjuster At Farmers Mutual Hail (FMH), our mission is simple: protect the livelihoods and legacies of America's farmers through the complete farm insurance solutions we offer. As America's Crop Insurance Company™, we are headquartered in the U.S. and have been owned by the farmers we insure for over 125 years. As a full-time Crop Insurance Adjuster at FMH, you'll complete field inspections, read maps and aerial photos, measure fields, climb storage bins, and discuss findings of crop losses with producers to enable America's farmers to clothe, feed, and fuel the world. Due to the required travel, the potential candidate will need to be located in Northeast Ohio to be successful in this role. BENEFITS: Our employees appreciate our family-oriented culture, and we make sure their benefits reflect that. In addition to a competitive salary and bonuses, medical/dental/vision plan, 401(k) plan with a generous company match, you will be eligible for benefits such as: Paid Parental leave and Caregiver leave This position will receive a vehicle, cell phone, and paid expenses for travel Employee appreciation events Employee Assistance Program (EAP) for support when you and your family need it REQUIREMENTS: To be considered for this role, you will need the following: Experience: A minimum of 1 to 5 years of crop insurance adjusting experience or an agriculture background is preferred. Education: High school diploma or general education degree (GED) required; Associates and/or Bachelor's degree in business or an ag-related field preferred. Skills: Must possess basic computer skills: Ability to use a computer, printer, scanner, Internet and Microsoft Office Products. Additional Requirements: Must be available to attend all Company-mandated training events and conferences and be able to travel for work-related reasons for periods of time exceeding twenty-four (24) hours. Must be able to physically climb heights in excess or ten (10) feet, walk distances over ¼ mile over uneven terrain, and stand without rest for periods of time greater than one hour. Must maintain a valid driver's license, clean MVR, and own a vehicle. RESPONSIBILITIES: Understands and is able to work claims for all major crops, policy/plan types, in all stages of growth. Effectively and clearly communicates regulations and interpretations to producers, agents, and Company staff regarding claims processes. Stays current with RMA-requirements and maintains CAPP certification if working multi-peril crop insurance (MPCI) claims. Maintains a State Adjuster License where required. Does this sound like a good fit for you? Apply today through our website! This position is not eligible for sponsorship for work authorization by Farmers Mutual Hail Insurance Company of Iowa. Therefore, if you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Farmers Mutual Hail Insurance Company does not discriminate in employment (EOE). All qualified applicants are encouraged to apply.

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

Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based eClinical Coordinator to join our Data Management team. By working with the eClinical Project Manager and other team members, these professionals ensure the accuracy of data that is reported by patients for clinical studies. If you are detail-oriented, and enjoy a predictable and standardized work environment, this could be the opportunity for you. As new hires, eClinical Coordinators go through an extensive onboarding and training process, which prepares them to become experts in their field. Responsibilities * Partner with eClinical Managers and Sponsors to develop and configure device applications unique to each study's needs * Support management of device inventory and oversee global shipping and distribution of devices to study sites * Develop device and application user guides and troubleshoot issues by working with sites/sponsors, as necessary * Create study and application specific documents to support regulatory submissions and approval * Monitor data entry for quality and report compliance metrics to Sponsors (e.g., monitoring how well patients are completing forms, identifying and flagging data for errors, etc.) * Other assigned projects and tasks Qualifications * Bachelor's degree in a health related field with strong attention to detail and working knowledge of Excel and Word; * Knowledge of medical terminology; * 1-2 years of experience in a pharmaceutical or CRO setting preferred. TRAVEL: None Medpace Overview Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries. Why Medpace? People. Purpose. Passion. Make a Difference Tomorrow. Join Us Today. The work we've done over the past 30+ years has positively impacted the lives of countless patients and families who face hundreds of diseases across all key therapeutic areas. The work we do today will improve the lives of people living with illness and disease in the future. Cincinnati Perks * Cincinnati Campus Overview * Flexible work environment * Competitive PTO packages, starting at 20+ days * Competitive compensation and benefits package * Company-sponsored employee appreciation events * Employee health and wellness initiatives * Community involvement with local nonprofit organizations * Discounts on local sports games, fitness gyms and attractions * Modern, ecofriendly campus with an on-site fitness center * Structured career paths with opportunities for professional growth * Discounted tuition for UC online programs Awards * Named a Top Workplace in 2024 by The Cincinnati Enquirer * Recognized by Forbes as one of America's Most Successful Midsize Companies in 2021, 2022, 2023 and 2024 * Continually recognized with CRO Leadership Awards from Life Science Leader magazine based on expertise, quality, capabilities, reliability, and compatibility What to Expect Next A Medpace team member will review your qualifications and, if interested, you will be contacted with details for next steps.

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

Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, => Software Consultancy and Information Technology Enabled Services. Job Description Required:- Blueprinting of solutions on latest integration paradigms and API based interactions including Microservices in a heterogeneous technology and product landscape System architecture and design involving J2EE, Spring, Spring Core, Spring Boot, MAVEN Demonstrable experience in defining a RESTful service based architecture for new business capabilities or transformations around legacy implementation Understanding of key components of a microservices architecture including containers, load balancing, distributed cache Knowledge in Docker framework and deployments, container management SOA vs API implementation differences; guide clients for appropriate adoption and development team for appropriate implementation Ability to work in team environment and be client interfacing as well. Experience and desire to work in a Global delivery environment Preferred:- Knowledge of continuous integration using Bamboo. Experience working in a scrum team and in onsite/offshore model Experience in technology consulting, enterprise and solutions architecture and architectural frameworks. Qualifications Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 2 years of experience with Information Technology. Additional Information ** U.S. citizens and those authorized to work in the U.S. are encouraged to apply . We are unable to sponsor at this time. Note:- This is a Full-Time Permanent job opportunity for you. Only US Citizen, Green Card Holder, TN Visa, GC-EAD, H4-EAD & L2-EAD can apply. No OPT-EAD & H1B Consultants please. Please mention your Visa Status in your email or resume.