Top 381 Claims Jobs in Canton, Oh

Adjudication/Reimbursement Specialist - Immediate Opening
Absolute Companies —Green, OH
- Urgently hiring
- Organizational skills
- In-person
- Communication skills
Quick Apply
Logistics Sales Support Representative
Kenan Advantage Group —North Canton, OH
- Full-time
- Word processing
- Research
- Mid-level
Roofing Sales Representative - $85k Minimum Earnings
Division 1 Roofing & Exteriors —Akron, OH
- $85,000 - $200,000 a year
- Full-time
- Residential
- Driver's License
- Driving
- Health insurance
- Dental insurance
Adjudication/Reimbursement Specialist - Immediate Opening
Absolute Companies —North Canton, OH
- Urgently hiring
- Organizational skills
- In-person
- Communication skills
Quick Apply
Field Service Engineer - Eastern OH - Western PA
Ipsen International Inc —Ohio
- Full-time
- Computer literacy
- Mid-level
- Microsoft Office
- Paid holidays
- Tuition reimbursement
Personal Lines Insurance Customer Service
DiStefano Insurance Services, Inc. —Canal Fulton, OH
- From $38,000 a year
- Full-time
- Hybrid work
- Customer service
- English
- Office
- Health insurance
- Dental insurance
Quick Apply
Assistant Medical Director
Medical Mutual of Ohio —Ohio
- Remote
- Medicine
- 5 years
- Word processing
- Health savings account
- Disability insurance
Associate Medical Director
COMMUNITY SUPPORT SERVICES INC —Akron, OH
- Full-time
- Medicine
- Microsoft Outlook
- Management
- Paid holidays
- Loan repayment program
Quick Apply
Billing/ Revenue Cycle Manager- Home Health
Northeast Professional Home Care —Canton, OH
- Full-time
- Microsoft Word
- Background check
- Management
- Paid holidays
- Health insurance
Quick Apply
Controller - Health Plan
Summa Health —Akron, OH
- $72.89 - $109.34 an hour
- Full-time
- Hybrid work
- Background check
- CPA
- Customer service
- AD&D insurance
- Disability insurance
Quick Apply
10d
Licensed Practical Nurse Day Shift
Danbury Massillon —Massillon, OH
- $26 - $28 an hour
- Full-time
- 18 years or older
- LPN
- Entry level
- Health savings account
- AD&D insurance
Quick Apply
Sales Representative
JBL Roofing —Kent, OH
- $80,000 - $220,000 a year
- Full-time
- 11+ years
- Mid-level
- Contracts
- Health insurance
- 401(k)
Quick Apply
8d
Licensed Psychiatric Mental Health Nurse Practitioner — PMHNP
Grow Therapy —Ohio
- $100 - $161 an hour
- Part-time
- Remote
- Nursing
- Psychiatry
- Mid-level
- Continuing education credits
- Flexible schedule
12d
Van Manager
Omari Construction —Wadsworth, OH
- $120 a day
- Full-time
- Mid-level
- Office
- Residential
- Opportunities for advancement
Quick Apply
CDL A Local Company Linehaul Truck Drver
Moran Transportation —Akron, OH
- $27.00 - $28.50 an hour
- Night shift
- Hazmat Endorsement
- Local
- Urgent Care
- Health savings account
- Disability insurance
Quick Apply
4d
Geico Local Office Insurance Sales Agent
Wanner Family insurance —North Canton, OH
- $45,000 - $65,000 a year
- Full-time
- Computer literacy
- Bachelor of Science
- Mid-level
- Paid time off
Quick Apply
Building / Construction Consultant
Aggregate Construction Consultants —Ohio
- $75.00 - $92.50 an hour
- Contract
- Remote
- Residential
- Analysis skills
- Driver's License
- Opportunities for advancement
- Flexible schedule
Quick Apply
Mental Health Therapist, Counselor - LISW/LPCC/LCSW/LSW
Emerald Psychiatry & TMS Center —Ohio
- Up to $80,000 a year
- Part-time
- Background check
- Psychiatry
- Licensed Clinical Social Worker
- Continuing education credits
- Health savings account
Quick Apply
Licensed Therapist or Psychologist (LCMHC, LIMFT, or LISW)
Grow Therapy —Ohio
- $70 - $93 an hour
- Part-time
- Remote
- Licensed Clinical Social Worker
- Mid-level
- Psychology
- Continuing education credits
- Professional development assistance
Remote Licensed Independent Marriage and Family Therapist
Grow Therapy —Ohio
- $70 - $93 an hour
- Part-time
- Remote
- LMFT
- Mid-level
- Telehealth
- Continuing education credits
- Professional development assistance

