- Elevance Health (Mason, OH)
- …performing medical reviews via prepayment claims review and post payment auditing + Correlates review findings with appropriate actions (provider education, ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This...candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage...(40 hours per week) employment at the time of posting . The pay range may be higher or lower… more
- Intermountain Health (Columbus, OH)
- …in a timely and accurate manner. **Essential Functions** + Identify appropriate payment details and save back-up as appropriate. Balance payments to deposits in ... payments to patient accounts, using both electronic and manual posting systems + Research, validate and make adjustments to... systems + Research, validate and make adjustments to payment postings. Follow up in accordance to procedures and… more
- US Bank (Cincinnati, OH)
- …to driving innovation and launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part of our team, you can ... focused on building relationships and reaching goals? The **Merchant Payment Services Market Manager** may be the right role...vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term… more
- US Bank (Columbus, OH)
- …objectives. - Stay Current on Industry Trends: Monitor developments in payment solutions, card programs, and regulatory changes to ensure recommendations remain ... or more years of experience in commercial card programs, payment solutions, virtual payments, treasury and accounts payable operations....vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... ensure correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation… more
- Molina Healthcare (Cleveland, OH)
- …DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data ... sources to identify early signs of trends or other issues related to medical care costs. * Analyzes the financial performance, including cost, utilization and… more
- Molina Healthcare (OH)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical… more
- Cleveland Clinic (Cleveland, OH)
- ** Medical Breast Specialist** The Cleveland Clinic Breast Center is currently seeking applicants for a Medical Breast Specialist to join our growing team. We ... welcome applications from board-certified physicians who have outpatient experience in medical breast and a strong interest in women's health. This can include… more
- Cleveland Clinic (Cleveland, OH)
- **Regional Hematology and Medical Oncology Physicians CLEVELAND CLINIC** Regional Staff Physician Positions The Hematology and Medical Oncology Department of the ... Cancer Institute at the Cleveland Clinic is seeking Hematology and Medical Oncology applicants at the Assistant Professor level or higher interested in General… more