- Molina Healthcare (Akron, OH)
- …and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection ... and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the coordination and preparation of the HEDIS medical… more
- Holzer Health System (Bidwell, OH)
- …scheduling. The Receptionist - Centralized Scheduling is accountable to the Registration Manager for accuracy of registration processes as they relate to the revenue ... cycle and is directly responsible to the Manager - Centralized Scheduling for daily registration operations and...including incoming and outgoing volume + Maintain department standard audit error rate + Maintain a not ready time… more
- Molina Healthcare (Dayton, OH)
- …+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI targets are ... + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in… more
- Molina Healthcare (Columbus, OH)
- …* Reviews and analyzes collective grievance and appeals data along with audit results on unit's performance; analyzes and interprets trends and prepares reports ... review and/or member appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical claims (eg HCFA… more
- Molina Healthcare (OH)
- …+ Assist manager with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors. + Assist with complex enrollment issues ... concerning member eligibility. + QNXT + Healthcare experience + SQL-preferred **Job Qualifications** **Required Education** Associate's Degree or equivalent combination of education and experience **Required Experience** 1-3 years **Preferred Education**… more
- Bowman (Columbus, OH)
- …to ensure a productive working environment. + Assist and work with the Project Manager to ensure accurate and timely billing. + Design and implement processes to ... to accounts payable, financials, timesheets, etc. + Assist with annual financial audit preparation as needed. **Success Metrics and Competencies** + Ability to work… more
- Amergis (Cleveland, OH)
- …for timely review and response to Amergis internal QA or client audit results as applicable . Communicates professionally and effectively with clients, coding ... given day, reports absence as soon as possible to the Professional Recruiter Coding Manager , or via established time off request procedures for future time off .… more
- KeyBank (Brooklyn, OH)
- …with other members of REA team on projects and testing. The Senior Compliance Manager must have in-depth knowledge of wealth and trust risk management as well as ... a strong understanding of audit and/or testing concepts with the ability to apply...monitoring, issues management, and verification activities. The Senior Compliance Manager must exhibit strong leadership, initiative, and agility as… more
- Humana (Columbus, OH)
- …across internal and external teams. + Oversees virtual team engagement, including remote training sessions, vendor performance reviews, and audit feedback loops. ... part of our caring community and help us put health first** The Manager , Quality Assurance develops and implements programs to establish and maintain quality… more
- KeyBank (Cleveland, OH)
- …with other members of REA team on projects and testing. The Senior Compliance Manager must have a strong understanding of audit and/or testing concepts and ... testing, monitoring, issues management, and verification activities. The Senior Compliance Manager must exhibit strong leadership, initiative, and agility as well as… more