- Robert Half Accountemps (Cincinnati, OH)
- …and manual checks. This is an excellent opportunity for professionals with experience in medical billing and payment posting who thrive in a collaborative, ... Description We are looking for a skilled Medical Payment Poster Specialist to join...* Minimum of 2 years of recent experience in payment posting or a similar role. *… more
- Elevance Health (Mason, OH)
- ** Payment Innovation Director** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility ... 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 ** Payment Innovation Director** is responsible for Payment … more
- Elevance Health (Mason, OH)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… 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
- Elevance Health (Mason, OH)
- **Application Architect Senior - Payment Integrity** The **Application Architect Senior** creates architectural solutions that articulate the business context, ... work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation… 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 ... vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term...Business Conduct and related workplace conduct and safety policies. ** Posting may be closed earlier due to high volume… more
- Molina Healthcare (OH)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- Elevance Health (Cincinnati, OH)
- …payer, managed care, or healthcare leadership preferred. + Experience advising medical cost management, utilization management, payment integrity, or provider ... **Manager, Medical Director - Transformation Initiatives** Location: This role...candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless… more
- Elevance Health (Mason, OH)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management (claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless… more
- Molina Healthcare (Akron, OH)
- …the database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more