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claims jobs near canton, oh

Adjudication/Reimbursement Specialist - Immediate Opening

Absolute Companies -
Green, OH

Quick Apply

Job Details

Qualifications

Customer communication
Registered Pharmacy Technician

Full Job Description

Pharmacy Adjudication / Reimbursement Specialist

Position Summary
We are seeking a detail-oriented and motivated Pharmacy Adjudication / Reimbursement Specialist to join our team. This role is essential in ensuring accurate billing and reimbursement for prescriptions by verifying patient and insurance information, resolving claim issues, and maintaining compliance with payer regulations and guidelines. The ideal candidate thrives in a fast-paced environment and is committed to delivering high-quality service.

Schedule

Flexible scheduling
Afternoon shift
This is an on-site position; remote work is not available.
Rotating weekends

Qualifications

State registration required
Pharmacy Technician Certification required within 1 year of hire
Strong attention to detail and organizational skills
Excellent written and verbal communication skills
Ability to multitask and manage competing priorities
Self-motivated with the ability to work both independently and as part of a team
Basic proficiency in Microsoft Word and Excel

Primary Responsibilities

Verify patient demographics and insurance information for accuracy
Ensure prescriptions are billed to the correct payer source in accordance with pricing, billing regulations, and utilization guidelines
Perform insurance verifications and eligibility checks
Handle inbound and outbound calls with facilities, guarantors, and insurance companies
Initiate and follow up on prior authorizations
Review and respond to insurance audit requests
Reconcile online third-party claims
Investigate and resolve insurance and Medicaid rejections from remittances
Maintain accurate documentation of all billing activities
Perform other duties as assigned

What You’ll Bring to the Team
As a Reimbursement Specialist, you will play a vital role in supporting our mission by ensuring accurate, timely billing and exceptional customer service. You will collaborate closely with team members to promote quality outcomes, operational efficiency, and overall employee satisfaction.

Why Join Us?

Supportive team environment
Opportunity for growth and certification
Meaningful work that impacts patient care behind the scenes

If you are a dedicated professional looking to grow your career in pharmacy reimbursement and billing, we encourage you to apply!

Quick Apply

Refine Your Search

claims jobs in canton, oh

Adjudication/Reimbursement Specialist - Immediate Opening

Logistics Sales Support Representative

Roofing Sales Representative - $85k Minimum Earnings

Adjudication/Reimbursement Specialist - Immediate Opening

Field Service Engineer - Eastern OH - Western PA

Personal Lines Insurance Customer Service

Assistant Medical Director

Associate Medical Director

Billing/ Revenue Cycle Manager- Home Health

Controller - Health Plan

Licensed Practical Nurse Day Shift

Sales Representative

Licensed Psychiatric Mental Health Nurse Practitioner — PMHNP

Van Manager

CDL A Local Company Linehaul Truck Drver

Geico Local Office Insurance Sales Agent

Building / Construction Consultant

Mental Health Therapist, Counselor - LISW/LPCC/LCSW/LSW

Licensed Therapist or Psychologist (LCMHC, LIMFT, or LISW)

Remote Licensed Independent Marriage and Family Therapist

I want to receive the latest job alert for claims in canton, oh

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