- OhioHealth (Columbus, OH)
- …for third-party inquires. * This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching ... position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for...cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s). nt. **Work… more
- Humana (Columbus, OH)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Master ... Data Management Analyst III** The MDM Analyst within the...fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Business System Analyst I Provides the ... business needs. Experience with Microsoft Dynamics 365 preferred. Business System Analyst II Provides the interface between the business and information technology… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides basic analysis ... complete special projects, and conduct monthly activities.** **Responsibilities:** Financial Analyst I-II . Supports corporate departments, both within and outside… more
- Cognizant (Columbus, OH)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... when gaps are identified. + Interpret paper contracts for reimbursement + Work side by side with client team...cautionary reduction functionality. + QNXT SMEs with experience in Medicare Benefit. + Experience with items like Cost Share.… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance (geographic restrictions apply) + Discounted… more
- CVS Health (Columbus, OH)
- …**Position Summary** Act as a primary resource for all dental products (DHMO, PPO, Medicare ) for providers, sales and marketing, and Dental Service Centers to aid in ... limited to termination requests, tax id changes, hold requests, claim reimbursement , system, directory accuracy and various contractual issues. Documented resolution… more
- Banner Health (OH)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
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