- 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
- US Bank (Cincinnati, OH)
- …community. These alliances advance Elavon's strategy of seamlessly integrating payment acceptance into the broader ecosystem, meeting the evolving omni/multi-channel ... growth for Elavon and our strategic partners by unlocking new embedded payment opportunities and enabling innovative commerce experiences. A strong grasp of the… 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)
- …work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation ... role would specifically support the Edits business units under Payment Integrity. **How You Will Make an Impact:** +...compensation for this role at the time of this posting . This range may be modified in the future… more
- Elevance Health (Mason, OH)
- …work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation ... role would specifically support the Edits business unit under Payment Integrity. Accountable for one or more Agile teams...compensation for this role at the time of this posting . This range may be modified in the future… 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)
- …+ Minimum one, (1) year of customer service experience, healthcare industry or medical field experience. + Must have experience in a production driven environment + ... + Associate's or Bachelor's Degree + Previous experience in medical claims processing + Grievance and appeals experience +...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home… 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